Gut Liver.
2024 Sep;18(5):789-802. 10.5009/gnl240350.
Local Ablation for Hepatocellular Carcinoma: 2024 Expert Consensus-Based Practical Recommendations of the Korean Liver Cancer Association
- Han S
1 - Sung PS2
- Park SY3
- Kim JW4
- Hong HP5
- Yoon JH6
- Chung DJ7
- Kwon JH8
- Lim S9
- Kim JH10
- Shin SK11
- Kim TH12
- Lee DH10
- Choi JY2
- RCotKLCA
- Affiliations
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- 1Department of Radiology, Samsung Medical Center, Seoul, Korea
- 2Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Department of Internal Medicine, Kyungpook National University Hospital, College of Medicine, Kyungpook National University, Daegu, Korea
- 4Department of Radiology, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea
- 5Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- 6Department of Radiology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
- 7Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 8Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- 9Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
- 10Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- 11Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- 12Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea
- KMID: 2559087
- DOI: http://doi.org/10.5009/gnl240350
Abstract
- Local ablation for hepatocellular carcinoma, a non-surgical option that directly targets and destroys tumor cells, has advanced significantly since the 1990s. Therapies with different energy sources, such as radiofrequency ablation, microwave ablation, and cryoablation, employ different mechanisms to induce tumor necrosis. The precision, safety, and effectiveness of these therapies have increased with advances in guiding technologies and device improvements. Consequently, local ablation has become the first-line treatment for early-stage hepatocellular carcinoma. The lack of organized evidence and expert opinions regarding patient selection, preprocedure preparation, procedural methods, swift post-treatment evaluation, and follow-up has resulted in clinicians following varied practices. Therefore, an expert consensus-based practical recommendation for local ablation was developed by a group of experts in radiology and hepatology from the Research Committee of the Korean Liver Cancer Association in collaboration with the Korean Society of Image-Guided Tumor Ablation to provide useful information and guidance for performing local ablation and for the pre- and post-treatment management of patients.
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