Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma

Purpose The aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts. Materials and Methods The study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) t...

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Veröffentlicht in:Cardiovascular and interventional radiology 2016-12, Vol.39 (12), p.1708-1715
Hauptverfasser: Burgmans, Mark Christiaan, Too, Chow Wei, Fiocco, Marta, Kerbert, Annarein J. C., Lo, Richard Hoau Gong, Schaapman, Jelte J., van Erkel, Arian R., Coenraad, Minneke J., Tan, Bien Soo
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container_issue 12
container_start_page 1708
container_title Cardiovascular and interventional radiology
container_volume 39
creator Burgmans, Mark Christiaan
Too, Chow Wei
Fiocco, Marta
Kerbert, Annarein J. C.
Lo, Richard Hoau Gong
Schaapman, Jelte J.
van Erkel, Arian R.
Coenraad, Minneke J.
Tan, Bien Soo
description Purpose The aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts. Materials and Methods The study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model. Results Age was higher in the Asian group: 66.5 versus 60.1 years ( p  
doi_str_mv 10.1007/s00270-016-1462-7
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C. ; Lo, Richard Hoau Gong ; Schaapman, Jelte J. ; van Erkel, Arian R. ; Coenraad, Minneke J. ; Tan, Bien Soo</creator><creatorcontrib>Burgmans, Mark Christiaan ; Too, Chow Wei ; Fiocco, Marta ; Kerbert, Annarein J. C. ; Lo, Richard Hoau Gong ; Schaapman, Jelte J. ; van Erkel, Arian R. ; Coenraad, Minneke J. ; Tan, Bien Soo</creatorcontrib><description>Purpose The aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts. Materials and Methods The study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model. Results Age was higher in the Asian group: 66.5 versus 60.1 years ( p  &lt; 0.0001). The most common etiology was hepatitis B in the Asian group (48.0 %) and alcohol-induced cirrhosis in Europeans (54.4 %); p  &lt; 0.001. Asian patients had less advanced disease: 35.5, 55.0, and 3.0 %, respectively, had BCLC 0, A, and B versus 21.5, 58.2, and 15.2 % in the European group ( p  = 0.01). The cumulative incidences of recurrence in the Asian group at 1, 2, 3, and 5 years were 37.0, 56.4, 62.3, and 67.7 %, respectively, compared to 32.6, 47.2, 49.7, and 53.4 % in the European group ( p  = 0.474). At 1, 2, 3, and 5 years, the cumulative incidence rates of death in the Asian group were 2.0, 3.9, 4.9, and 4.9 %, respectively, corresponding to 7.7, 9.2, 14.1, and 21.0 % in the European group ( p  = 0.155). Conclusion Similar short-term treatment outcomes are achieved with RFA in HCC patients in the South-East Asian and Northern-European populations. Midterm recurrence and death rates differ between the groups as a result of differences in baseline patient characteristics and patient selection. Our study provides insight relevant to the design of future international studies.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-016-1462-7</identifier><identifier>PMID: 27671151</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>ABLATION ; Age Factors ; Aged ; Asian Continental Ancestry Group - statistics &amp; numerical data ; Carcinoma, Hepatocellular - epidemiology ; Carcinoma, Hepatocellular - surgery ; Cardiology ; Catheter Ablation - methods ; Causality ; Clinical Investigation ; Comorbidity ; COMPARATIVE EVALUATIONS ; DEATH ; ETIOLOGY ; European Continental Ancestry Group - statistics &amp; numerical data ; Female ; Follow-Up Studies ; HAZARDS ; HEPATITIS ; Hepatitis B - epidemiology ; Hepatitis B virus ; HEPATOMAS ; Humans ; Imaging ; Incidence ; Liver Cirrhosis, Alcoholic - epidemiology ; Liver Neoplasms - epidemiology ; Liver Neoplasms - surgery ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Recurrence, Local - epidemiology ; NETHERLANDS ; Nuclear Medicine ; PATIENTS ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; RADIOWAVE RADIATION ; Retrospective Studies ; SINGAPORE ; Treatment Outcome ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2016-12, Vol.39 (12), p.1708-1715</ispartof><rights>The Author(s) 2016</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c531t-66a031877dbeb5c407507bbc3797077ec5f4558cdfd0aadefba2cd1e4914adba3</citedby><cites>FETCH-LOGICAL-c531t-66a031877dbeb5c407507bbc3797077ec5f4558cdfd0aadefba2cd1e4914adba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-016-1462-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-016-1462-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27671151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22642430$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Burgmans, Mark Christiaan</creatorcontrib><creatorcontrib>Too, Chow Wei</creatorcontrib><creatorcontrib>Fiocco, Marta</creatorcontrib><creatorcontrib>Kerbert, Annarein J. C.