PDF herunterladen
Semin intervent Radiol 2024; 41(03): 252-257
DOI: 10.1055/s-0044-1788006
Review Article

Cone Beam Computed Tomography for the Interventional Oncologist: A Practical Approach

Authors

  • Benjamin J. May

    1   Department of Radiology, Division of Interventional Radiology, Weill Cornell Medicine, New York, New York

  • Resmi A. Charalel

    1   Department of Radiology, Division of Interventional Radiology, Weill Cornell Medicine, New York, New York
    2   Department of Population Health Sciences, Weill Cornell Medicine, New York, New York
Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints
Preview

Abstract

Transarterial treatment of liver tumors is becoming increasingly common and is considered first- or second-line therapy for many tumor types and stages. Such therapies are heavily dependent on imaging during the procedures; while angiography remains the mainstay of intraprocedural therapies, cone beam computed tomography (CBCT) is becoming increasingly commonly used to guide therapy. This article describes the role of CBCT during transarterial therapies and offers guidance as to how CBCT can be optimally used for these procedures.

Keywords

interventional radiology - chemoembolization - radioembolization - hepatocellular carcinoma - cone beam computed tomography


Publikationsverlauf

Artikel online veröffentlicht:
19. August 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Orth RC, Wallace MJ, Kuo MD. Technology Assessment Committee of the Society of Interventional Radiology. C-arm cone-beam CT: general principles and technical considerations for use in interventional radiology. J Vasc Interv Radiol 2008; 19 (06) 814-820
    CrossrefPubMedSuche in Google Scholar
  • 2 Biondetti P, Ierardi AM, Casiraghi E. et al. Clinical impact of a protocol involving cone-beam CT (CBCT), fusion imaging and ablation volume prediction in percutaneous image-guided microwave ablation in patients with hepatocellular carcinoma unsuitable for standard ultrasound (US) guidance. J Clin Med 2023; 12 (24) 7598
    CrossrefPubMedSuche in Google Scholar
  • 3 Abi-Jaoudeh N, Fisher T, Jacobus J. et al. Prospective randomized trial for image-guided biopsy using cone-beam CT navigation compared with conventional CT. J Vasc Interv Radiol 2016; 27 (09) 1342-1349
    CrossrefPubMedSuche in Google Scholar
  • 4 Grosse U, Syha R, Ketelsen D. et al. Cone beam computed tomography improves the detection of injured vessels and involved vascular territories in patients with bleeding of uncertain origin. Br J Radiol 2018; 91 (1088) 20170562
    CrossrefPubMedSuche in Google Scholar
  • 5 Pung L, Ahmad M, Mueller K. et al. The role of cone-beam CT in transcatheter arterial chemoembolization for hepatocellular carcinoma: a systematic review and meta-analysis. J Vasc Interv Radiol 2017; 28 (03) 334-341
    CrossrefPubMedSuche in Google Scholar
  • 6 Llovet JM, Real MI, Montaña X. et al; Barcelona Liver Cancer Group. Arterial embolisation or chemoembolisation versus symptomatic treatment in patients with unresectable hepatocellular carcinoma: a randomised controlled trial. Lancet 2002; 359 (9319) 1734-1739
    CrossrefPubMedSuche in Google Scholar
  • 7 May BJ, Murthy R, Madoff DC. What's new in transarterial therapies for hepatocellular carcinoma?. Gastrointest Cancer Res 2012; 5 (3, Suppl 1): S14-S19
    PubMedSuche in Google Scholar
  • 8 Kim E, Sher A, Abboud G. et al. Radiation segmentectomy for curative intent of unresectable very early to early stage hepatocellular carcinoma (RASER): a single-centre, single-arm study. Lancet Gastroenterol Hepatol 2022; 7 (09) 843-850
    CrossrefPubMedSuche in Google Scholar
  • 9 Mulcahy MF, Mahvash A, Pracht M. et al; EPOCH Investigators. Radioembolization with chemotherapy for colorectal liver metastases: a randomized, open-label, international, multicenter, Phase III trial. J Clin Oncol 2021; 39 (35) 3897-3907
    CrossrefPubMedSuche in Google Scholar
  • 10 Bhalani SM, Lewandowski RJ. Radioembolization complicated by nontarget embolization to the falciform artery. Semin Intervent Radiol 2011; 28 (02) 234-239
    Thieme ConnectPubMedSuche in Google Scholar
  • 11 Newgard BJ, Getrajdman GI, Erinjeri JP. et al. Incidence and consequence of nontarget embolization following bland hepatic arterial embolization. Cardiovasc Intervent Radiol 2019; 42 (08) 1135-1141
