No-Touch Radiofrequency Ablation for Early Hepatocellular Carcinoma: 2023 Korean Society of Image-Guided Tumor Ablation Guidelines

Radiofrequency ablation (RFA) has been widely used to manage hepatocellular carcinomas (HCCs) equal to or smaller than 3 cm. No-touch RFA has gained attention and has recently been implemented in local ablation therapy for HCCs, despite its technical complexity, as it provides improved local tumor c...

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Published inKorean journal of radiology Vol. 24; no. 8; pp. 719 - 728
Main Authors Han, Seungchul, Lee, Min Woo, Lee, Young Joon, Hong, Hyun Pyo, Lee, Dong Ho, Lee, Jeong Min
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Radiology 01.08.2023
Subjects
Ablation
Carcinoma, Hepatocellular - pathology
Catheter Ablation - methods
Electrodes
Humans
Liver cancer
Liver Neoplasms - pathology
Radiofrequency Ablation - methods
Recommendation and Guideline
Republic of Korea
Retrospective Studies
Task forces
Treatment Outcome
Republic of Korea
No-touch radiofrequency ablation
Guideline
Hepatocellular carcinoma
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Summary:Radiofrequency ablation (RFA) has been widely used to manage hepatocellular carcinomas (HCCs) equal to or smaller than 3 cm. No-touch RFA has gained attention and has recently been implemented in local ablation therapy for HCCs, despite its technical complexity, as it provides improved local tumor control compared to conventional tumor-puncturing RFA. This article presents the practice guidelines for performing no-touch RFA for HCCs, which have been endorsed by the Korean Society of Image-Guided Tumor Ablation (KSITA). The guidelines are primarily designed to assist interventional oncologists and address the limitations of conventional tumor-puncturing RFA with describing the fundamental principles, various energy delivery methods, and clinical outcomes of no-touch RFA. The clinical outcomes include technical feasibility, local tumor progression rates, survival outcomes, and potential complications.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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These authors contributed equally to this work.
ISSN:1229-6929
2005-8330
DOI:10.3348/kjr.2023.0423