</creatorcontrib><creatorcontrib>Lo, Richard Hoau Gong</creatorcontrib><creatorcontrib>Schaapman, Jelte J.</creatorcontrib><creatorcontrib>van Erkel, Arian R.</creatorcontrib><creatorcontrib>Coenraad, Minneke J.</creatorcontrib><creatorcontrib>Tan, Bien Soo</creatorcontrib><title>Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose The aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts. Materials and Methods The study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model. Results Age was higher in the Asian group: 66.5 versus 60.1 years ( p  &lt; 0.0001). The most common etiology was hepatitis B in the Asian group (48.0 %) and alcohol-induced cirrhosis in Europeans (54.4 %); p  &lt; 0.001. Asian patients had less advanced disease: 35.5, 55.0, and 3.0 %, respectively, had BCLC 0, A, and B versus 21.5, 58.2, and 15.2 % in the European group ( p  = 0.01). The cumulative incidences of recurrence in the Asian group at 1, 2, 3, and 5 years were 37.0, 56.4, 62.3, and 67.7 %, respectively, compared to 32.6, 47.2, 49.7, and 53.4 % in the European group ( p  = 0.474). At 1, 2, 3, and 5 years, the cumulative incidence rates of death in the Asian group were 2.0, 3.9, 4.9, and 4.9 %, respectively, corresponding to 7.7, 9.2, 14.1, and 21.0 % in the European group ( p  = 0.155). Conclusion Similar short-term treatment outcomes are achieved with RFA in HCC patients in the South-East Asian and Northern-European populations. Midterm recurrence and death rates differ between the groups as a result of differences in baseline patient characteristics and patient selection. Our study provides insight relevant to the design of future international studies.</description><subject>ABLATION</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Asian Continental Ancestry Group - statistics &amp; numerical data</subject><subject>Carcinoma, Hepatocellular - epidemiology</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Cardiology</subject><subject>Catheter Ablation - methods</subject><subject>Causality</subject><subject>Clinical Investigation</subject><subject>Comorbidity</subject><subject>COMPARATIVE EVALUATIONS</subject><subject>DEATH</subject><subject>ETIOLOGY</subject><subject>European Continental Ancestry Group - statistics &amp; numerical data</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>HAZARDS</subject><subject>HEPATITIS</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B virus</subject><subject>HEPATOMAS</subject><subject>Humans</subject><subject>Imaging</subject><subject>Incidence</subject><subject>Liver Cirrhosis, Alcoholic - epidemiology</subject><subject>Liver Neoplasms - epidemiology</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>NETHERLANDS</subject><subject>Nuclear Medicine</subject><subject>PATIENTS</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>RADIOWAVE RADIATION</subject><subject>Retrospective Studies</subject><subject>SINGAPORE</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNklFrFDEUhQdR7Fr9Ab5IwBdfRpNMMtl9Eda1WqFSkQq-hTvJnW7KTLImGUv_TX9qs926rA-CT4Hku-fkHk5VvWT0LaNUvUuUckVrytqaiZbX6lE1Y6LhNZ23Px9XM8qUqJmU7Kh6ltIVpUzOuXxaHXHVKsYkm1W3H13fY0RvMBHnyTfIDn0mqzVEMBmjS9mZRMBb8tXZcjGS8ymbMCL5gPka0ZNlcuDviZMphg3CXiaRi4iQ0ZJrl9fkO1gX-oi_puJ3Q5bdULDgSR8iOcUN5GBwGKYBIllBNM6HEZ5XT3oYEr54OI-rH59OLlan9dn55y-r5VltZMNy3bZAGzZXynbYSSOoklR1nWnUQlGl0MheSDk3trcUwGLfATeWoVgwAbaD5rh6v9PdTN2I1pTfRxj0JroR4o0O4PTfL96t9WX4rSUtDgtRBF7vBEJJTCfjMpq1Cd6jyZrzVnDR0EK9ebCJocSQsh5d2m4NHsOUNJuLVjC2aNR_oE2r-KIVB9579CpM0Ze87ikmuBJbQbajTAwpRez32zGqt4XSu0LpUii9LZTezrw6jGU_8adBBeA7IJUnf4nxwPqfqne5ttmY</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Burgmans, Mark Christiaan</creator><creator>Too, Chow Wei</creator><creator>Fiocco, Marta</creator><creator>Kerbert, Annarein J. C.</creator><creator>Lo, Richard Hoau Gong</creator><creator>Schaapman, Jelte J.</creator><creator>van Erkel, Arian R.</creator><creator>Coenraad, Minneke J.