الفهرس | Only 14 pages are availabe for public view |
Abstract HCC is the most common primary malignancy of the liver. chronic liver disease due to HBV or HCV accounts for the majority of HCC cases and thus, highly amenable to preventive measures. Cancer, like any disease, is a pathologic biological process. Drugs are designed to interfere with the pathologic process and should therefore also be validated using a functional screening method directed at these processes. Screening for cancers at an appropriate time and also evaluating results is also very important. The incidence of hepatocellular carcinoma is increasing worldwide. TACE slows tumor progression and improves survival by combining the effect of targeted chemotherapy with that of ischemic necrosis induced by arterial embolization. Conventional approaches for treatment response assessment, such as RECIST which is based on tumor size reduction, are suboptimal in predicting HCC patients‘ outcome treated with TACE. Since anticancer efficacy of TACE is assessed by viable rather than global tumor size reduction, EASL and m RECIST, which quantify the viable portion of tumor by contrast-enhanced CT, have been proposed. Volumetric image analysis allows an accurate, precise, sensitive, and medically valuable assessment of tumor response. It also helps in identifying possible outcomes such disease progression or complete response as per RECIST. So, a prospective comparative study was carried out to measure the role of multi-detector computed tomography in tumor response evaluation of conventional Trans-arterial chemoembolization in hepatocellular carcinoma. |