肝细胞癌 (HCC) 的局部消融是一种直接靶向并破坏肿瘤细胞的非手术选择，自 20 世纪 90 年代以来取得了显着进展。不同能量来源的治疗，例如射频消融、微波消融和冷冻消融，采用不同的机制来诱导肿瘤坏死。随着引导技术和设备改进的进步，这些疗法的精确性、安全性和有效性不断提高。因此，局部消融已成为早期HCC的一线治疗方法。在患者选择、术前准备、手术方法、快速治疗后评估和随访方面缺乏有组织的证据和专家意见，导致临床医生遵循不同的做法。因此，韩国肝癌协会研究委员会的放射学和肝病学专家组与韩国影像引导肿瘤消融学会合作，制定了基于专家共识的局部消融实用建议，以提供有用的信息和建议。进行局部消融以及患者治疗前和治疗后管理的指南。版权所有 © 2024 韩国放射学会。

Local ablation for hepatocellular carcinoma (HCC), a non-surgical option that directly targets and destroys tumor cells, has advanced significantly since the 1990s. Therapies with different energy sources, such as radiofrequency ablation, microwave ablation, and cryoablation, employ different mechanisms to induce tumor necrosis. The precision, safety, and effectiveness of these therapies have increased with advances in guiding technologies and device improvements. Consequently, local ablation has become the first-line treatment for early-stage HCC. The lack of organized evidence and expert opinions regarding patient selection, pre-procedure preparation, procedural methods, swift post-treatment evaluation, and follow-up has resulted in clinicians following varied practices. Therefore, an expert consensus-based practical recommendation for local ablation was developed by a group of experts in radiology and hepatology from the Research Committee of the Korean Liver Cancer Association in collaboration with the Korean Society of Image-guided Tumor Ablation to provide useful information and guidance for performing local ablation and for the pre- and post-treatment management of patients.Copyright © 2024 The Korean Society of Radiology.