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CardioVascular and Interventional Radiology

, Volume 38, Issue 3, pp 523–535 | Cite as

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

  • Pierleone LucatelliEmail author
  • Mario Corona
  • Renato Argirò
  • Michele Anzidei
  • Giulio Vallati
  • Fabrizio Fanelli
  • Mario Bezzi
  • Carlo Catalano
Review

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.

Keywords

Cone Beam CT (CBCT) Interventional oncology Embolization/embolisation/embolotherapy Radioembolization/radioembolisation Transarterial chemoembolization/embolisation (TACE) Hepatocellular carcinoma (HCC) 

Notes

Conflict of interest

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

Informed Consent

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

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  • Pierleone Lucatelli
    • 1
    • 2
    Email author
  • Mario Corona
    • 1
  • Renato Argirò
    • 1
  • Michele Anzidei
    • 1
  • Giulio Vallati
    • 2
  • Fabrizio Fanelli
    • 1
  • Mario Bezzi
    • 1
  • Carlo Catalano
    • 1
  1. 1.Vascular and Interventional Radiology Unit, Department of Radiological, Oncological and Anatomo-Pathological SciencesSapienza University of RomeRomeItaly
  2. 2.Department of Angiography and Interventional RadiologyIstituto Nazionale Tumori, Regina ElenaRomeItaly

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