Click here to see the full abstract
Images from a 63-year-old man with cirrhosis secondary to hepatitis C and a 2.2-cm HCC in segment IVa/VIII. (a, b) Contrast- enhanced cone-beam CT images demonstrate tumoral supply from segment IV (thick arrow, a), segment VIII (thin arrow, a), and segment III (arrowhead, b) arteries. (c, d) Selective catheterization and delivery of the chemoembolic emulsion was performed via segment IV (c, arrow), segment VIII (d, arrow), and segment III (not shown). Circumferential uptake of the chemoembolic emulsion was confirmed on digital imaging during selective catheterization and by an unenhanced cone-beam CT acquisition at completion (e). (f) Contrast-enhanced, multiphasic MR image obtained at 6 weeks following chemoembolization demonstrates enhancement of the previously treated tumor.
Citation: Kothary, N. et al. Watershed Hepatocellular Carcinomas: The Risk of Incomplete Response following Transhepatic Arterial Chemoembolization. Journal of Vascular and Interventional Radiology 26, 1122–1129 (2015).
Post author: Menaka Nadar, MD. VIR Pathway Resident at University of Virginia