Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization

Autor: Nikhil Bhagat, Jean Francois H. Geschwind, Bradford J. Wood, Nadine Abi Jaoudeh, Vania Tacher, Bart Carelsen, Niels Noordhoek, Alessandro Radaelli, MingDe Lin
Rok vydání: 2013
Předmět:
Male
Cone beam computed tomography
Hepatocellular carcinoma
General Chemical Engineering
medicine.medical_treatment
urologic and male genital diseases
030218 nuclear medicine & medical imaging
Hepatic Artery
0302 clinical medicine
Minimally Invasive
Diagnosis
Fluoroscopy
Embolization
Tomography
Contrast-enhanced Magnetic Resonance Imaging
medicine.diagnostic_test
General Neuroscience
Liver Neoplasms
Angiography
Interventional radiology
Cone-Beam Computed Tomography
Middle Aged
respiratory system
Transarterial chemo-embolization
Operative
X-Ray Computed
3. Good health
3D roadmap
Equipment and Supplies
030220 oncology & carcinogenesis
Medicine
Radiology
Drug-Eluting Beads
medicine.medical_specialty
Carcinoma
Hepatocellular
Digestive System Diseases
Therapeutics
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
stomatognathic system
Medical imaging
medicine
Humans
Chemoembolization
Therapeutic
Surgical Procedures
General Immunology and Microbiology
business.industry
Carcinoma
Dual-phase cone-beam computed tomography
Hepatocellular
equipment and supplies
Doxorubicin
Issue 82
business
Zdroj: Journal of Visualized Experiments : JoVE
Scopus-Elsevier
Tacher, V; Lin, M; Bhagat, N; Abi Jaoudeh, N; Radaelli, A; Noordhoek, N; et al.(2013). Dual-phase cone-beam computed tomography to see, reach, and treat hepatocellular carcinoma during drug-eluting beads transarterial chemo-embolization.. Journal of visualized experiments : JoVE, (82), 50795. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/51c9k23b
ISSN: 1940-087X
Popis: The advent of cone-beam computed tomography (CBCT) in the angiography suite has been revolutionary in interventional radiology. CBCT offers 3 dimensional (3D) diagnostic imaging in the interventional suite and can enhance minimally-invasive therapy beyond the limitations of 2D angiography alone. The role of CBCT has been recognized in transarterial chemo-embolization (TACE) treatment of hepatocellular carcinoma (HCC). The recent introduction of a CBCT technique: dual-phase CBCT (DP-CBCT) improves intra-arterial HCC treatment with drug-eluting beads (DEB-TACE). DP-CBCT can be used to localize liver tumors with the diagnostic accuracy of multi-phasic multidetector computed tomography (M-MDCT) and contrast enhanced magnetic resonance imaging (CE-MRI) (See the tumor), to guide intra-arterially guidewire and microcatheter to the desired location for selective therapy (Reach the tumor), and to evaluate treatment success during the procedure (Treat the tumor). The purpose of this manuscript is to illustrate how DP-CBCT is used in DEB-TACE to see, reach, and treat HCC.
Databáze: OpenAIRE
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