Cone-Beam CT With Enhanced Needle Guidance and Augmented Fluoroscopy Overlay: Applications in Interventional Radiology

Key, Brandon M.; Tutton, Sean; Scheidt, Matthew J.

doi:10.2214/ajr.22.28712

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…A metaanalysis of seven studies of 359 patients showed equivalent analgesic effect, though less opioid use at 2 months with splanchnic nerve neurolysis. 44 There are several potential approaches to antecrural injection, including unilateral versus bilateral, anterior versus posterior, CT versus ultrasound with cone-beam CT. 41,45 At our institution, retrocrural injection is the preferred technique using a posterior approach under CT guidance due to lower required volume of alcohol and associated cost (►Fig. 6).…”

Section: Cancer Painmentioning

confidence: 99%

Palliative Interventions in Advanced Cholangiocarcinoma

Tadros,

Tutton,

Redmond

2024

Digestive Disease Interventions

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Section: Cancer Painmentioning

confidence: 99%

Palliative Interventions in Advanced Cholangiocarcinoma

Tadros,

Tutton,

Redmond

2024

Digestive Disease Interventions

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“…Cone beam computed tomography (CBCT), PET, or MRI incorporated into next-generation interventional procedure suites, provide real-time imaging, intra-procedural 3-dimensional (3D) reconstruction and heightened precision, (Figure 2) potentially reducing reliance on manual dexterity and experience. [14][15][16][17][18][19] One study evaluating the integration of AI-driven virtual injection software during CBCT-guided prostatic artery embolization procedures revealed that implementation of virtual injection significantly reduced various radiation exposure parameters compared to standard procedures as well as overall procedure time. 20 Further studies validating it's use in the hepatic setting is expected.…”

Section: Peri-procedural Advanced Imagingmentioning

confidence: 99%

Interventional Oncology: 2024 Update

Geevarghese,

Bodard,

Razakamanantsoa

et al. 2024

Can Assoc Radiol J

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Interventional Oncology (IO) stands at the forefront of transformative cancer care, leveraging advanced imaging technologies and innovative interventions. This narrative review explores recent developments within IO, highlighting its potential impact facilitated by artificial intelligence (AI), personalized medicine and imaging innovations. The integration of AI in IO holds promise for accelerating tumour detection and characterization, guiding treatment strategies and refining predictive models. Imaging modalities, including functional MRI, PET and cone beam CT are reshaping imaging and precision. Navigation, fusion imaging, augmented reality and robotics have the potential to revolutionize procedural guidance and offer unparalleled accuracy. New developments are observed in embolization and ablative therapies. The pivotal role of genomics in treatment planning, targeted therapies and biomarkers for treatment response prediction underscore the personalization of IO. Quality of life assessment, minimizing side effects and long-term survivorship care emphasize patient-centred outcomes after IO treatment. The evolving landscape of IO training programs, simulation technologies and workforce competence ensures the field’s adaptability. Despite barriers to adoption, synergy between interventional radiologists’ proficiency and technological advancements hold promise in cancer care.

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“…Visualization of skin and deep targets may, however, be challenging in large patients. Navigational software can be combined with cone-beam CT and fusion of fluoroscopic images on the preliminary cone-beam CT, allowing for the monitoring of the trajectory tract and improving accuracy, safety, and effectiveness (even in the case of complex needle paths) without the need for additional equipment [ 25 , 26 ]. Cone-beam CT has been used for percutaneous tumor biopsy and ablation [ 27 , 28 , 29 , 30 , 31 , 32 ].…”

Section: Basics Of Navigation and Robotic Systemsmentioning

confidence: 99%

Navigation and Robotics in Interventional Oncology: Current Status and Future Roadmap

Charalampopoulos,

Bale,

Filippiadis

et al. 2023

Diagnostics

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Interventional oncology (IO) is the field of Interventional Radiology that provides minimally invasive procedures under imaging guidance for the diagnosis and treatment of malignant tumors. Sophisticated devices can be utilized to increase standardization, accuracy, outcomes, and “repeatability” in performing percutaneous Interventional Oncology techniques. These technologies can reduce variability, reduce human error, and outperform human hand-to-eye coordination and spatial relations, thus potentially normalizing an otherwise broad diversity of IO techniques, impacting simulation, training, navigation, outcomes, and performance, as well as verification of desired minimum ablation margin or other measures of successful procedures. Stereotactic navigation and robotic systems may yield specific advantages, such as the potential to reduce procedure duration and ionizing radiation exposure during the procedure and, at the same time, increase accuracy. Enhanced accuracy, in turn, is linked to improved outcomes in many clinical scenarios. The present review focuses on the current role of percutaneous navigation systems and robotics in diagnostic and therapeutic Interventional Oncology procedures. The currently available alternatives are presented, including their potential impact on clinical practice as reflected in the peer-reviewed medical literature. A review of such data may inform wiser investment of time and resources toward the most impactful IR/IO applications of robotics and navigation to both standardize and address unmet clinical needs.

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Cone-Beam CT With Enhanced Needle Guidance and Augmented Fluoroscopy Overlay: Applications in Interventional Radiology

Cited by 3 publications

References 12 publications

Palliative Interventions in Advanced Cholangiocarcinoma

Palliative Interventions in Advanced Cholangiocarcinoma

Interventional Oncology: 2024 Update

Navigation and Robotics in Interventional Oncology: Current Status and Future Roadmap

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