Cone Beam CT with Automatic vessel Detection Software versus Conventional 2D Fluoroscopy with Overlay for Prostate Artery Embolization: A Comparison of Prostatic Artery Catheterization Time and Radiation Exposure

Autor: Vedant Acharya, Hamed Jalaeian, Srinivas Tummala, Kush Shah, Jessica Kumar, Issam Kably, Shivank Bhatia
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical Interventional Radiology ISVIR, Vol 06, Iss 02, Pp 090-097 (2022)
Druh dokumentu: article
ISSN: 2456-4869
DOI: 10.1055/s-0041-1740575
Popis: Purpose To evaluate the effect of cone-beam computed tomography (CT) with automatic vessel detection software on prostate artery catheterization and fluoroscopy time in prostate artery embolization (PAE). Methods Fifty patients undergoing PAE for BPH were enrolled in this prospective study. Twenty-five PAEs were performed using automatic vessel detection software with syngo embolization guidance (study) and were compared with 25 PAEs performed using conventional two-dimensional (2D) fluoroscopy with overlay (control). PAE was performed using 300–500 μm trisacryl gelatin spherical particles. The primary outcome parameters were prostatic artery catheterization time and fluoroscopy time. Results Bilateral PAE was achieved in 24/25 cases in both groups. The median right and left prostatic artery catheterization times were similar between the two groups, (p = 0.473 and p = 0.659, respectively). The median fluoroscopy time (28.0 and 42.0 minutes, p = 0.046) and total procedure time (70.0 and 118.0 minutes, p
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