C-arm Lipiodol CT in transcatheter arterial chemoembolization for small hepatocellular carcinoma

World Journal of Gastroenterology : WJG
Jianjun LiLinchao Ye

Abstract

To investigate the value of C-arm Lipiodol computed tomography (CT) for intra-procedural hepatocellular carcinoma (HCC) lesion detection during transcatheter arterial chemoembolization (TACE). Forty patients (37 male, 3 female; mean age, 52.6 ± 12.5 years, age range: 25-82 years) diagnosed with HCC were enrolled in this study. All patients underwent 64-slice CT 1-2 wk before TACE. During the procedure, hepatic angiography was performed first. Following diagnostic embolization with Lipiodol injected into the hepatic artery, a C-arm CT scan was immediately conducted (C-arm Lipiodol CT). If new HCC lesions were confirmed, gelfoam particles were super-selectively injected into the tumor-nourishing blood vessel. A Lipiodol CT scan was performed 7-14 d after TACE. All images acquired from 64-slice CT, digital subtraction angiography (DSA), C-arm Lipiodol CT and Lipiodol CT were retrospectively reviewed by four radiologists and the number of detected lesions in each examination was counted, respectively. The results of Lipiodol CT were taken as the diagnostic reference. Alpha-fetoprotein values were examined both before and after TACE. This study only takes into account the lesions that were not found or were considered suspicious on ...Continue Reading

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Citations

Aug 23, 2017·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Yang WangWei Li
Jun 28, 2017·World Journal of Gastroenterology : WJG·Qiao-Huan YanYing-Gang Lv
Jan 23, 2021·Cancer Biotherapy & Radiopharmaceuticals·Marcel C LangenbachTatjana Gruber-Rouh
Oct 7, 2021·The Cochrane Database of Systematic Reviews·Tin NadarevicDavor Štimac

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