Identification of Small Hepatocellular Carcinoma and Tumor-feeding Branches with Cone-beam CT Guidance Technology during Transcatheter Arterial Chemoembolization

Miyayama, Shiro; Yamashiro, Masashi; Hashimoto, Masahiro; Hashimoto, Nanako; Ikuno, Masaya; Okumura, Kenichiro; Yoshida, Midori; Matsui, Osamu

doi:10.1016/j.jvir.2012.12.022

Cited by 114 publications

(112 citation statements)

References 23 publications

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“…A suspected feeding branch can also be manually highlighted by clicking it on CBCTA images. The total time required for the analysis of tumor feeders after the acquisition of CBCTA images is less than approximately 2 minutes [1,3,4].…”

Section: Afd Softwarementioning

confidence: 99%

“…If palliative TACE is recommended, the safety margins should be narrower to reduce the adverse effects. Finally, the AFD software can allow us to perform superselective TACE for angiographically occult [1] or hypovascular tumors (Fig. 3).…”

Section: Efficacy Of the Afd Software In Tace For Hcc Supplied By Thementioning

confidence: 99%

“…In addition, motion artifacts from the catheter, contrast material in the vessels or densely accumulated iodized oil, and motion artifacts caused by inadequate breath holding deteriorate the image quality and reduce the vessel-tracking ability [1]. Further technical development may be needed to improve the image quality of CBCT.…”

Section: Limitations Of the Afd Softwarementioning

confidence: 99%

“…Artifacts from contrast material may be a cause of this phenomenon. Arterioportal shunts also cause incorrect vessel tracking [1]. Third, the size of the virtual target lesion also influences feeder detectability (Fig.…”

Section: Limitations Of the Afd Softwarementioning

confidence: 99%

“…In the arterial approach, the identification of a tumor-feeding branch or optimal access route is key to improving therapeutic effects and reducing adverse effects. However, digital subtraction angiography (DSA) often cannot provide sufficient information to perform optimal interventions, especially for small target lesions [1].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Automated Tumor-Feeder Detection Software Using Cone-Beam Computed Tomography Technology in Transarterial Targeted Therapy

Miyayama

Yamashiro

Nagai

et al. 2016

Interventional Radiology

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Automated tumor-feeder detection (AFD) software using cone-beam computed tomography technology is a new tool for three-dimensional vessel tracking. This software is now being used in transarterial targeted therapies, mainly in transarterial chemoembolization for hepatocellular carcinoma, as well as in transarterial embolization and superselective infusion chemotherapy. The detectability rate of the tumor feeder or access route to the target lesions with the AFD software are high in both intrahepatic and extrahepatic lesions. Therefore, the AFD software can reduce the procedural time and radiation exposure, as well as the workload during transarterial targeted therapies.

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Section: Afd Softwarementioning

confidence: 99%

Section: Efficacy Of the Afd Software In Tace For Hcc Supplied By Thementioning

confidence: 99%

Section: Limitations Of the Afd Softwarementioning

confidence: 99%

Section: Limitations Of the Afd Softwarementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of Automated Tumor-Feeder Detection Software Using Cone-Beam Computed Tomography Technology in Transarterial Targeted Therapy

Miyayama

Yamashiro

Nagai

et al. 2016

Interventional Radiology

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Exploring software navigation tools for liver tumour angiography: a scoping review

Brunskill,

Robinson,

Nocum

et al. 2024

J of Medical Radiation Sci

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IntroductionLiver cancer presents a growing global health concern, necessitating advanced approaches for intervention. This review investigates the use and effectiveness of software navigation in interventional radiology for liver tumour procedures.MethodsIn accordance with Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR) guidelines, a scoping review was conducted of the literature published between 2013 and 2023 sourcing articles through MEDLINE, Scopus, CINAHL and Embase. Eligible studies focused on liver cancer, utilised cone‐beam computed tomography (CBCT), and employed software for intervention. Twenty‐one articles were deemed eligible for data extraction and analysis.ResultsCategorised by type, software applications yielded diverse benefits. Feeder detection software significantly enhanced vessel identification, reducing non‐target embolisation by up to 43%. Motion correction software demonstrated a 20% enhancement in image quality, effectively mitigating breathing‐induced motion artefacts. Liver perfusion software facilitated efficient tumour targeting while simultaneously reducing the occurrence of side effects. Needle guide software enabled precise radiofrequency ablation needle placement. Additionally, these software applications provided detailed anatomical simulations. Overall, software integration resulted in shorter procedures, reduced radiation exposure and decreased contrast media usage.ConclusionThis scoping review highlights the innovative yet relatively underexplored role of software navigation for liver tumour procedures. The integration of software applications not only enhances procedural efficiency but also bolsters operator confidence, and contributes to improved patient outcomes. Despite the current lack of uniformity and standardisation, these software‐driven advancements hold significant promise for transforming liver tumour interventions. To realise these benefits, further research is needed to explore the clinical impact and optimal utilisation of software navigation tools in interventional radiology.

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Defining textbook outcome for selective internal radiation therapy of hepatocellular carcinoma: an international expert study

Grégory

Tselikas

Allimant

et al. 2022

Eur J Nucl Med Mol Imaging

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Identification of Small Hepatocellular Carcinoma and Tumor-feeding Branches with Cone-beam CT Guidance Technology during Transcatheter Arterial Chemoembolization

Cited by 114 publications

References 23 publications

Efficacy of Automated Tumor-Feeder Detection Software Using Cone-Beam Computed Tomography Technology in Transarterial Targeted Therapy

Efficacy of Automated Tumor-Feeder Detection Software Using Cone-Beam Computed Tomography Technology in Transarterial Targeted Therapy

Exploring software navigation tools for liver tumour angiography: a scoping review

Defining textbook outcome for selective internal radiation therapy of hepatocellular carcinoma: an international expert study

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