Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Transarterial Chemoembolization for Hepatocellular Carcinoma: 2023 Expert Consensus-Based Practical Recommendations of the Korean Liver Cancer Association

  • Yuri Cho (Center for Liver and Pancreatobiliary Cancer, National Cancer Center) ;
  • Jin Woo Choi (Department of Radiology, Seoul National University Hospital) ;
  • Hoon Kwon (Department of Radiology, Pusan National University Hospital) ;
  • Kun Yung Kim (Department of Radiology, Jeonbuk National University Hospital) ;
  • Byung Chan Lee (Department of Radiology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Hee Ho Chu (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Dong Hyeon Lee (Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Han Ah Lee (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Gyoung Min Kim (Department of Radiology, Yonsei University College of Medicine) ;
  • Jung Suk Oh (Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Dongho Hyun (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • In Joon Lee (Department of Radiology, National Cancer Center) ;
  • Hyunchul Rhim (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Research Committee of the Korean Liver Cancer Association (Korean Liver Cancer Association)
  • Received : 2023.04.26
  • Accepted : 2023.05.01
  • Published : 2023.07.01
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Abstract

Transarterial chemoembolization (TACE) was introduced in 1977 with the administration of chemotherapeutic agent to gelatin sponge particles through the hepatic artery in patients with hepatocellular carcinoma (HCC) and was established as conventional TACE using Lipiodol in the 1980s. In the 2000s, drug-eluting beads were developed and applied clinically. Currently, TACE is a commonly used non-surgical treatment modality for patients with HCC who are unsuitable for curative treatment. Considering the vital role of TACE in the management of HCC, it is crucial to organize current knowledge and expert opinions regarding patient preparation, procedural techniques, and post-treatment care in TACE, which can enhance therapeutic efficacy and safety. A group of 12 experts in the fields of interventional radiology and hepatology, convened by the Research Committee of the Korean Liver Cancer Association (KLCA), has developed expert consensus-based practical recommendations in TACE. These recommendations have been endorsed by the Korean Society of Interventional Radiology and provide useful information and direction in performing TACE procedure as well as pre- and post- procedural patient care.

Keywords

Acknowledgement

This study was supported by Korea Liver Cancer Association.

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