2D <i>versus</i> 3D roadmap for uterine artery catheterization: impact on several angiographic parameters

Maleux, Geert; Michielsen, Koen; Timmerman, Dirk; Poppe, Willy; Heye, Sam; Vaninbroukx, Johan; Bosmans, Hilde

doi:10.1177/0284185113492457

Cited by 8 publications

(13 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The measures they used to reduce patient dose were simple and should be known to all interventional radiologists: optimized sourceimage and object-image distances, avoidance of magnification, tight collimation, reduction of image frequency during angiographic runs to one image every other second, and documentation of the angiographic endpoint using lastimage-hold (LIH) instead of another angiographic run. Many studies on radiation exposure during UAE followed and are compiled in Table 3 [16][17][18][19][20][21][22][23][24][25][26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

“…In this way, they were able to reduce mean DAP from 6,900 to 3,600 and finally to 1,300 cGy 9 cm 2 . The dramatic effect of the use of high frame rates in different projections has recently been shown by Maleux et al [28]. While performing UAE using a comparable technique, Maleux et al performed all angiographic runs with a rate of 3 images per second and acquisition of both posteroanterior and oblique projections.…”

Section: Digital Subtraction Angiographymentioning

confidence: 99%

“…When angiographic runs are used in overlay technique, the radiologist should not only use a lower frame rate but also discontinue a run as soon as the artery origins have been adequately visualized. Rotational angiography of the female pelvis with generation of a 3D roadmap has been described but clearly leads to unnecessary dose escalation [28,33]. Naguib et al [26] made a useful proposal, namely that the origins of the uterine arteries should be assessed by MRA before the intervention to identify the optimal catheterization angle before UAE.…”

Section: Roadmapping (Rdmp)mentioning

confidence: 99%

See 2 more Smart Citations

Radiation Exposure During Uterine Artery Embolization: Effective Measures to Minimize Dose to the Patient

Scheurig-Muenkler

Powerski

Mueller

et al. 2014

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Digital Subtraction Angiographymentioning

confidence: 99%

Section: Roadmapping (Rdmp)mentioning

confidence: 99%

See 1 more Smart Citation

Radiation Exposure During Uterine Artery Embolization: Effective Measures to Minimize Dose to the Patient

Scheurig-Muenkler

Powerski

Mueller

et al. 2014

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

show abstract

“…1 ), a 3D reconstruction of an intracranial stent overlaid on 2D fluoroscopy can facilitate coil delivery through a deployed stent. Nevertheless, total procedure time in the group using a 2D roadmap technique was shorter relative to a 3D overlay roadmap for uterine artery catheterizations in a prospective, randomized study, though there was no difference for radiation exposure or contrast load between the two techniques [ 4 ]. A transition period from the 2D roadmap to the 3D overlay roadmap technique may be required to master the newer 3D technique [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Three-dimensional (3D) DSA has been widely used to elucidate complex vascular diseases and guide treatment management [ 1 2 3 4 ]. The detailed aneurysm morphology and anatomical relationship between aneurysm and parent artery provided by 3D DSA have improved patient outcome and decreased the perioperative complications during endovascular treatment [ 1 5 ].…”

mentioning

confidence: 99%

Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures

Jang

Stidd

Schäfer³

et al. 2016

Neurointervention

View full text Add to dashboard Cite

PurposeWe investigated whether a 3D overlay roadmap using monoplane fluoroscopy offers advantages over a conventional 2D roadmap using biplane fluoroscopy during endovascular aneurysm treatment.Materials and MethodsA retrospective chart review was conducted for 131 consecutive cerebral aneurysm embolizations by three neurointerventionalists at a single institution. Allowing for a transition period, the periods from January 2012 to August 2012 (Time Period 1) and February 2013 to July 2013 (Time Period 2) were analyzed for radiation exposure, contrast administration, fluoroscopy time, procedure time, angiographic results, and perioperative complications. Two neurointerventionalists (Group 1) used a conventional 2D roadmap for both Time Periods, and one neurointerventionalist (Group 2) transitioned from a 2D roadmap during Time Period 1 to a 3D overlay roadmap during Time Period 2.ResultsDuring Time Period 2, Group 2 demonstrated reduced fluoroscopy time (p<0.001), procedure time (P=0.023), total radiation dose (p=0.001), and fluoroscopy dose (P=0.017) relative to Group 1. During Time Period 2, there was no difference of immediate angiographic results and procedure complications between the two groups. Through the transition from Time Period 1 to Time Period 2, Group 2 demonstrated decreased fluoroscopy time (p< 0.001), procedure time (p=0.022), and procedure complication rate (p=0.041) in Time Period 2 relative to Time Period 1.ConclusionThe monoplane 3D overlay roadmap technique reduced fluoroscopy dose and fluoroscopy time during neurointervention of cerebral aneurysms with similar angiographic occlusions and complications rate relative to biplane 2D roadmap, which implies possible compensation of limitations of monoplane fluoroscopy by 3D overlay technique.

show abstract

The factors contributing to the total radiation exposure of patients during uterine artery embolisation

Nocum

Robinson

Liang

et al. 2019

J of Medical Radiation Sci

View full text Add to dashboard Cite

Uterine artery embolisation (UAE) is an interventional angiography procedure for the treatment of symptomatic fibroids and/or adenomyosis in women. UAE is a less invasive and non‐surgical alternative to hysterectomy or myomectomy. However, ionising radiation is used for both fluoroscopic and angiographic image guidance to visualise and access the uterine arteries for embolisation and treatment of these benign conditions. Identifying the contributors and implementing dose reduction techniques are particularly important as UAE patients are usually of child‐bearing age. The purpose of this review was to examine the progression of literature on radiation exposure measurements and identifying the factors contributing to the total radiation exposure of female patients undergoing UAE. A Medline, ProQuest Central, ScienceDirect and Scopus database search from 2000 to 2018 was performed and forty articles were deemed acceptable for review following the inclusion and exclusion criteria set. UAE is a viable alternative to hysterectomy and myomectomy, as the reviewed literature demonstrated that the reported radiation exposure doses appear to be below the threshold for any deterministic radiation risks. The total radiation exposure of UAE patients is affected independently by multiple patient, operator expertise and technique, angiographic imaging and x‐ray unit variables. Uterus preservation can be attained post‐UAE with dose reduction and optimisation, however, a longitudinal study on UAE patients and their risk of radiation‐induced deterministic and/or stochastic effects is recommended.

show abstract

2D versus 3D roadmap for uterine artery catheterization: impact on several angiographic parameters

Abstract: Both roadmap techniques are effective imaging-guided tools for uterine artery catheterization, without difference in terms of radiation exposure or contrast load. The total procedure time is shorter in the 2D group.

Cited by 8 publications

References 20 publications

Radiation Exposure During Uterine Artery Embolization: Effective Measures to Minimize Dose to the Patient

Radiation Exposure During Uterine Artery Embolization: Effective Measures to Minimize Dose to the Patient

Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures

The factors contributing to the total radiation exposure of patients during uterine artery embolisation

Contact Info

Product

Resources

About