Are you up-to-date on microwave ablation for hepatocellular carcinoma (HCC) treatment? Dr. Zachary Berman and host Dr. Michael Barraza discuss this treatment modality. They cover the spectrum of pre-procedure imaging and planning, procedure steps, and tips for navigating difficult cases. Dr. Berman is a hepatobiliary interventional oncologist and Associate Clinical Professor of Radiology at UC San Diego School of Medicine.---This podcast is supported by an educational grant from:Varianthttps://www.varian.com/---SYNPOSISDr. Berman highlights the importance of a multidisciplinary approach, referral pathways, and the role of tumor boards in decision-making. The doctors also cover various ablation technologies, pre-procedure embolization, hydrodissection, biopsy considerations, and the incorporation of immunotherapy in ongoing research. Finally, Dr. Berman emphasizes the importance of ultrasound skills and presents some cases.---TIMESTAMPS---RESOURCESLiver Imaging Reporting & Data System (LI-RADS®):https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADSLiver Cancer Stages (BCLC):https://www.cancer.gov/types/liver/what-is-liver-cancer/stagesRadiofrequency Ablation and Microwave Ablation in Liver Tumors: An Update:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795153/Microwave ablation compared with radiofrequency ablation for treatment of hepatocellular carcinoma and liver metastases: a systematic review and meta-analysis:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698169/Prospective double-blinded randomized controlled trial of Microwave versus RadioFrequency Ablation for hepatocellular carcinoma (McRFA trial):https://www.hpbonline.org/article/S1365-182X(20)30023-X/fulltext#:~:text=A%20total%20of%2093%20patients,RFA%20in%20treating%20small%20HCC.Percutaneous radiofrequency versus microwave ablation for management of hepatocellular carcinoma: a randomized controlled trial:https://jgo.amegroups.org/article/view/26929/html#:~:text=to%2080%20years.-,There%20were%20no%20statistically%20significant%20differences%20between%20both%20groups%20regarding,HCC%20ablation%20(Table%202).Surgical microwave ablation for the treatment of hepatocellular carcinoma in 791 operations:https://www.sciencedirect.com/science/article/abs/pii/S1365182X23020002Surgery versus thermal ablation for small-size colorectal liver metastases (COLLISION): An international, multicenter, phase III randomized controlled trial:https://meetings.asco.org/abstracts-presentations/234189One-millimeter cancer-free margin is curative for colorectal liver metastases: a propensity score case-match approach:https://pubmed.ncbi.nlm.nih.gov/23732261/