Liver Cancer
Conditions
Keywords
ablation, fusion
Brief summary
The purpose of this study is to determine whether fusion technique of pre-radiofrequency ablation (RFA) cross-sectional imaging (CT or MR) and real-time ultrasonography would improve feasibility of RFA in patients with liver tumor in comparison with ultrasonography guidance alone.
Detailed description
RFA is one of commonly used local therapies for primary or secondary liver tumors. For successful and safe procedure, safe route of electrode and lesion visibility are essential for RFA, and the conditions are usually evaluated on pre-RFA planning ultrasonography (USG). However, RFA is sometimes aborted due to limited sonic window of various cause and challenging identification of small isoechoic tumors or hepatocellular carcinomas among dysplastic nodules . Therefore, precise targeting and assuring safe route would be of clinical importance. In this preliminary study, investigators attempted to determine US and CT/MR fusion technique would be able to improve RFA feasibility in patients with liver tumors in comparison with conventional US alone technique.
Interventions
Fusion of pre-RFA cross-sectional imaging (CT or MRI) and real-time USG using registration function of USG device.
Sponsors
Study design
Eligibility
Inclusion criteria
all conditions should be satisfied for inclusion. * referred to Radiology in our institution for liver tumor RFA * available pre-RFA liver CT or liver MR imaging within 6 weeks
Exclusion criteria
patients with any of following condition should be excluded. * any contraindication of liver RFA * any patients who received treatment between pre-RFA imaging and planned RFA * patients referred for palliative purpose.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| RFA feasibility rates on planning USG with/without fusion CT/MR and US | 10 minutes after finishing planning USG | comparison of rates of RFA feasibility on conventional planning USG and on fusion planning USG |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of tumor visibility on planning USG with/without fusion technique | 10 minutes after finishing planning USG | comparison of tumor visibility (or detection) rates on planning USG on conventional planning USG and fusion planning USG |
| Number of patients with safety access route on planning USG with/without fusion technique | 10 minutes after finishing planning USG | comparison of number of patients with presence/absence of safety access route, and the on two planning USGs |
Other
| Measure | Time frame | Description |
|---|---|---|
| Anticipated number of overlapping of RFA electrodes on planning USG with/without fusion technique | 30 minutes after finishing planning USG | comparison of anticipated number of electrode overlapping on two planning USGs |
Countries
South Korea