Evidence map›Paper›PMID 38491833›Full record

ArticleCancer medicine2024

Ultrasound-guided percutaneous high-frequency irreversible electroporation in porcine livers using four electrode needles: A feasibility and safety study.

Chang-Tian Li, Guo-Dong Zhao, Wen-Bo Zou, Zhen-Hua Zhang, Yi Zhao, Rong Liu

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

6 authors at 2 institutions in 1 country.

Chang-Tian LiFaculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, Beijing, China.
Guo-Dong ZhaoFaculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, Beijing, China.
Wen-Bo ZouFaculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, Beijing, China.ORCID 0000-0003-1544-6614
Zhen-Hua ZhangREMD Medical Technology, Shanghai, China.
Yi ZhaoFaculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, Beijing, China.
Rong LiuFaculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Institute of Hepatobiliary Surgery of Chinese PLA, Beijing, China.ORCID 0000-0001-5170-6474
Chinese PLA General Hospital · CNUniversity of Shanghai for Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant liver tumors seriously endanger human health. Among different therapeutic approaches, high-frequency irreversible electroporation (H-FIRE) is a recently emerging tumor ablation technique. The objective of this study was to evaluate the feasibility and safety of ultrasound-guided percutaneous H-FIRE using four electrode needles in porcine livers.

methodsTwelve experimental pigs underwent percutaneous H-FIRE ablation using a compound steep-pulse therapeutic device. Liver tissues adjacent to the gallbladder, blood vessels, and bile ducts were selected as the ablation targets. Pigs were randomly divided into three groups: (1) immediately after ablation (N = 4), (2) 2 days after ablation (N = 4), and (3) 7 days after ablation (N = 4). Blood routine, liver and kidney function, and myocardial enzyme levels were measured before and after ablation. Ultrasound, contrast-enhanced ultrasound (CEUS), contrast-enhanced magnetic resonance imaging (MRI), and hematoxylin-eosin staining were performed to evaluate the ablation performance.

resultsUltrasound-guided percutaneous H-FIRE ablations using four electrode needles were successfully performed in all 12 experimental pigs. The general conditions of the pigs, including postoperative activities and feeding behaviors, were normal, with no significant changes compared with the preoperative conditions. The imaging features of ultrasound, CEUS, and MRI demonstrated no significant changes in the gallbladder walls, bile ducts, or blood vessels close to the ablation areas. Laboratory tests showed that liver function indices and myocardial enzymes increased temporarily after H-FIRE ablation, but decreased to normal levels at 7 days after ablation. Histopathological examinations of porcine liver specimens showed that this technique could effectively ablate the target areas without damaging the surrounding or internal vascular systems and gallbladder.

conclusionsThis study demonstrated the feasibility and safety of ultrasound-guided percutaneous H-FIRE ablation in porcine livers in vivo, and proposed a four-needle method to optimize its clinical application.

Indexed as

LiverUltrasonography, InterventionalAnimalsElectrodesElectroporationFeasibility StudiesSwineapplicationhigh-frequency irreversible electroporationliverlocal ablationporcine

Identifiers

PMID38491833
PMCPMC10943371
OpenAlexW4392881705

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.