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IR Juniors INTERVENTIONAL ONCOLOGY IRBITES LIVER ABLATION & EMBOLISATION WHAT IS IT? Tumour ablation is the direct application of treatments to cause local tumour destruction. Embolisation is the endovascular delivery of particles to deliver treatment or diminish blood flow. Liver lesions can present as jaundice or abnormal liver function blood tests (LFTs). Primary or secondary liver lesions are usually an imaging finding during staging CT or seen on ultrasound. Hepatocellular carcinoma (HCC) is the most common primary liver lesion. DIAGNOSIS MANAGEMENT Hot Radiofrequency (RF) or Microwave (MW) Ultrasound Main screening tool along with AFP blood test Staging CT/MRI TAE - transcatheter arterial Help determine thebolisation (microparticles) size and locationCE - chemoembolisation of tumours and planemotherapy loaded access for particles) ablation/embolis(Yttrium-90 microspheres) of these lesions. - portal vein embolisation prior to partial hepatectomy Hepatocellulato increase blood supply and rID: 15858 carcinoma on T1size or remaining half of liver Barcelona Clinic Liver Cancer (BCLC) staging A-D and treatment algorithm can help decide which treatment is appropriate A - local ablation, transplant/resection C - Systemic treatment IRBITE B - TACE/TARE D - Best supportive care Interventional Radiology Curriculum for Medical Students Radiograph courtesy of Dr Roberto Schubert, rID: 15858, Radiopaedia.org and figures courtesy of CIRSE IR Bites is a 12 part teaching series for medical students and junior doctors of any grade who want to learn more about interventional radiology. We aim to teach you the CIRSE Interventional Radiology curriculum for medical students.