Table 1. Technical Tips for Safe and Complete RF Ablation.
Technical Tips | Desired Effects |
---|---|
Tips for safe RF ablation | |
Artificial ascites technique | To prevent thermal injury to heat-vulnerable organs |
To perform procedure when patients breathe shallowly | To decrease risk of tear of hepatic parenchyma |
Cooling of bile ducts with nasobiliary drainage tube | To minimize biliary complications |
Needle track ablation technique | To reduce tumoral seeding along needle tract |
Gradual increase of RF energy | To avoid transportal spread by popping of index tumors |
Tips for complete RF ablation | |
Fusion imaging of US with CT/MR imaging | Correct targeting of index tumors with poor conspicuity |
Parallel targeting | Wider ablation zone in tumors abutting large vessel |
Placement of needle along long axis of tumor | Complete ablation of fusiform tumors |
To ablate intrahepatic portion first for exophytic tumor | Successful ablation of exophytic tumors |
Bypass targeting | Complete ablation of index tumors in caudate lobe |
RF = radiofrequency, US = ultrasound