</creator><creator>Tan, Bien Soo</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope><scope>5PM</scope></search><sort><creationdate>20161201</creationdate><title>Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma</title><author>Burgmans, Mark Christiaan ; Too, Chow Wei ; Fiocco, Marta ; Kerbert, Annarein J. C. ; Lo, Richard Hoau Gong ; Schaapman, Jelte J. ; van Erkel, Arian R. ; Coenraad, Minneke J. ; Tan, Bien Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c531t-66a031877dbeb5c407507bbc3797077ec5f4558cdfd0aadefba2cd1e4914adba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>ABLATION</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Asian Continental Ancestry Group - statistics &amp; numerical data</topic><topic>Carcinoma, Hepatocellular - epidemiology</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Cardiology</topic><topic>Catheter Ablation - methods</topic><topic>Causality</topic><topic>Clinical Investigation</topic><topic>Comorbidity</topic><topic>COMPARATIVE EVALUATIONS</topic><topic>DEATH</topic><topic>ETIOLOGY</topic><topic>European Continental Ancestry Group - statistics &amp; numerical data</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>HAZARDS</topic><topic>HEPATITIS</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis B virus</topic><topic>HEPATOMAS</topic><topic>Humans</topic><topic>Imaging</topic><topic>Incidence</topic><topic>Liver Cirrhosis, Alcoholic - epidemiology</topic><topic>Liver Neoplasms - epidemiology</topic><topic>Liver Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>NETHERLANDS</topic><topic>Nuclear Medicine</topic><topic>PATIENTS</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>RADIOWAVE RADIATION</topic><topic>Retrospective Studies</topic><topic>SINGAPORE</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burgmans, Mark Christiaan</creatorcontrib><creatorcontrib>Too, Chow Wei</creatorcontrib><creatorcontrib>Fiocco, Marta</creatorcontrib><creatorcontrib>Kerbert, Annarein J. C.</creatorcontrib><creatorcontrib>Lo, Richard Hoau Gong</creatorcontrib><creatorcontrib>Schaapman, Jelte J.</creatorcontrib><creatorcontrib>van Erkel, Arian R.</creatorcontrib><creatorcontrib>Coenraad, Minneke J.</creatorcontrib><creatorcontrib>Tan, Bien Soo</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burgmans, Mark Christiaan</au><au>Too, Chow Wei</au><au>Fiocco, Marta</au><au>Kerbert, Annarein J. C.</au><au>Lo, Richard Hoau Gong</au><au>Schaapman, Jelte J.</au><au>van Erkel, Arian R.</au><au>Coenraad, Minneke J.</au><au>Tan, Bien Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>39</volume><issue>12</issue><spage>1708</spage><epage>1715</epage><pages>1708-1715</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose The aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts. Materials and Methods The study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model. Results Age was higher in the Asian group: 66.5 versus 60.1 years ( p  &lt; 0.0001). The most common etiology was hepatitis B in the Asian group (48.0 %) and alcohol-induced cirrhosis in Europeans (54.4 %); p  &lt; 0.001. Asian patients had less advanced disease: 35.5, 55.0, and 3.0 %, respectively, had BCLC 0, A, and B versus 21.5, 58.2, and 15.2 % in the European group ( p  = 0.01). The cumulative incidences of recurrence in the Asian group at 1, 2, 3, and 5 years were 37.0, 56.4, 62.3, and 67.7 %, respectively, compared to 32.6, 47.2, 49.7, and 53.4 % in the European group ( p  = 0.474). At 1, 2, 3, and 5 years, the cumulative incidence rates of death in the Asian group were 2.0, 3.9, 4.9, and 4.9 %, respectively, corresponding to 7.7, 9.2, 14.1, and 21.0 % in the European group ( p  = 0.155). Conclusion Similar short-term treatment outcomes are achieved with RFA in HCC patients in the South-East Asian and Northern-European populations. Midterm recurrence and death rates differ between the groups as a result of differences in baseline patient characteristics and patient selection. Our study provides insight relevant to the design of future international studies.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27671151</pmid><doi>10.1007/s00270-016-1462-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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ispartof Cardiovascular and interventional radiology, 2016-12, Vol.39 (12), p.1708-1715
issn 0174-1551
1432-086X
language eng
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subjects ABLATION
Age Factors
Aged
Asian Continental Ancestry Group - statistics & numerical data
Carcinoma, Hepatocellular - epidemiology
Carcinoma, Hepatocellular - surgery
Cardiology
Catheter Ablation - methods
Causality
Clinical Investigation
Comorbidity
COMPARATIVE EVALUATIONS
DEATH
ETIOLOGY
European Continental Ancestry Group - statistics & numerical data
Female
Follow-Up Studies
HAZARDS
HEPATITIS
Hepatitis B - epidemiology
Hepatitis B virus
HEPATOMAS
Humans
Imaging
Incidence
Liver Cirrhosis, Alcoholic - epidemiology
Liver Neoplasms - epidemiology
Liver Neoplasms - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local - epidemiology
NETHERLANDS
Nuclear Medicine
PATIENTS
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
RADIOWAVE RADIATION
Retrospective Studies
SINGAPORE
Treatment Outcome
Ultrasound
title Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma
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