MRI-guided cryoablation a boon for HCC patients
With a 1-tesla open scanner and some finesse, Chinese researchers are using...Read more on AuntMinnie.comRelated Reading: CBCT-guided radiotherapy shows promise for HCC 3D printing enables CT- and MR-guided ablation simulation Contrast US clears up indeterminate HCC cases on MRI US surveillance of HCC subject to image quality issues HCC screening boosts survival rate in cirrhosis patients
Conclusion: Kupffer phase CEUS surveillance with Sonazoid is extremely useful for the early detection and confirmation of HCC using a reinjection technique. Kupffer phase CEUS with Sonazoid contrast combined with the reinjection technique is, therefore, recommended as first-line screening tool for HCC in patients with liver cirrhosis, especially those with very coarse liver parenchyma.Liver Cancer
CONCLUSION: Sofosbuvir plus velpatasvir therapeutic regimen was highly effective in HCV patients without advanced liver disease naïve to previous DAA regimen independently the different HCV genotypes. PMID: 31124995 [PubMed - in process]
In this study, the suitability of scanning approaches for the ASQ-based evaluation of hepatic steatosis was investigated.
Authors: Cruz-Ramón V, Chinchilla-López P, Ramírez-Pérez O, Aguilar-Olivos NE, Alva-López LF, Fajardo-Ordoñez E, Ponciano-Rodríguez G, Northup PG, Intagliata N, Caldwell SH, Qi X, Méndez-Sánchez N Abstract INTRODUCTION AND AIM: Thrombosis is a vascular disorder of the liver often associated with significant morbidity and mortality. Cirrhosis is a predisposing factor for portal venous system thrombosis. The aim of this study is to determine differences between cirrhotics and non-cirrhotics that develop thrombosis in portal venous system and to evaluate i...
Conclusions: Quantitative 99mTc Sulfur colloid liver SPECT showed significant correlation with CTP, MELD and (ICG-R15).Also, G-CSF treatment in decompensated cirrhosis showed improvement in disease severity scores and quantitative liver uptake (QLU).Thus, quantitative 99mTc sulfur colloid SPECT scan can be used as an non-invasive, accurate and cost effective quantitative test for assessment of hepatic function in response to novel therapies.
AbstractBackgroundThere are scanty data from India on the prevalence and clinical profile of cirrhotic cardiomyopathy (CCM).AimTo identify the prevalence and clinical presentation of CCM in patients with liver cirrhosis.MethodsFive hundred and eighty-six patients with liver cirrhosis were recruited based on inclusion criteria and evaluated for cardiac parameters using electrocardiography, 2-dimensional echocardiography, dobutamine stress test and coronary angiography as needed. Baseline demographic data, liver biochemistry, endoscopic and radiological findings were recorded in all the patients. Appropriate statistical anal...
Authors: Zeng DB, Di L, Zhang RC, Guo QL, Duan BW, Jia CY, Chen F, Lin DD, Zang YJ, Lu SC Abstract Background: Studies have demonstrated that liver fibrosis can be reversed by medication treatments. After splenectomy, cirrhosis patients have short-term changes in several serum markers for cirrhosis and liver stiffness. Aims: To investigate the effect of splenectomy on the severity of cirrhosis. Methods: A total of 62 patients with cirrhosis and portal hypertension receiving splenectomy from December 2014 to July 2017 were enrolled. The degree of cirrhosis was preoperatively and postoperatively evaluated by ...
CONCLUSION: Development of cirrhosis and higher mortality was significantly associated with a lack of biochemical response to UDCA. Frequent development of cirrhosis and increased mortality in nonresponders underlines the need for a more effective therapy than UDCA for this sizeable subgroup of patients. PMID: 31074667 [PubMed - as supplied by publisher]
ConclusionsFull laparoscopic anatomical segment 8 resection is a technically challenging operation. The use of the Glissonian approach and the aid of ICG dye could be of help, but advanced laparoscopic skills are necessary to complete such a difficult procedure safely.5–13
CONCLUSION: A single contrast imaging technique showing a typical contrast pattern confidently identifies HCC also in cirrhotic patients with an incidental liver nodule, thereby reducing the need for FNB examinations. PMID: 31036496 [PubMed - as supplied by publisher]