Radiological treatment of HCC: Interventional radiology at the heart of management

Abstract Interventional radiology is involved practically at each stage in the treatment of hepatocellular carcinoma, as recommended in the EASL-EORTC guidelines. It is even becoming more important as technological advances progress and as its long-term efficacy is assessed. Used curatively, thermoa...

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Bibliographic Details
Published in:Diagnostic and interventional imaging 2015-06, Vol.96 (6), p.625-636
Main Authors: Aubé, C, Bouvier, A, Lebigot, J, Vervueren, L, Cartier, V, Oberti, F
Format: Article
Language:English
Subjects:
Aged
Carcinoma, Hepatocellular - diagnostic imaging
Carcinoma, Hepatocellular - surgery
Catheter Ablation
Chemoembolization
Decision Trees
Embolization, Therapeutic
Hepatocellular carcinoma
Humans
Interventional radiology
Life Sciences
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - surgery
Male
Radiofrequency
Radiography, Interventional - methods
Radiology
Treatment
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Summary:Abstract Interventional radiology is involved practically at each stage in the treatment of hepatocellular carcinoma, as recommended in the EASL-EORTC guidelines. It is even becoming more important as technological advances progress and as its long-term efficacy is assessed. Used curatively, thermoablation can obtain five-year survival rates of 40 to 70%, with a survival rate of 30% at 10 years. As there are many tools available in order to be used, it requires a thorough pre-treatment assessment and discussion in a multidisciplinary team meeting. Regular patient reassessment is needed in order to be able to adjust treatment because of the complementarity of the treatments available and the course of the disease.
ISSN:2211-5684
2211-5684
DOI:10.1016/j.diii.2015.04.008