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PROspective Multi-center study to Evaluate the correlation between safety margin and local recurrence after THErmal ablation USing image co-registration in patients with hepatocellular carcinoma

Recruiting
Conditions
Hepatocellular carcinoma
Registration Number
NL-OMON25324
Lead Sponsor
MC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
165
Inclusion Criteria

·Age 18 years or above
·HCC very early (0) or early stage (A) according to the BCLC staging system OR HCC intermediate stage (B) with a maximum of two lesions of =5cm each
·Either de novo or recurrent HCC (prior locoregional therapy is allowed in the study)
·Candidate for percutaneous thermal ablation as discussed in a multidisciplinary tumor board
·Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
·Written informed consent

Exclusion Criteria

· Estimated GFR <30 ml/min
· Known severe allergy to contrast medium
· ASA classification higher than 3
· Child Pugh C
· ECOG =1 (tumor-related)
· Portal vein tumor invasion
· Extrahepatic metastasis
· Neoadjuvant transarterial therapy (TACE, TAE or TARE), i.e. combination therapy of transarterial therapy with ablation
· Uncorrectable coagulopathy

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Minimal ablation margin that results in a local recurrence rate <10%
Secondary Outcome Measures
NameTimeMethod
-Local recurrence at 1 year after thermal ablation at different categories for minimal ablation margin: <0mm, 0-3mm, 3-5mm, >5mm<br>-Local & overall recurrence rate, disease-free and overall survival at 1, 2 and 3 years<br>-Relation between local recurrence at 1 year and disease-free and overall survival
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