Jin Woong Kim MD, Presenter: Nothing to Disclose

Sang Soo Shin MD, Abstract Co-Author: Nothing to Disclose

Suk Hee Heo MD, Abstract Co-Author: Nothing to Disclose

Hyo Soon Lim MD, Abstract Co-Author: Nothing to Disclose

Yong-Yeon Jeong MD, Abstract Co-Author: Nothing to Disclose

Heoung-Keun Kang MD, Abstract Co-Author: Nothing to Disclose

1. To overview the current principles of US-guided radiofrequency ablation (RFA) of liver tumors including indications and how to do procedure 2. To illustrate various technical tips to ensure effective and successful procedure 3. To demonstrate how to minimize collateral damage during RFA  

A. Overview of the current status of US-guided RFA of liver tumors  1. Indications  2. How to do procedure  3. Possible complications related with RFA B. Various technical tips to ensure effective and successful procedure  1. How to select RFA electrode  2. Optimal targeting route of electrode according to the location of liver tumors  3. “No- touch” technique  4. “Cutting edge” technique C. How to minimize possible complications during RFA  1. The role of artificial ascites when performing RFA  2. How to decide infusion route of artificial ascites according to the location of liver tumors.   a. Perihepatic   b. Sub-hepatic   c. Sub-xiphoid (left subphrenic)   d. Gastrohepatic (lesser sac)  3. How to effectively handle electrodes under the ultrasound   a. Key factors for safe and successful placement of electrodes    1) Training on how to breathe    2) Securing of safe route    3) “Bypass” targeting    4) Several measures to reduce risk of tumoral seeding   b. Leverage (lifting) technique  

http://abstract.rsna.org/uploads/2014/14005219/14005219_ul1e.pdf

Kim, J, Shin, S, Heo, S, Lim, H, Jeong, Y, Kang, H, US-guided Percutaneous Radiofrequency Ablation of Liver Tumors; Tips and Tricks to Ensure Safe and Successful Procedure.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14005219.html