RESUMEN
PURPOSE: To explore the feasibility and value of 3D-CEUS-CT/MR image fusion in evaluating ablative margin (AM) after radiofrequency ablation of hepatocellular carcinoma. METHODS AND MATERIALS: There were 49 HCC in 41 patients enrolled in our prospective study. The AM were evaluated with 3D-CEUS-CT/MR image fusion, the results were divided into two groups: in group A, the tumor was completely ablated with a 5âmm AM; in group B, the tumor was completely ablated, but a 5âmm AM was not obtained. The time used in US-CT/MR image fusion and 3âD image post-processing, the technical success rate of 3D-CEUS-CT/MR image fusion and the relation between LTP and AM were observed. RESULTS: The time taken for US-CT/MR image fusion and 3âD image post-processing was 9.2â±â2.1âmin (6â-â12âmin), 14.6â±â2.6âmin (9â-â20âmin), respectively. The technical success rate of 3D-CEUS-CT/MR image fusion was 81.6â% (40/49). 27 HCC had sufficient AM (group A) and 13 HCC had insufficient AM (group B). The LTP rates in groups A and B were 0/27 and 4/13, respectively. There was a significant difference between groups A and B (Pâ=â0.002). There was a significant negative correlation between LTP and AM (râ=â-1.000, P<â0.001), and the locations of LTP and insufficient AM were concordant. CONCLUSIONS: The results suggest that 3D-CEUS-CT/MR image fusion is feasible and useful in evaluating the AM after HCC ablation.