Blake Carlson MD, Abstract Co-Author: Nothing to Disclose

Gregor Martin Dunham MD, Presenter: Nothing to Disclose

Christopher Robert Ingraham MD, Abstract Co-Author: Nothing to Disclose

Mariam Moshiri MD, Abstract Co-Author: Consultant, Reed Elsevier Author, Reed Elsevier

Douglas S. Katz MD, Abstract Co-Author: Nothing to Disclose

Puneet Bhargava MD, Abstract Co-Author: Editor, Reed Elsevier

Neeraj Lalwani MD, Abstract Co-Author: Nothing to Disclose

Chandana G. Lall MD, Abstract Co-Author: Nothing to Disclose

1. Five-year recurrence of hepatocellular carcinoma after resection is greater than 50% 2. Understand the role of imaging in the work-up and management of recurrent HCC, including specific re-treatment considerations and the most current recommendations  

1. Brief review of surveillance recommendations and the role of imaging with laparoscopic correlation will be reviewed 2. Recurrence patterns will be demonstrated on multi-modality imaging 3. Post-treatment appearance: post resection and transplant anatomy; post transcatheter arterial chemoembolization (TACE), radiofrequency ablation (RFA), and Yttrium-90 (Y-90) changes will ve reviewed with associated imaging, illustrations, videos and 3-D reconstructions 4. Understand algorithmic management: location, extent, and size; anatomical variants – vascular and post-surgical; future liver remnant; and patient co-morbidities 5. Current management, contraindications, and controversies: repeat liver resection, liver transplantation, TACE, RFA, Y-90, multikinase inhibitors (such as Sorafenib). Role of portal vein embolization and associating liver partition and portal vein ligation for staged hepatectomy (ALPPS). Gross pathology correlation will be provided and reviewed.  

http://abstract.rsna.org/uploads/2014/14014650/14014650_kjbv.pdf

Carlson, B, Dunham, G, Ingraham, C, Moshiri, M, Katz, D, Bhargava, P, Lalwani, N, Lall, C, OH NO, It’s BACK! Now What? Hepatocellular Carcinoma Recurrence: Imaging Spectrum, Management Strategies and Current Guidelines.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014650.html