LIU Haifeng , LU Xingru , XU Yongsheng , WANG Lili , LIU Zhao , LEI Junqiang
  • Department of Radiology, The First Hospital of Lanzhou University, Lanzhou 730000, P. R. China;
LEI Junqiang, Email: leijq2011@126.com
hepatocellular carcinoma; transcatheter arterial chemoembolization; imaging; diagnosis; curative effect
10.7507/1007-9424.201904072
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Objective To summarize research progress of imaging methods in postoperative efficacy evaluating of hepatocellular carcinoma (HCC) after transcatheter arterial chemoembolization (TACE).Methods The related literatures of imaging methods in postoperative efficacy evaluating of HCC after the TACE were searched in the PubMed, Web of Science, CNKI, and Wanfang Data databases, etc. The clinical efficacy, advantages and problems of different imaging were analyzed and summarized.Results The contrast-enhanced ultrasound (CEUS) had the higher value in diagnosing of residual or recurrent lesion, but the observation of the multiple or larger lesion was limited on the CEUS. The contrast-enhanced computed tomogaphy (CECT) had the lower diagnostic value for the residual or recurrent lesions as compared with the CEUS due to the artifact of iodine oil deposition. However, the CT perfusion and gemstone spectral imaging parameters could help to predict postoperative efficacy, tumor residue, and tumor recurrence after the TACE. The combination of dynamic contrast enhanced magnetic resonance imaging (DCE-MRI), functional and perfusion imaging had the better diagnostic value, and the liver function could be predicted by the DCE-MRI. The PET/CT had the excellent value in diagnosing of the residual or recurrent lesion and could be used in predicting of the patient’s survival after the TACE. The DSA was the reference standard in diagnosing of the residual or recurrent lesion after the TACE for the HCC patients, however, it had the disadvantages of invasiveness and side effect and the high operational requirements should be emphasized.Conclusions Imaging examinations including ultrasound, CT, MRI, PET/CT, and DSA are widely applied to evaluate curative effect and residual or recurrent lesion of HCC after TACE. However, principles and imaging methods of mentioned above diagnostic methods are inconsistent, as well as results of research are quite different, therefore, clinician should choose the best imaging method according to patient’s condition in diagnosis and treatment.

Citation： LIU Haifeng, LU Xingru, XU Yongsheng, WANG Lili, LIU Zhao, LEI Junqiang. Research progress of imaging in postoperative efficacy evaluating of hepatocellular carcinoma after transcatheter arterial chemoembolization. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(1): 118-122. doi: 10.7507/1007-9424.201904072 Copy

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