fig4

Figure 4. Preoperative neoadjuvant TACE: 53 years-old female with HCV-related cirrhosis, Child-Pugh A6, MELD 9, portal hypertension. (A) Coronal CT MIP reconstruction in the arterial phase shows a single hypervascular HCC nodule (diameter 5.2 cm) in the segment VII. (B) At the end of selective DSMTACE followed by Lipiodol UF injection in the feeding vessel, to reach stasis of flow, the accumulation of iodized oil in the HCC is evident. (C) MR control 1 month after TACE: in the coronal arterial phase MPR nearly complete tumor necrosis was found, except for a subtle rim of enhancement due to residual viable tumor tissue at the periphery. (D) Follow-up CT in the coronal plane 5 years after surgical resection: no signs of HCC recurrence are visible in the arterial phase.