Haemodynamic events and localised parenchymal changes following transcatheter arterial chemoembolisation for hepatic malignancy: interpretation of imaging findings.

J CHUNG; J-S YU; J-J CHUNG; J H KIM; K W KIM

doi:10.1259/bjr/82377365

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Haemodynamic events and localised parenchymal changes following transcatheter arterial chemoembolisation for hepatic malignancy: interpretation of imaging findings.

Authors: J CHUNG ; J-S YU ; J-J CHUNG ; J H KIM ; K W KIM

Citation: BRITISH JOURNAL OF RADIOLOGY, Vol.83(1) : 71-81, 2010

Journal Title: BRITISH JOURNAL OF RADIOLOGY

ISSN: 0007-1285

Issue Date: 2010

MeSH: Aged ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/etiology ; Atrophy/diagnostic imaging ; Atrophy/etiology ; Bile Duct Diseases/diagnostic imaging ; Bile Duct Diseases/epidemiology ; Bile Duct Diseases/etiology ; Chemoembolization, Therapeutic*/adverse effects ; Chemoembolization, Therapeutic*/methods ; Female ; Hemodynamics* ; Humans ; Infarction/diagnostic imaging ; Infarction/etiology ; Liver/diagnostic imaging ; Liver/pathology ; Liver Circulation/physiology ; Liver Neoplasms/blood supply ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/therapy* ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neoplasm Recurrence, Local/diagnostic imaging ; Portal Vein/diagnostic imaging ; Tomography, X-Ray Computed ; Treatment Outcome

Abstract: Following transcatheter arterial chemoembolisation (TACE), the appearances on CT or MR images are largely related to the chemical and ischaemic insults to the portal tract. Understanding the mechanism of TACE-induced changes is essential for radiologists in order to determine the therapeutic effect as well as to distinguish these changes from recurrent tumours. This pictorial review illustrates the haemodynamic and substantial parenchymal changes related to TACE for hepatic malignancy.