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C型臂血管造影CT对肝肿瘤经导管动脉化疗栓塞术的影响。

Effect of C-arm angiographic CT on transcatheter arterial chemoembolization of liver tumors.

作者信息

Virmani Sumeet, Ryu Robert K, Sato Kent T, Lewandowski Robert J, Kulik Laura, Mulcahy Mary F, Larson Andrew C, Salem Riad, Omary Reed A

机构信息

Department of Radiology, Northwestern University, 448 E Ontario St, Ste 700, Chicago, IL 60611, USA.

出版信息

J Vasc Interv Radiol. 2007 Oct;18(10):1305-9. doi: 10.1016/j.jvir.2007.07.006.

Abstract

Rotational C-arm angiographic computed tomography (CT) with a flat-panel radiography unit permits three-dimensional (3D) reconstruction of soft tissues and blood vessels. The usefulness of this C-arm technique during transcatheter arterial chemoembolization (TACE) is unknown. The authors analyzed the role of the C-arm technique in 18 patients with unresectable liver tumors during TACE. The technique altered the catheter position anticipated by attending interventional radiologists in seven of the 18 patients (39%; 95% confidence interval [CI]: 20%, 61%) and improved the diagnostic confidence in the selected catheter position in 14 of the 18 patients (78%; 95% CI: 55%, 91%). The technique provides CT-like images that are useful to interventional radiologists during TACE.

摘要

使用平板射线摄影装置的旋转C形臂血管造影计算机断层扫描(CT)可对软组织和血管进行三维(3D)重建。这种C形臂技术在经动脉化疗栓塞术(TACE)中的作用尚不清楚。作者分析了C形臂技术在18例不可切除肝肿瘤患者TACE过程中的作用。该技术改变了18例患者中7例(39%;95%置信区间[CI]:20%,61%)介入放射科医生预期的导管位置,并提高了18例患者中14例(78%;95%CI:55%,91%)对所选导管位置的诊断信心。该技术提供了类似CT的图像,对TACE期间的介入放射科医生很有用。

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