Kwon Heon-Ju, Kim Pyo Nyun, Byun Jae Ho, Kim Kyoung Won, Won Hyung Jin, Shin Yong Moon, Lee Moon-Gyu
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
Acta Radiol. 2014 Nov;55(9):1082-92. doi: 10.1177/0284185113513893. Epub 2013 Nov 25.
Radiofrequency ablation is a safe and effective treatment for primary and secondary liver malignancies and has a low complication rate; however, there are various radiofrequency ablation-related complications which can occur from the thorax to the pelvis. Although most of these complications are usually minor and self-limited, they may become fatal if diagnosis and treatment are delayed. It is important for radiologists performing radiofrequency ablation to have a perspective regarding the possible radiofrequency ablation-related complications and their risk factors as well as the radiologic findings for their timely detection and increase of the treatment efficacy, and thereby encouraging the use of the radiofrequency ablation technique. This article illustrates the various imaging features of common and rare radiofrequency ablation-related complications as well as offers technical tips in order to avoid these complications.
射频消融是治疗原发性和继发性肝脏恶性肿瘤的一种安全有效的方法，并发症发生率低；然而，从胸部到骨盆都可能发生各种与射频消融相关的并发症。虽然这些并发症大多通常较轻微且具有自限性，但如果诊断和治疗延迟，可能会致命。对于进行射频消融的放射科医生来说，了解可能的射频消融相关并发症及其危险因素、以及用于及时检测和提高治疗效果的影像学表现非常重要，从而鼓励使用射频消融技术。本文阐述了常见和罕见的射频消融相关并发症的各种影像学特征，并提供了避免这些并发症的技术提示。
