Usefulness of C-arm CT during superselective infusion chemotherapy for advanced head and neck carcinoma

Autor: Shiro, Miyayama, Masashi, Yamashiro, Yuki, Hattori, Nobuaki, Orito, Ken, Matsui, Kazunobu, Tsuji, Miki, Yoshida, Masanori, Yoshida, Yuzo, Kikuchi, Taeko, Tanaka, Gota, Tsuda, Osamu, Matsui
Rok vydání: 2011
Předmět:
Zdroj: Journal of medical imaging and radiation oncology. 55(4)
ISSN: 1754-9485
Popis: To evaluate the usefulness of C-arm computed tomography (CT) during superselective intra-arterial infusion chemotherapy for advanced head and neck carcinoma.C-arm CT was performed during superselective intra-arterial infusion chemotherapy for 11 patients with advanced head and neck carcinoma located in the hypopharynx (n = 3), maxillary sinus (n = 3), oropharynx (n = 1), larynx (n = 1), extra-auditory canal (n = 1), tonsil (n = 1) and tongue (n = 1). The usefulness of C-arm CT during superselective catheterisation was evaluated.On arteriography, nine tumours showed tumour stains and two in the oropharynx or tonsil showed no obvious tumour stains. C-arm CT was performed one to four times (mean ± standard deviation, 2.5 ± 0.8) in each patient during a single procedure. C-arm CT clearly showed not only the vascular territory of the selected branch but also the tumour itself in all patients. Intra-arterial infusion chemotherapy was performed through one to three branches (mean, 1.7 ± 0.9) according to C-arm CT findings without any complications.C-arm CT during superselective intra-arterial infusion chemotherapy was useful to determine the arterial supply of head and neck carcinoma. C-arm CT may replace conventional CT during superselective arteriography in this procedure.
Databáze: OpenAIRE