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Impact of 3D Rotational Angiography on Liver Embolization Procedures: Review of Technique and Applications

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Abstract

In the last years, the interest into interventional applications of C-arm cone-beam CT (CBCT) progressively raised, widening its clinical application from the original field of interventional neuroradiology to the field of peripheral procedures. Liver embolization procedures, due to their complexity and potential treatment-related life-threatening complications, represent one of the main clinical applications of this novel angiographic technique. CBCT has been demonstrated to render procedures safer and technically easier, and to predict outcome as well as to avoid major complications in different treatment scenarios (trans-arterial embolization, trans-arterial chemoembolization, selective internal radiation therapy, percutaneous portal vein embolization). This review summarizes all technical, dosimetric and procedural aspects of CBCT techniques, underlying all its potential clinical advantages in the field of liver embolization procedures. Moreover, the paper provides all the instructions to obtain the best diagnostic performance out of this novel angiographic technique.

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Conflict of interest

For all authors, there is no potential conflict of interest that could be perceived to bias our work.

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Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Authors and Affiliations

  1. Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy

    Pierleone Lucatelli, Mario Corona, Renato Argirò, Michele Anzidei, Fabrizio Fanelli, Mario Bezzi & Carlo Catalano

  2. Department of Angiography and Interventional Radiology, Istituto Nazionale Tumori, Regina Elena, Via Elio Chianesi, 53, 00144, Rome, Italy

    Pierleone Lucatelli & Giulio Vallati

Authors
  1. Pierleone Lucatelli
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  2. Mario Corona
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Correspondence to Pierleone Lucatelli.

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Lucatelli, P., Corona, M., Argirò, R. et al. Impact of 3D Rotational Angiography on Liver Embolization Procedures: Review of Technique and Applications. Cardiovasc Intervent Radiol 38, 523–535 (2015). https://doi.org/10.1007/s00270-014-1023-x

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  • DOI: https://doi.org/10.1007/s00270-014-1023-x

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