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Comparison of the Ablation and Hyperechoic Zones in Different Tissues Using Microwave and Radio Frequency Ablation

2019; Wiley; Volume: 38; Issue: 10 Linguagem: Inglês

10.1002/jum.14958

1550-9613

Jingwen Shi, Ying Huang,

Hepatocellular Carcinoma Treatment and Prognosis

Objectives The aim of this study was to compare the differences between the ablation region and hyperechoic zones in microwave and radio frequency ablation of different tissues. Methods Microwave and radio frequency ablation were performed on fresh porcine muscle and liver with different power levels for 90 seconds. These 2 ablation methods were then performed on rabbit liver in vivo using 20 W for 60 seconds. The volumes of the ablation and hyperechoic zones were compared following different ablation methods. Results The ablation zones were significantly greater than the hyperechoic zones ( P < .05) with the same power and duration when using 2 ablation methods. The differences of the ablation and hyperechoic zones between muscle and liver tissues were significantly different ( P < .05). The difference values of the ablation and hyperechoic zones were also significantly different ( P < .05) using 2 ablation methods. Conclusions The hyperechoic zone may have underestimated the extent of ablation using a specified ablation time. In the same tissue, the hyperechoic zone could more accurately estimate the ablation zones using microwave ablation.