The role of ultrasound in treating liver cancer

The diagnostic uses of ultrasound in liver cancer are well established. Ultrasound plays a key role in surveillance, biopsy and, increasingly, in characterisation, with the use of contrast-enhanced ultrasound (CEUS). The treatment of liver cancer using ultrasound is perhaps less well appreciated. Ultrasound is used in the treatment of liver cancer in two ways: firstly and most commonly, to guide needle mediated ablative therapies; secondly, it can be used as treatment with high intensity focused ultrasound (HIFU) and more recently cavitation-based treatments (histotripsy).

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