Evidence map›Paper›PMID 30386137›Full record

ArticleKorean journal of radiology

Prediction of Local Tumor Progression after Radiofrequency Ablation (RFA) of Hepatocellular Carcinoma by Assessment of Ablative Margin Using Pre-RFA MRI and Post-RFA CT Registration.

Jeong Hee Yoon, Jeong Min Lee, Ernst Klotz, Hyunsik Woo, Mi Hye Yu, Ijin Joo, Eun Sun Lee, Joon Koo Han

Open access · hybridAbstract read
In one paragraph

Article in Korean journal of radiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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  14. Anatomical ablation for small hepatocellular carcinomas using multiple applicators: a preliminary study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Jeong Hee YoonDepartment of Radiology, Seoul National University Hospital, Seoul 03080, Korea.
Jeong Min LeeDepartment of Radiology, Seoul National University Hospital, Seoul 03080, Korea.
Ernst KlotzSiemens Healthcare, Forchheim 91301, Germany.
Hyunsik WooDepartment of Radiology, SMG-SNU Boramae Medical Center, Seoul 07061, Korea.
Mi Hye YuDepartment of Radiology, KonKuk University Medical Center, Seoul 05030, Korea.
Ijin JooDepartment of Radiology, Seoul National University Hospital, Seoul 03080, Korea.
Eun Sun LeeDepartment of Radiology, Chung-Ang University Hospital, Seoul 06973, Korea.
Joon Koo HanDepartment of Radiology, Seoul National University Hospital, Seoul 03080, Korea.
Seoul National University · KRChung-Ang University Hospital · KRNational Medical Center · KRSeoul National University Hospital · KRSiemens Healthcare (Germany) · DESNUH SMG-SNU Boramae Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the clinical impact of using registration software for ablative margin assessment on pre-radiofrequency ablation (RFA) magnetic resonance imaging (MRI) and post-RFA computed tomography (CT) compared with the conventional side-by-side MR-CT visual comparison. Materials and Methods: In this Institutional Review Board-approved prospective study, 68 patients with 88 hepatocellulcar carcinomas (HCCs) who had undergone pre-RFA MRI were enrolled. Informed consent was obtained from all patients. Pre-RFA MRI and post-RFA CT images were analyzed to evaluate the presence of a sufficient safety margin (≥ 3 mm) in two separate sessions using either side-by-side visual comparison or non-rigid registration software. Patients with an insufficient ablative margin on either one or both methods underwent additional treatment depending on the technical feasibility and patient's condition. Then, ablative margins were re-assessed using both methods. Local tumor progression (LTP) rates were compared between the sufficient and insufficient margin groups in each method. Results: The two methods showed 14.8% (13/88) discordance in estimating sufficient ablative margins. On registration software-assisted inspection, patients with insufficient ablative margins showed a significantly higher 5-year LTP rate than those with sufficient ablative margins (66.7% vs. 27.0%, Conclusion: Registration software provided better ablative margin assessment than did visual inspection in patients with HCCs who had undergone pre-RFA MRI and post-RFA CT for prediction of LTP after RFA and may provide more precise risk stratification of those who are treated with RFA.

Indexed as

Magnetic Resonance ImagingRadiofrequency AblationTomography, X-Ray ComputedAdultAgedAged, 80 and overCarcinoma, HepatocellularDisease ProgressionFemaleHumansImage Interpretation, Computer-AssistedLiver NeoplasmsMaleMiddle AgedOdds RatioProspective StudiesFusionLocal tumor progressionMagnetic resonance imagingMarginRadiofrequency ablation

Identifiers

PMID30386137
PMCPMC6201982
OpenAlexW2890065257

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.