常规超声引导困难的肝恶性肿瘤在不同影像引导方式下行消融治疗的研究进展
Research Progress in the Different Image-Guided Ablation of Malignant Liver Tumors for Which Conventional Ultrasound Guidance Is Difficult
DOI: 10.12677/ACM.2023.133542, PDF,   
作者: 郭晓彤, 李成利*：山东大学医学融合与实践中心，山东 济南；山东省立医院，山东 济南
关键词: 肝恶性肿瘤；超声引导困难；热消融；影像引导；Liver Tumor； Difficulty in Ultrasonic Guidance； Thermal Ablation； Image Guidance
摘要: 随着医学成像技术的进步，肝肿瘤的早期诊断率不断提高，根据中国肝癌临床分期与治疗路线图，消融技术目前认为是治疗极早期肝癌、不能手术的肝癌和少结节性肝转移瘤的推荐治疗方法，超声是最常用于肝恶性肿瘤消融治疗的影像引导方式，但并不是所有肝内病变都可以在常规超声影像上清晰显示或有安全的进针路径，随着电磁导航、增强影像等技术的发展，已经有多种影像引导方式用于克服此类难题，本文将针对常规超声引导困难的肝恶性肿瘤，在不同影像引导方式下行消融治疗的最新研究进展进行概述。
Abstract: Major advances in medical imaging technologies have continued to improve rates of liver tumor di-agnosis during the early stages of disease. Per the clinical staging and treatment roadmap of hepa-tocellular carcinoma in China, ablation techniques are currently considered to be the recommended treatment for early-stage or inoperable liver cancer, and some cases of nodular liver metastases. The most commonly used imaging guidance for ablation procedures targeting liver tumors is ultra-sound-based. However, some hepatic lesions fail to display well on ultrasound images, while in other cases a safe injection path may not be visible. The development of novel enhanced imaging tech-niques, electromagnetic navigation approaches, and other technologies has provided new opportu-nities for guidance aimed at overcoming this issue. The present study summarizes the most recent progress in research focused on ablation therapy as a treatment for malignant liver tumors that are poorly suited to conventional ultrasound guidance.
文章引用：郭晓彤, 李成利. 常规超声引导困难的肝恶性肿瘤在不同影像引导方式下行消融治疗的研究进展[J]. 临床医学进展, 2023, 13(3): 3782-3787. https://doi.org/10.12677/ACM.2023.133542

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