Precise liver tumor ablation: the clinical potential of US-US overlay fusion guidance.

IF 2.4 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ultrasonography Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI:10.14366/usg.24133
Yasunori Minami
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引用次数: 0

Abstract

Image-guided thermal ablation is a minimally invasive option for patients with early-stage hepatocellular carcinoma (HCC). However, the risk of local recurrence remains substantial because ultrasound (US) artifacts have a negative impact on the assessment of ablative margins during and immediately after ablation. Precise, real-time assessment of the ablation zone is key to reducing the risk of local tumor progression. With the advent of US image fusion technology, ablative margins can now be assessed three-dimensionally with greater accuracy. Therefore, US-US overlay fusion guidance has the potential to improve the local controllability of ablation in patients with HCC. This review discusses the US-US fusion guidance technique and its current clinical applications for hepatic interventions, with descriptions of its concept, methodology, and efficacy.

精确的肝脏肿瘤消融:US-US 重叠融合引导的临床潜力。
图像引导热消融是早期肝细胞癌(HCC)患者的一种微创选择。然而,局部复发的风险仍然很大,因为超声(US)伪像会对消融过程中和消融后的消融边缘评估产生负面影响。精确、实时地评估消融区域是降低局部肿瘤进展风险的关键。随着 US 图像融合技术的出现,现在可以更准确地对消融边缘进行三维评估。因此,US-US 叠加融合引导有可能改善 HCC 患者消融的局部可控性。本综述讨论了 US-US 融合引导技术及其目前在肝脏介入治疗中的临床应用,并介绍了其概念、方法和疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ultrasonography
Ultrasonography Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.10
自引率
6.50%
发文量
78
审稿时长
15 weeks
期刊介绍: Ultrasonography, the official English-language journal of the Korean Society of Ultrasound in Medicine (KSUM), is an international peer-reviewed academic journal dedicated to practice, research, technology, and education dealing with medical ultrasound. It is renamed from the Journal of Korean Society of Ultrasound in Medicine in January 2014, and published four times per year: January 1, April 1, July 1, and October 1. Original articles, technical notes, topical reviews, perspectives, pictorial essays, and timely editorial materials are published in Ultrasonography covering state-of-the-art content. Ultrasonography aims to provide updated information on new diagnostic concepts and technical developments, including experimental animal studies using new equipment in addition to well-designed reviews of contemporary issues in patient care. Along with running KSUM Open, the annual international congress of KSUM, Ultrasonography also serves as a medium for cooperation among physicians and specialists from around the world who are focusing on various ultrasound technology and disease problems and relevant basic science.
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