Evidence map›Paper›PMID 39169297›Full record

Trial reportBMC gastroenterology2024

Incremental high power radiofrequency ablation with multi-electrodes for small hepatocellular carcinoma: a prospective study.

Sungjun Hwang, Jae Hyun Kim, Su Jong Yu, Jeong Min Lee

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05397860 (Radiofrequency Ablation for Hepatocellular Carcinoma Using Gradual Radiofrequency), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT05397860 naunknown statusnot on this map

Radiofrequency Ablation for Hepatocellular Carcinoma Using Gradual Radiofrequency (RF) Energy Delivery Mode With Octopus Electrodes: A Prospective Observational Study

TypeinterventionalSponsorSeoul National University HospitalRan2020 to 2023Enrolled120ConditionsHepatocellular Carcinoma, Liver Cirrhosis, Chronic Liver DiseaseArmsRadiofrequency ablation using gradual radiofrequency energy delivery with Octopus electrodes
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

4 authors.

Sungjun HwangDepartment of Radiology, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea.ORCID https://orcid.org/0000-0002-2505-8247
Jae Hyun KimDepartment of Radiology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6691-3932
Su Jong YuDepartment of Internal Medicine and Liver Research Institute, College of Medicine, Seoul National University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-8888-7977
Jeong Min LeeDepartment of Radiology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea. jmsh@snu.ac.kr.ORCID https://orcid.org/0000-0003-0561-8777

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiofrequency ablation (RFA) offers a minimally invasive treatment for small hepatocellular carcinoma (HCC), but it faces challenges such as high local recurrence rates. This prospective study, conducted from January 2020 to July 2022, evaluated a novel approach using a three-channel, dual radiofrequency (RF) generator with separable clustered electrodes to improve RFA's efficacy and safety. The study employed a high-power, gradual, stepwise RFA method on HCCs (≤ 4 cm), utilizing real-time ultrasound-computed tomography (CT)/magnetic resonance imaging (MRI) fusion imaging. Involving 110 participants with 116 HCCs, the study reported no major complications. Local tumor progression (LTP) and intrahepatic remote recurrence (IRR) rates were low, with promising cumulative incidences at 1, 2, and 3 years for LTP (0.9%, 3.6%, 7.0%) and IRR (13.9%, 20.5%, 31.4%). Recurrence-free survival (RFS) rates were similarly encouraging: LTP (99.1%, 96.4%, 93.0%) and IRR (86.1%, 79.5%, 68.6%). This innovative gradual, incremental high-power RFA technique, featuring a dual switching monopolar mode and three electrodes, represents an effective and safer management option for small HCCs.

trial registrationclinicaltrial.gov identifier: NCT05397860, first registered on 26/05/2022.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsNeoplasm Recurrence, LocalRadiofrequency AblationAdultAgedAged, 80 and overCatheter AblationDisease ProgressionElectrodesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesHepatocellular carcinomaImage fusionMultiple applicatorsTumor ablation

Identifiers

PMID39169297
PMCPMC11340181

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Registered trials

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.