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Bäumler, Wolf ; Schicho, Andreas ; Schaible, Jan ; Verloh, Niklas ; Senk, Karin ; Wiggermann, Phillipp ; Stroszczynski, Christian ; Beyer, Lukas Phillip

Changes in gadoxetic-acid-enhanced MR imaging during the first year after irreversible electroporation of malignant hepatic tumors

Bäumler, Wolf , Schicho, Andreas, Schaible, Jan, Verloh, Niklas , Senk, Karin, Wiggermann, Phillipp , Stroszczynski, Christian und Beyer, Lukas Phillip (2020) Changes in gadoxetic-acid-enhanced MR imaging during the first year after irreversible electroporation of malignant hepatic tumors. PLOS ONE 15 (11), e0242093.

Veröffentlichungsdatum dieses Volltextes: 14 Jan 2021 12:47
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.44272


Zusammenfassung

Purpose To evaluate the appearance and size of ablation zones in gadoxetic-acid-enhanced magnetic resonance imaging (MRI) during the first year after irreversible electroporation (IRE) of primary or secondary hepatic malignancies and to investigate potential correlations to clinical features. Material and methods The MRI-appearance of the ablation area was assessed 1-3 days, 6 weeks, 3 months, 6 ...

Purpose To evaluate the appearance and size of ablation zones in gadoxetic-acid-enhanced magnetic resonance imaging (MRI) during the first year after irreversible electroporation (IRE) of primary or secondary hepatic malignancies and to investigate potential correlations to clinical features. Material and methods The MRI-appearance of the ablation area was assessed 1-3 days, 6 weeks, 3 months, 6 months, 9 months and 1 year after IRE. The size of the ablation zone and signal intensities of each follow-up control were compared. Moreover, relationships between clinical features and the MRI-appearance of the ablation area 1-3 days after IRE were analyzed. Results The ablation zone size decreased from 5.6 +/- 1.4 cm (1-3 days) to 3.7 +/- 1.2 cm (1 year). A significant decrease of central hypointensities was observed in T2-blade- (3 months), T2 haste- (6 weeks; 3 months; 6 months; 1 year), T1 arterial phase- (3 months; 1 year), and diffusion-sequences (6 weeks; 3 months; 6 months; 9 months; 1 year). The unenhanced T1-sequences showed significantly increasing central hypointensities (6 weeks; 3 months; 6 months; 9 months; 1 year). Significantly increasing peripheral hypointensities were detected in T1 arterial phase- (3 months; 6 months; 9 months; 1 year) and in T1 portal venous phase-sequences (6 weeks; 3 months; 6 months; 9 months; 1 year). Peripheral hypointensities of unenhanced T1-sequences decreased significantly 1 year after IRE. 1-3 days after IRE central T1 portal venous hypo- or isointensities were detected significantly more often than hyperintensities, if more than 3 IRE electrodes were used. Conclusion Hepatic IRE results in continuous reduction of ablation zone size during the first postinterventional year. In addition to centrally decreasing T1-signal and almost steadily increasing signal in the enhanced T2 haste-, diffusion- and T1 arterial phase-sequences, there is a trend toward long-term decreasing T1 arterial- and portal venous MRI-signal intensity of the peripheral ablation area, probably representing a region of reversible electroporation.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftPLOS ONE
Verlag:PLOS
Ort der Veröffentlichung:SAN FRANCISCO
Band:15
Nummer des Zeitschriftenheftes oder des Kapitels:11
Seitenbereich:e0242093
Datum17 November 2020
InstitutionenMedizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.1371/journal.pone.0242093DOI
Stichwörter / KeywordsHEPATOCELLULAR-CARCINOMA; LIVER METASTASES; THERMAL ABLATION; SAFETY; EFFICACY; THERAPY; MODEL;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-442722
Dokumenten-ID44272

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