    CrossrefPubMedSuche in Google Scholar
  • 12 Covey AM, Brody LA, Maluccio MA, Getrajdman GI, Brown KT. Variant hepatic arterial anatomy revisited: digital subtraction angiography performed in 600 patients. Radiology 2002; 224 (02) 542-547
    CrossrefPubMedSuche in Google Scholar
  • 13 Iwazawa J, Ohue S, Mitani T. et al. Identifying feeding arteries during TACE of hepatic tumors: comparison of C-arm CT and digital subtraction angiography. AJR Am J Roentgenol 2009; 192 (04) 1057-1063
    CrossrefPubMedSuche in Google Scholar
  • 14 Kakeda S, Korogi Y, Ohnari N. et al. Usefulness of cone-beam volume CT with flat panel detectors in conjunction with catheter angiography for transcatheter arterial embolization. J Vasc Interv Radiol 2007; 18 (12) 1508-1516
    CrossrefPubMedSuche in Google Scholar
  • 15 Yao X, Yan D, Jiang X. et al. Dual-phase cone-beam CT-based navigation imaging significantly enhances tumor detectability and aids superselective transarterial chemoembolization of liver cancer. Acad Radiol 2018; 25 (08) 1031-1037
    CrossrefPubMedSuche in Google Scholar
  • 16 Schernthaner RE, Haroun RR, Duran R. et al. Improved visibility of metastatic disease in the liver during intra-arterial therapy using delayed arterial phase cone-beam CT. Cardiovasc Intervent Radiol 2016; 39 (10) 1429-1437
    CrossrefPubMedSuche in Google Scholar
  • 17 Schernthaner RE, Lin M, Duran R, Chapiro J, Wang Z, Geschwind JF. Delayed-phase cone-beam CT improves detectability of intrahepatic cholangiocarcinoma during conventional transarterial chemoembolization. Cardiovasc Intervent Radiol 2015; 38 (04) 929-936
    CrossrefPubMedSuche in Google Scholar
  • 18 Durack JC, Brown KT, Avignon G. et al. Assessment of automated cone-beam CT vessel identification software during transarterial hepatic embolisation: radiation dose, contrast medium volume, processing time, and operator perspectives compared to digital subtraction angiography. Clin Radiol 2018; 73 (12) 1057.e1-1057.e6
    CrossrefPubMedSuche in Google Scholar
  • 19 Cornelis FH, Borgheresi A, Petre EN, Santos E, Solomon SB, Brown K. Hepatic arterial embolization using cone beam CT with tumor feeding vessel detection software: impact on hepatocellular carcinoma response. Cardiovasc Intervent Radiol 2018; 41 (01) 104-111
    CrossrefPubMedSuche in Google Scholar
  • 20 Prachanronarong K, Kim E. Radiation segmentectomy. Semin Intervent Radiol 2021; 38 (04) 425-431
    Thieme ConnectPubMedSuche in Google Scholar
  • 21 Lewandowski RJ, Gabr A, Abouchaleh N. et al. Radiation segmentectomy: potential curative therapy for early hepatocellular carcinoma. Radiology 2018; 287 (03) 1050-1058
    CrossrefPubMedSuche in Google Scholar
  • 22 Stein SI, Soliman MM, Sparapani J. et al. Conventional hepatic volumetry may lead to inaccurate segmental yttrium-90 radiation dosimetry. Cardiovasc Intervent Radiol 2021; 44 (12) 1973-1985
    CrossrefPubMedSuche in Google Scholar
  • 23 Kwak DH, Lionberg A, Patel M. et al. Quantitative differences in volumetric calculations for radiation dosimetry in segmental Y90 treatment planning using hybrid angiography-CT compared with anatomic segmentation. Br J Radiol 2024; 97 (1154) 353-362
    CrossrefPubMedSuche in Google Scholar
  • 24 Kim KA, Choi SY, Kim MU. et al. The efficacy of cone-beam CT-based liver perfusion mapping to predict initial response of hepatocellular carcinoma to transarterial chemoembolization. J Vasc Interv Radiol 2019; 30 (03) 358-369
    CrossrefPubMedSuche in Google Scholar
  • 25 Chernyak V, Fowler KJ, Kamaya A. et al. Liver imaging reporting and data system (LI-RADS) version 2018: imaging of hepatocellular carcinoma in at-risk patients. Radiology 2018; 289 (03) 816-830
    CrossrefPubMedSuche in Google Scholar
  • 26 Lucatelli P, De Rubeis G, Ginnani Corradini L. et al. Intra-procedural dual phase cone beam computed tomography has a better diagnostic accuracy over pre-procedural MRI and MDCT in detection and characterization of HCC in cirrhotic patients undergoing TACE procedure. Eur J Radiol 2020; 124: 108806
    CrossrefPubMedSuche in Google Scholar
  • 27 Cho Y, Lee S, Park SJ. Effectiveness of intraprocedural dual-phase cone-beam computed tomography in detecting hepatocellular carcinoma and improving treatment outcomes following conventional transarterial chemoembolization. PLoS One 2021; 16 (01) e0245911
    CrossrefPubMedSuche in Google Scholar