TY - JOUR
T1 - Comparative Analysis of Intra-arterial Cone-Beam Versus Conventional Computed Tomography During Hepatic Arteriography for Transarterial Chemoembolization Planning
AU - Lin, Ethan Y.
AU - Jones, A. Kyle
AU - Chintalapani, Gouthami
AU - Jeng, Zachary S.
AU - Ensor, Joe
AU - Odisio, Bruno C.
N1 - Funding Information:
Conflict of interest Gouthami Chintalapani is an employee of Siemens Healthineers. Bruno C. Odisio has a research Grant from Siemens Healthineers.
Funding Information:
Acknowledgements The authors thank Stephanie Deming, an employee of the Department of Scientific Publications, MD Anderson Cancer Center, for copyediting the manuscript. This research was supported in part by the National Institute of Health through MD Anderson’s Cancer Center Support Grant, CA016672.
Funding Information:
The authors thank Stephanie Deming, an employee of the Department of Scientific Publications, MD Anderson Cancer Center, for copyediting the manuscript. This research was supported in part by the National Institute of Health through MD Anderson?s Cancer Center Support Grant, CA016672.
Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
PY - 2019/4/15
Y1 - 2019/4/15
N2 - Purpose: To compare the imaging characteristics of intra-arterial cone-beam computed tomography during hepatic arteriography (CBCTHA) versus intra-arterial computed tomography during hepatic arteriography (CTHA) for intraprocedural transarterial chemoembolization (TACE) planning. Materials and Methods: This single-institution retrospective study included 144 patients (96 men, mean age 67.9 years; 48 women, mean age 62.3 years) who underwent 181 TACE sessions between January 2015 and July 2017. Intraprocedural CBCTHA (111 procedures) or CTHA (70 procedures) was performed for TACE planning. Reformatted maximum intensity projection CBCTHA and CTHA images were reviewed by two radiologists and classified using an ordinal scoring system (for tumor identification, tumor feeder vessel identification, and streaking artifact) and a binary scoring system (for the presence of breathing motion artifact and field of view encompassing the entire liver). Data were analyzed using an F test and a z-score test. Results: There were no significant differences in demographic and tumor characteristics between the CBCTHA and CTHA patient cohorts. CTHA was superior to CBCTHA for tumor identification (P <.0001), tumor feeder vessel identification (P <.05), streaking artifact (P <.0001), and field of view encompassing the entire liver (P <.0001). There was a trend toward a lower frequency of breathing motion artifact with CTHA than with CBCTHA (1.4% vs. 10%; P =.057). Conclusion: CTHA provides improved clinical relevant imaging information compared to CBCTHA for intraprocedural TACE planning. Level of Evidence: Level III, retrospective comparative study.
AB - Purpose: To compare the imaging characteristics of intra-arterial cone-beam computed tomography during hepatic arteriography (CBCTHA) versus intra-arterial computed tomography during hepatic arteriography (CTHA) for intraprocedural transarterial chemoembolization (TACE) planning. Materials and Methods: This single-institution retrospective study included 144 patients (96 men, mean age 67.9 years; 48 women, mean age 62.3 years) who underwent 181 TACE sessions between January 2015 and July 2017. Intraprocedural CBCTHA (111 procedures) or CTHA (70 procedures) was performed for TACE planning. Reformatted maximum intensity projection CBCTHA and CTHA images were reviewed by two radiologists and classified using an ordinal scoring system (for tumor identification, tumor feeder vessel identification, and streaking artifact) and a binary scoring system (for the presence of breathing motion artifact and field of view encompassing the entire liver). Data were analyzed using an F test and a z-score test. Results: There were no significant differences in demographic and tumor characteristics between the CBCTHA and CTHA patient cohorts. CTHA was superior to CBCTHA for tumor identification (P <.0001), tumor feeder vessel identification (P <.05), streaking artifact (P <.0001), and field of view encompassing the entire liver (P <.0001). There was a trend toward a lower frequency of breathing motion artifact with CTHA than with CBCTHA (1.4% vs. 10%; P =.057). Conclusion: CTHA provides improved clinical relevant imaging information compared to CBCTHA for intraprocedural TACE planning. Level of Evidence: Level III, retrospective comparative study.
KW - Computed tomography angiography
KW - Cone-beam computed tomography
KW - Helical computed tomography
KW - Neoplasms
KW - Therapeutic chemoembolization
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U2 - 10.1007/s00270-018-2116-8
DO - 10.1007/s00270-018-2116-8
M3 - Article
C2 - 30413918
AN - SCOPUS:85056351705
SN - 0174-1551
VL - 42
SP - 591
EP - 600
JO - Cardiovascular and Interventional Radiology
JF - Cardiovascular and Interventional Radiology
IS - 4
ER -