Table 2:
Expected post-treatment imaging appearance of successfully treated HCC | Imaging features suggestive of Viable Category | |
---|---|---|
Thermal Ablation (Figure 2 and 3) | • No intralesional enhancement • Smooth perilesonal rim of enhancement and/or parenchymal perfusional changes without masslike area(s) of enhancement |
Irregular masslike enhancement along the margin or intralesional (any degree, any phase) |
Intra-arterial embolic therapy (TAE, cTACE, DEB-TACE) (Figure 4) | • No intralesional enhancement • Smooth perilesional rim of enhancement and/or parenchymal perfusional changes without masslike area(s) of enhancement |
Irregular masslike enhancement along the margin or intralesional (any degree, any phase) |
SBRT (Figure 5) | • No intralesional enhancement • Smooth or geographic parenchymal perfusional changes without masslike area(s) of enhancement • Irregular intralesional masslike enhancement (any degree, any phase) any time after treatment AND definite stability or decrease in size and/or degree of intralesional enhancement |
Irregular intralesional masslike enhancement (any degree, any phase) at any time after treatment with new or increased size or degree of intralesional enhancing component(s) |
TARE/y90 (Figure 6) | • No intralesional enhancement • Smooth or geographic parenchymal perfusional changes without masslike area(s) of enhancement • Irregular intralesional masslike enhancement (any degree, any phase) any time after treatment AND definite stability or decrease in size and/or degree of intralesional enhancement |
Irregular intralesional masslike enhancement (any degree, any phase) at any time after treatment with new or increased size or degree of intralesional enhancing component(s) |