Diagnosis and Treatment of Hepatocellular Carcinoma

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Diagnosis and Treatment of Hepatocellular Carcinoma Hashem B. El-Serag, Jorge A. Marrero, Lenhard Rudolph, K. Rajender Reddy Gastroenterology Volume 134, Issue 6, Pages 1752-1763 (May 2008) DOI: 10.1053/j.gastro.2008.02.090 Copyright © 2008 AGA Institute Terms and Conditions

Figure 1 MRI features of HCC. The left top panel shows an arterial phase MRI examination of the liver and an enhancing mass in the right lobe, which further intensifies in the left bottom panels indicated by the arrowheads. The right top panel shows a 2-minute delayed MRI examination that shows the mass in the right lobe, but this is hypointense compared with the rest of the liver as well as when compared with the arterial phase. This is the phenomenon of washout of contrast. The right lower panel shows a 5-minute examination that highlights washout of contrast in the delayed phase compared with the arterial phase examination. Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

Figure 2 A proposed algorithm for treatment of HCC (adapted from BCLC algorithm)103 PS, performance status; OLT, orthotopic liver transplantation; PEI, percutaneous ethanol injection; RFA, radiofrequency ablation. Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

Figure 3 Percutaneous ablation of HCC using radiofrequency. Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

Hashem B. El–Serag Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

Jorge A. Marrero Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

Lenhard Rudolph Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions

K. Rajender Reddy Gastroenterology 2008 134, 1752-1763DOI: (10.1053/j.gastro.2008.02.090) Copyright © 2008 AGA Institute Terms and Conditions