Comparison of Early Recurrence after Microwave Ablation for Liver Metastases of Colorectal Cancer Guided by Different Imaging Techniques Based on Propensity Score Matching

Haoyuan LI; Ming HUANG; Jingmei ZHOU; Jianjie HUA; Qijie WU; Rong DING

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Haoyuan LI, Ming HUANG, Jingmei ZHOU, Jianjie HUA, Qijie WU, Rong DING. Comparison of Early Recurrence after Microwave Ablation for Liver Metastases of Colorectal Cancer Guided by Different Imaging Techniques Based on Propensity Score Matching[J]. Journal of Kunming Medical University.

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Comparison of Early Recurrence after Microwave Ablation for Liver Metastases of Colorectal Cancer Guided by Different Imaging Techniques Based on Propensity Score Matching

Department. of Minimally Invasive Interventional Medicine，The Third Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650118，China

Abstract

Abstract

Objectives To analyze and compare the early recurrence of colorectal cancer after microwave ablation for liver metastases guided by CT and ultrasound. To Methods A total of 137 cases of colorectal cancer liver metastases （CRCLM） treated in Yunnan Cancer Hospital from January 2018 to January 2021 after microwave ablation （MWA） were retrospectively analyzed, including 60 cases in the CT group and 77 cases in the ultrasound group. The baseline of the two groups was balanced using 1:1 propensity score matching （PSM）, resulting in 25 cases in the CT group and 25 cases in the ultrasound group. The early postoperative recurrence of target lesions and the median disease-free survival （DFS） of target lesions were compared between the two groups. Results The early recurrence rates in the two groups were 6 cases （24.0%） in the CT group and 14 cases （56.0%） in the ultrasound group, with a statistically significant difference between the two groups （P = 0.021）. The median DFS time for the CT group was 201.6 days [95%CI172.9-230.3], while the median DFS time for the ultrasound group was 146.0 days [95%CI108.2-183.7]（P = 0.033）. Conclusions In patients with CRCLM treated with MWA, the recurrence rate in CT group is lower than that in ultrasound group. In terms of median disease-free survival, the CT group had a better curative effect than the ultrasound group.
- Liver metastases of colorectal cancer,
- Microwave ablation,
- Clinical efficacy,
- Recurrence,
- Propensity score matching

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