Invasive radiological procedures provide more and more therapeutic options for patients with liver cancer. The treatment options previously used as a 2nd/3rd line treatment are making their way to 1st line treatment in selected cases. In this review, the authors take an overview of the interventional radiological procedures used in the most frequent liver neoplasms. There is a rapid development in ablational therapy, especially in the volumetric planning and stereotactic navigation. Using those new devices, the reliability of the ablation can improve a lot. At the field of embolization, new randomized studies were published recently, which can help to choose the right patient group who gains the most from the treatment. Interventional radiology has now an established place in the team of specialists treating malignant liver diseases.
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