Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma
Purpose To investigate the value of three-dimensional ultrasound fusion imaging (3DUS FI) technique for guiding needle placement in hepatocellular carcinoma (HCC) thermal ablation.Methods A total of 57 patients with 60 HCCs with 3DUS FI-guided thermal ablation were retrospectively included in the st...
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2024.2316097 |
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| author | Jiaming Liu Yuqing Guo Yueting Sun Ming Liu Xiaoer Zhang Ruiying Zheng Longfei Cong Baoxian Liu Xiaoyan Xie Guangliang Huang |
| author_facet | Jiaming Liu Yuqing Guo Yueting Sun Ming Liu Xiaoer Zhang Ruiying Zheng Longfei Cong Baoxian Liu Xiaoyan Xie Guangliang Huang |
| author_sort | Jiaming Liu |
| collection | DOAJ |
| description | Purpose To investigate the value of three-dimensional ultrasound fusion imaging (3DUS FI) technique for guiding needle placement in hepatocellular carcinoma (HCC) thermal ablation.Methods A total of 57 patients with 60 HCCs with 3DUS FI-guided thermal ablation were retrospectively included in the study. 3DUS volume data of liver were acquired preoperatively by freehand scanning with the tumor and predetermined 5 mm ablative margin automatically segmented. Plan of needle placement was made through a predetermined simulated ablation zone to ensure a 5 mm ablative margin with the coverage rate toward tumor and ablative margin. With real-time ultrasound and 3DUS fusion imaging, ablation needles were placed according to the plan. After ablation, the ablative margin was immediately evaluated by contrast-enhanced ultrasound and 3DUS fusion imaging. The rate of adequate ablative margin, complete response (CR), local tumor progression (LTP), disease-free survival (DFS), and overall survival (OS) was evaluated.Results According to postoperative contrast-enhanced CT or MR imaging, the complete response rate was 100% (60/60), and 83% of tumors (30/36) achieved adequate ablative margin (>5 mm) three-dimensionally. During the follow-up period of 6.0-42.6 months, LTP occurred in 5 lesions, with 1- and 2-year LTP rates being 7.0% and 9.4%. The 1- and 2-year DFS rates were 76.1% and 65.6%, and 1- and 2-year OS rates were 98.1% and 94.0%. No major complications or ablation-related deaths were observed in any patients.Conclusions Three-dimensional ultrasound fusion imaging technique may improve the needle placement of thermal ablation for HCC and reduce the rate of LTP. |
| format | Article |
| id | doaj-art-6133c8aafb0540eda2648b9553d69011 |
| institution | Kabale University |
| issn | 0265-6736 1464-5157 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj-art-6133c8aafb0540eda2648b9553d690112025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2316097Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinomaJiaming Liu0Yuqing Guo1Yueting Sun2Ming Liu3Xiaoer Zhang4Ruiying Zheng5Longfei Cong6Baoxian Liu7Xiaoyan Xie8Guangliang Huang9Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaMedical Imaging System Division, Shenzhen Mindray Bio-Medical Electronics Co., Ltd, Shenzhen, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaPurpose To investigate the value of three-dimensional ultrasound fusion imaging (3DUS FI) technique for guiding needle placement in hepatocellular carcinoma (HCC) thermal ablation.Methods A total of 57 patients with 60 HCCs with 3DUS FI-guided thermal ablation were retrospectively included in the study. 3DUS volume data of liver were acquired preoperatively by freehand scanning with the tumor and predetermined 5 mm ablative margin automatically segmented. Plan of needle placement was made through a predetermined simulated ablation zone to ensure a 5 mm ablative margin with the coverage rate toward tumor and ablative margin. With real-time ultrasound and 3DUS fusion imaging, ablation needles were placed according to the plan. After ablation, the ablative margin was immediately evaluated by contrast-enhanced ultrasound and 3DUS fusion imaging. The rate of adequate ablative margin, complete response (CR), local tumor progression (LTP), disease-free survival (DFS), and overall survival (OS) was evaluated.Results According to postoperative contrast-enhanced CT or MR imaging, the complete response rate was 100% (60/60), and 83% of tumors (30/36) achieved adequate ablative margin (>5 mm) three-dimensionally. During the follow-up period of 6.0-42.6 months, LTP occurred in 5 lesions, with 1- and 2-year LTP rates being 7.0% and 9.4%. The 1- and 2-year DFS rates were 76.1% and 65.6%, and 1- and 2-year OS rates were 98.1% and 94.0%. No major complications or ablation-related deaths were observed in any patients.Conclusions Three-dimensional ultrasound fusion imaging technique may improve the needle placement of thermal ablation for HCC and reduce the rate of LTP.https://www.tandfonline.com/doi/10.1080/02656736.2024.2316097Hepatocellular carcinomaablation techniquesultrasonographyfusion image |
| spellingShingle | Jiaming Liu Yuqing Guo Yueting Sun Ming Liu Xiaoer Zhang Ruiying Zheng Longfei Cong Baoxian Liu Xiaoyan Xie Guangliang Huang Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma International Journal of Hyperthermia Hepatocellular carcinoma ablation techniques ultrasonography fusion image |
| title | Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| title_full | Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| title_fullStr | Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| title_full_unstemmed | Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| title_short | Three-dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| title_sort | three dimensional ultrasound fusion imaging in precise needle placement for thermal ablation of hepatocellular carcinoma |
| topic | Hepatocellular carcinoma ablation techniques ultrasonography fusion image |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2024.2316097 |
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