Episode # 485 • 04 Oct 2024
Mastering Microwave Ablation in HCC Treatment
Are you up-to-date on microwave ablation for hepatocellular carcinoma (HCC) treatment? Dr. Zachary Berman and host Dr. Michael Barraza discuss this treatment modality. They cover the spectrum of pre-procedure imaging and planning, procedure steps, and tips for navigating difficult cases. Dr. Berman is a hepatobiliary interventional oncologist and Associate Clinical Professor of Radiology at UC San Diego School of Medicine.
This podcast is supported by an educational grant from Varian, a Siemens Healthineers company.
Timestamps
00:00 - Introduction
10:09 - Techniques and Technologies
17:26 - Planning and Performing Ablations
21:35 - Tumor Size and Margins
25:09 - Navigational Software and Skills
30:47 - Hydrodissection Techniques
33:20 - Post-Ablation Imaging and Follow-Up
35:52 - Future of Ablation in IR and Cases
Resources
- Liver Imaging Reporting & Data System (LI-RADS®)
- Liver Cancer Stages (BCLC)
- Radiofrequency Ablation and Microwave Ablation in Liver Tumors: An Update
- Microwave ablation compared with radiofrequency ablation for treatment of hepatocellular carcinoma and liver metastases: a systematic review and meta-analysis
- Prospective double-blinded randomized controlled trial of Microwave versus RadioFrequency Ablation for hepatocellular carcinoma (McRFA trial)
- Percutaneous radiofrequency versus microwave ablation for management of hepatocellular carcinoma: a randomized controlled trial
- Surgical microwave ablation for the treatment of hepatocellular carcinoma in 791 operations
- Surgery versus thermal ablation for small-size colorectal liver metastases (COLLISION): An international, multicenter, phase III randomized controlled trial
- One-millimeter cancer-free margin is curative for colorectal liver metastases: a propensity score case-match approach
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More about this episode
Dr. Berman highlights the importance of a multidisciplinary approach, referral pathways, and the role of tumor boards in decision-making. The doctors also cover various ablation technologies, pre-procedure embolization, hydrodissection, biopsy considerations, and the incorporation of immunotherapy in ongoing research. Finally, Dr. Berman emphasizes the importance of ultrasound skills and presents some cases.
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