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经导管 CT 血管造影在放射性栓塞中的作用。

The Role of Catheter-Directed CT-Angiography in Radioembolisation.

机构信息

Department of Vascular and Interventional Radiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.

Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Singapore, Singapore.

出版信息

Cardiovasc Intervent Radiol. 2022 Nov;45(11):1651-1658. doi: 10.1007/s00270-022-03157-4. Epub 2022 May 20.

DOI:10.1007/s00270-022-03157-4
PMID:35595985
Abstract

Radioembolisation is an established transarterial therapy for hepatocellular carcinoma and liver metastasis. Success of radioembolisation depends on meticulous angiography and accurate dosimetry. Intra-procedure catheter-directed CT-angiography is commonly performed to improve the efficacy and safety of radioembolisation. This review article will (1) introduce the differences between cone beam CT and hybrid angiography-CT, and (2) describe the benefits of catheter-directed CT-angiography in radioembolisation from both an interventional radiology and nuclear medicine perspective.

摘要

放射性栓塞是一种成熟的经动脉治疗肝癌和肝转移的方法。放射性栓塞的成功取决于精细的血管造影和准确的剂量学。术中导管定向 CT 血管造影常用于提高放射性栓塞的疗效和安全性。本文综述(1)介绍锥形束 CT 和杂交血管造影-CT 的区别,(2)从介入放射学和核医学的角度描述导管定向 CT 血管造影在放射性栓塞中的益处。

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Cardiovasc Intervent Radiol. 2022 Nov;45(11):1651-1658. doi: 10.1007/s00270-022-03157-4. Epub 2022 May 20.
2
Catheter-Directed Computed Tomography Hepatic Angiography for Yttrium-90 Selective Internal Radiotherapy of Hepatocellular Carcinoma Reduces Prophylactic Embolization of Extrahepatic Vessels.经导管计算机断层扫描肝动脉造影行钇-90 选择性内放射治疗肝细胞癌可减少肝外血管预防性栓塞。
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3
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本文引用的文献

1
Advanced CT techniques for assessing hepatocellular carcinoma.用于评估肝细胞癌的先进 CT 技术。
Radiol Med. 2021 Jul;126(7):925-935. doi: 10.1007/s11547-021-01366-4. Epub 2021 May 5.
2
International recommendations for personalised selective internal radiation therapy of primary and metastatic liver diseases with yttrium-90 resin microspheres.国际推荐使用钇-90 树脂微球行原发性和转移性肝脏疾病的个性化选择性内放射治疗。
Eur J Nucl Med Mol Imaging. 2021 May;48(5):1570-1584. doi: 10.1007/s00259-020-05163-5. Epub 2021 Jan 12.
3
Personalised versus standard dosimetry approach of selective internal radiation therapy in patients with locally advanced hepatocellular carcinoma (DOSISPHERE-01): a randomised, multicentre, open-label phase 2 trial.
个体化与标准剂量测定法在局部进展期肝细胞癌患者选择性内放射治疗中的应用(DOSISPHERE-01):一项随机、多中心、开放标签的 2 期试验。
Lancet Gastroenterol Hepatol. 2021 Jan;6(1):17-29. doi: 10.1016/S2468-1253(20)30290-9. Epub 2020 Nov 7.
4
Correlation of Y90-absorbed radiation dose to pathological necrosis in hepatocellular carcinoma: confirmatory multicenter analysis in 45 explants.Y90 吸收辐射剂量与肝细胞癌病理性坏死的相关性:45 个标本的多中心确认性分析。
Eur J Nucl Med Mol Imaging. 2021 Feb;48(2):580-583. doi: 10.1007/s00259-020-04976-8. Epub 2020 Aug 4.
5
Relationship of Tumor Radiation-absorbed Dose to Survival and Response in Hepatocellular Carcinoma Treated with Transarterial Radioembolization with Y in the SARAH Study.SARAH 研究中钇[90Y]放射性微球内放射栓塞治疗肝细胞癌的肿瘤吸收剂量与生存和反应的关系。
Radiology. 2020 Sep;296(3):673-684. doi: 10.1148/radiol.2020191606. Epub 2020 Jun 30.
6
Multi-modal image analysis for semi-automatic segmentation of the total liver and liver arterial perfusion territories for radioembolization.用于放射性栓塞的全肝和肝动脉灌注区域半自动分割的多模态图像分析
EJNMMI Res. 2019 Feb 20;9(1):19. doi: 10.1186/s13550-019-0485-x.
7
Interventional Oncology: Optimizing Transarterial Therapies for the Treatment of Hepatic Malignancy.介入肿瘤学:优化经动脉治疗以治疗肝脏恶性肿瘤
Tech Vasc Interv Radiol. 2018 Dec;21(4):205-222. doi: 10.1053/j.tvir.2018.07.002. Epub 2018 Jul 31.
8
Dosimetric parameters predicting contralateral liver hypertrophy after unilobar radioembolization of hepatocellular carcinoma.预测肝癌单侧放射性栓塞后对侧肝肥大的剂量学参数。
Eur J Nucl Med Mol Imaging. 2018 Mar;45(3):392-401. doi: 10.1007/s00259-017-3845-7. Epub 2017 Nov 25.
9
Chemoembolization of Hepatocellular Carcinoma with Extrahepatic Collateral Blood Supply: Anatomic and Technical Considerations.伴有肝外供血的肝细胞癌的化疗栓塞:解剖学及技术要点
Radiographics. 2017 May-Jun;37(3):963-977. doi: 10.1148/rg.2017160122. Epub 2017 Mar 31.
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The Role of Cone-Beam CT in Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: A Systematic Review and Meta-analysis.锥形束CT在肝细胞癌经动脉化疗栓塞中的作用:一项系统评价和Meta分析
J Vasc Interv Radiol. 2017 Mar;28(3):334-341. doi: 10.1016/j.jvir.2016.11.037. Epub 2017 Jan 18.