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ABSTRACT


01 febrero 2014

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Transcatheter Arterial Chemoembolization (TACE) of Colorectal Cancer Liver Metastases by Irinotecan-Eluting Microspheres in a Salvage Patient Population

Peter Huppert, Thorsten Wenzel, Hubertus Wietholtz

Purpose: This prospective study evaluated the effectiveness and safety of TACE using irinotecan loaded superabsorbent polymer (SAP) microspheres for treatment of colorectal cancer liver metastases (CCLM) in a salvage setting of patients.

01 febrero 2014

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Percutaneous Intraductal Radiofrequency Ablation for Clearance of Occluded Metal Stent in Malignant Biliary Obstruction: Feasibility and Early Results

Madhava Pai, Vlastimil Valek, Andrasina Tomas, Attila Doros, Pietro Quaretti, Rita Golfieri, Cristina Mosconi, Nagy Habib

Purpose: The major complication occurring with biliary stents is stent occlusion, frequently seen because of tumour in-growth, epithelial hyperplasia, and sludge deposits, resulting in recurrent jaundice and cholangitis. We report a prospective study with the results of first in man percutaneous intraductal radiofrequency (RF) ablation to clear the blocked metal stents in patients with malignant biliary obstruction using a novel bipolar RF catheter.

01 enero 2014

THE NEW ENGLAND JOURNAL OF MEDICINE. Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis

Christopher J. Cooper, M.D., Timothy P. Murphy, M.D., Donald E. Cutlip, M.D., Kenneth Jamerson, M.D., William Henrich, M.D., Diane M. Reid, M.D., David J. Cohen, M.D., Alan H. Matsumoto, M.D., Michael Steffes, M.D., Michael R. Jaff, D.O., Martin R. Prince, M.D., Ph.D., Eldrin F. Lewis, M.D., Katherine R. Tuttle, M.D., Joseph I. Shapiro, M.D., M.P.H., John H. Rundback, M.D., Joseph M. Massaro, Ph.D., Ralph B. D Agostino, Sr., Ph.D., and Lance D. Dworkin, M.D. for the CORAL Investigators

Background: Atherosclerotic renal-artery stenosis is a common problem in the elderly. Despite two randomized trials that did not show a benefit of renal-artery stenting with respect to kidney function, the usefulness of stenting for the prevention of major adverse renal and cardiovascular events is uncertain.

01 enero 2014

RADIOLOGY. Radiofrequency Ablation versus Radical Nephrectomy: Clinical Outcomes for Stage T1b Renal Cell Carcinoma

Haruyuki Takaki, MD, Norihito Soga, MD, Hideki Kanda, MD, Atsuhiro Nakatsuka, MD, Junji Uraki, MD, Masashi Fujimori, MD, Takashi Yamanaka, MD, Takaaki Hasegawa, MD, Kiminobu Arima, MD, Yoshiki Sugimura, MD, Hajime Sakuma, MD, Koichiro Yamakado, MD

Purpose: To compare clinical outcomes of radiofrequency (RF) ablation retrospectively with those after radical nephrectomy in patients with stage T1b renal cell carcinoma (RCC).

01 febrero 2014

RADIOLOGY. Unresectable Hepatocellular Carcinoma: Randomized Controlled Trial of Transarterial Ethanol Ablation versus Transcatheter Arterial Chemoembolization

Simon Chun Ho Yu, FRCR, Joyce Wai Yi Hui, FRCR, Edwin Pun Hui, FRCP, Stephen Lam Chan, FRCP, Kit Fai Lee, FRCS, Frankie Mo, PhD, John Wong, FRCS, Brigette Ma, FRCP, Paul Lai, FRCS, Tony Mok, FRCP, Winnie Yeo, FRCP

Purpose: To compare effectiveness of transarterial ethanol ablation (TEA) and transcatheter arterial chemoembolization (TACE) for unresectable hepatocellular carcinoma and determine whether TEA leads to better overall survival and tumor response than TACE.

