Sonography guided percutaneous radiofrequency ablation of hepatocellular carcinoma

Effect of cooperative training on the pretreatment assessment of the operation's feasibility

Min Ju Kim, Hyo K. Lim, Dongil Choi, Jae Lee Won, Hyun Chul Rhim, Seonwoo Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: The aim of this study is to investigate the effects of cooperative training on the pretreatment assessment of the feasibility to perform Ultrasonography (US) guided percutaneous radiofrequency ablation for patients afflicted with hepatocellular carcinoma. Materials and Methods: In our prospective study, 146 patients with 200 hepatocellular carcinomas were referred for radiofrequency ablation after triage by hepatologists. Three radiologists with different levels of experience performed the planning US before (group I) and after (group II) cooperative training, to evaluate whether radiofrequency ablation was feasible. The feasibility rates considered eligible according to our criteria were evaluated. In addition, we analyzed the reasons for the lack of feasibility were analyzed. The interobserver agreement for the assessment of feasibility before and after training was also calculated. Results: The overall feasibility rates for both groups was 73%. No significant difference in the feasibility rates was observed. The feasibility rates of each observer for group I were 71% (observer 1), 77% (observer 2) and 70% (observer 3) and those for group II were 73%, 76% and 69%, respectively. In the tumors (n = 164) considered ineligible, the two most common causes for refraining from performing radiofrequency ablation included non-visualization of the tumor (62%) and the absence of a safe route for the percutaneous approach (38%). We found moderate interobserver agreement for all observers before cooperative training and a good agreement after training. Conclusion: Although the cooperative training did not affect the feasibility rate of each observer, it improved the interobserver agreement for assessing the feasibility of performing US guided radiofrequency ablation, which may reduce unnecessary admission or delayed treatment.

Original languageEnglish
Pages (from-to)29-37
Number of pages9
JournalKorean Journal of Radiology
Volume9
Issue number1
DOIs
Publication statusPublished - 2008 Feb 1

Fingerprint

Hepatocellular Carcinoma
Ultrasonography
Triage
Neoplasms
Prospective Studies
Therapeutics
Radiologists
Gastroenterologists

Keywords

  • Liver neoplasm, US
  • Therapeutic radiology, pretreatment planning

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Sonography guided percutaneous radiofrequency ablation of hepatocellular carcinoma : Effect of cooperative training on the pretreatment assessment of the operation's feasibility. / Kim, Min Ju; Lim, Hyo K.; Choi, Dongil; Won, Jae Lee; Rhim, Hyun Chul; Kim, Seonwoo.

In: Korean Journal of Radiology, Vol. 9, No. 1, 01.02.2008, p. 29-37.

Research output: Contribution to journalArticle

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abstract = "Objective: The aim of this study is to investigate the effects of cooperative training on the pretreatment assessment of the feasibility to perform Ultrasonography (US) guided percutaneous radiofrequency ablation for patients afflicted with hepatocellular carcinoma. Materials and Methods: In our prospective study, 146 patients with 200 hepatocellular carcinomas were referred for radiofrequency ablation after triage by hepatologists. Three radiologists with different levels of experience performed the planning US before (group I) and after (group II) cooperative training, to evaluate whether radiofrequency ablation was feasible. The feasibility rates considered eligible according to our criteria were evaluated. In addition, we analyzed the reasons for the lack of feasibility were analyzed. The interobserver agreement for the assessment of feasibility before and after training was also calculated. Results: The overall feasibility rates for both groups was 73{\%}. No significant difference in the feasibility rates was observed. The feasibility rates of each observer for group I were 71{\%} (observer 1), 77{\%} (observer 2) and 70{\%} (observer 3) and those for group II were 73{\%}, 76{\%} and 69{\%}, respectively. In the tumors (n = 164) considered ineligible, the two most common causes for refraining from performing radiofrequency ablation included non-visualization of the tumor (62{\%}) and the absence of a safe route for the percutaneous approach (38{\%}). We found moderate interobserver agreement for all observers before cooperative training and a good agreement after training. Conclusion: Although the cooperative training did not affect the feasibility rate of each observer, it improved the interobserver agreement for assessing the feasibility of performing US guided radiofrequency ablation, which may reduce unnecessary admission or delayed treatment.",
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