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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2006

01-10-2006

Intraoperative magnetic resonance imaging for ablation of hepatic tumors

Authors: R. C. G. Martin, S. Husheck, C. R. Scoggins, K. M. McMasters

Published in: Surgical Endoscopy | Issue 10/2006

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Abstract

Background

The most significant rise in the use of hepatic ablation has come from image-guided techniques with both computed tomography (CT) and ultrasound (US). The recent development of open-configuration magnetic resonance scanners has opened up an entire new area of image-guided surgical and interventional procedures. Thus the aim of this study was to evaluate the use of intraoperative MRI (iMRI) ablation of hepatic tumors performed by surgeons.

Method

Percutaneous iMRI hepatic ablation was performed from January 2003 to February 2005 for control of either primary or secondary hepatic disease.

Results

Eighteen hepatic ablations were performed on 11 patients with a median age of 71 (range: 51–81) years for metastatic colorectal cancer (n = 6), hepatocellular cancer (n = 2), cholangiocarcinoma (n = 2), and metastatic neuroendocrine (n = 1). Median hospital stay was 1 day, with complications occurring in 2 patients. After a median follow up of 18 months, there have been no local ablation recurrences, 5 patients are free of disease, 4 are alive with disease, 1 has died of disease, and 1 has died of other causes.

Conclusions

Image-guided hepatic ablations represent a useful technique in managing hepatic tumors. Intraoperative MRI represents a new technique with initial success that has been limited to European centers. Further evaluation in U.S. centers has demonstrated iMRI to be useful for certain hepatic tumors that cannot be adequately visualized by US or CT.
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Metadata
Title
Intraoperative magnetic resonance imaging for ablation of hepatic tumors
Authors
R. C. G. Martin
S. Husheck
C. R. Scoggins
K. M. McMasters
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0496-8

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