01 febrero 2014

RADIOLOGY. Uterine Fibroids: Postsonication Temperature Decay Rate Enables Prediction of Therapeutic Responses to MR Imaging-guided High-Intensity Focused Ultrasound Ablation

Young-sun Kim, MD, Min Jung Park, MD, Bilgin Keserci, PhD, Kirsi Nurmilaukas, PhD, Max O. Köhler, PhD, Hyunchul Rhim, MD, Hyo Keun Lim, MD

Purpose: To determine whether intraprocedural thermal parameters as measured with magnetic resonance (MR) thermometry can be used to predict immediate or delayed therapeutic response after MR-guided high-intensity focused ultrasound (HIFU) ablation of uterine fibroids.

01 febrero 2014

AMERICAN JOURNAL OF ROENTGENOLOGY. Incidence and Predictive Factors of Inadequate Fine-Needle Aspirates for BRAFV600E Mutation Analysis in Thyroid Nodules

Kwang Hwi Lee, Hyun Su Kim, Boo-Kyung Han, Eun Young Ko, Chang-Seok Ki and Jung Hee Shin

OBJECTIVE. BRAFV600E mutation (valine-to-glutamate substitution at residue 600 of the B-type Raf kinase gene) analysis from thyroid aspirates is increasingly used as a prognostic or diagnostic marker. However, it is limited under some conditions. The purpose of this study was to assess the incidence and predictive factors of thyroid nodules with specimens inadequate for BRAFV600E mutation analysis.

01 febrero 2014

AMERICAN JOURNAL OF ROENTGENOLOGY. Techniques to Expand Patient Selection for MRI-Guided High-Intensity Focused Ultrasound Ablation of Uterine Fibroids

Young-sun Kim, Duk-Soo Bae, Min Jung Park, Antti Viitala, Bilgin Keserci, Hyunchul Rhim and Hyo Keun Lim

OBJECTIVE. MRI-guided high-intensity focused ultrasound (HIFU) ablation is increasingly adopted for treating symptomatic uterine fibroids. As a noninvasive therapy performed on an outpatient basis, it has been viewed by patients to have distinct advantages over other treatment options. However, its breadth of clinical application is still limited. To address this issue, various techniques have been implemented.

01 enero 2014

AMERICAN JOURNAL OF ROENTGENOLOGY. Hepatic Arterial Infusion Chemotherapy by the Fixed-Catheter-Tip Method: Retrospective Comparison of Percutaneous Left Subclavian and Femoral Port-Catheter System Implantation

Tomohiro Matsumoto, Takuji Yamagami, Rika Yoshimatsu, Hiroyuki Morishita, Noriko Kitamura, Osamu Sato and Terumitsu Hasebe

OBJECTIVE. The purpose of this study was to retrospectively compare the subclavian and femoral approaches to a fixed-catheter-tip method of implantation of a port-catheter system for hepatic arterial infusion chemotherapy with respect to complications and dysfunctions.

01 enero 2014

JOUNAL OF HEPATOLOGY. The ART-strategy: Sequential assessment of the ART score predicts outcome of patients with hepatocellular carcinoma re-treated with TACE

Florian Hucke , Wolfgang Sieghart , Matthias Pinter , Ivo Graziadei , Wolfgang Vogel , Christian Müller , Harald Heinzl , Fredrik Waneck , Michael Trauner , Markus Peck-Radosavljevic

Background & Aims: Recently, we developed the ART score (assessment for re-treatment with TACE) to guide the decision for a second transarterial chemoembolization (TACE-2) in patients with hepatocellular carcinoma (HCC). Patients with an ART score of 0–1.5 points gained benefit from a second TACE session, while patients with an ART score 2.5 points did not.

01 febrero 2013

HPB. Segmental and lobar administration of drug-eluting beads delivering irinotecan leads to tumour destruction: a case–control series

Robert P. Jones and others

Background: Irinotecan-loaded drug-eluting beads represent a novel drug delivery method that allows for the locoregional delivery of irinotecan to colorectal liver metastases (CRLM). The method has shown impressive response rates. However, the pathological response to this treatment has not previously been demonstrated.

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