[1]宋子阳,邵国良.Angio- CT的优势及其在介入放射学中的应用[J].介入放射学杂志,2023,32(11):1138-1142.
 SONG Ziyang,SHAO Guoliang..The advantages of Angio-CT scanner and its application in interventional radiology[J].journal interventional radiology,2023,32(11):1138-1142.
点击复制

Angio- CT的优势及其在介入放射学中的应用()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年11
页码:
1138-1142
栏目:
综述
出版日期:
2023-11-30

文章信息/Info

Title:
The advantages of Angio-CT scanner and its application in interventional radiology
作者:
宋子阳 邵国良
Author(s):
SONG Ziyang SHAO Guoliang.
Zhejiang University of Traditional Chinese Medicine; Department of Interventional Therapy, Zhejiang Provincial Cancer Hospital, Hangzhou, Zhejiang Province 310053, China
关键词:
【关键词】 混合血管造影 计算机断层扫描 肝细胞癌 介入 化疗栓塞
文献标志码:
A
摘要:
【摘要】 Angio-CT是将血管造影和CT结合到同一个装置中的成像系统,其免除了在介入术中因需要进行CT检查而在介入手术室和CT室之间搬运患者。同时,Angio-CT在介入过程中可进行快速、连续扫描,提供更为精确的术中引导,且其提供的CT图像较锥形束CT(cone beam-CT)质量更好、采集速度更快、视野更大、不易受运动伪影影响。目前随着介入治疗技术的精细化程度提升,Angio-CT在介入术中的应用越来越受到重视。本文就Angio-CT的功能、优点、在介入治疗中的应用进展、目前存在的不足等情况作一介绍。

参考文献/References:

[1] Dixon GD. Combined CT and fluoroscopic guidance for liver abscess drainage[J]. AJR Am J Roentgenol, 1980, 135: 397- 399.
[2] Taiji R, Lin EY, Lin YM, et al. Combined angio- ct systems: a roadmap tool for precision therapy in interventional oncology[J]. Radiol Imaging Cancer, 2021, 3: e210039.
[3] Inaba Y,Arai Y,Kanematsu M,et al. Revealing hepatic metastases from colorectal cancer: value of combined helical CT during arterial portography and CT hepatic arteriography with a unified CT and angiography system[J]. AJR Am J Roentgenol, 2000, 174: 955- 961.
[4] Yu Q, Knight G, Karani K, et al. Real- time arteriography- directed percutaneous microwave ablation for small or poorly characterized hepatic lesions using hybrid Angio- CT[J]. Abdom Radiol (NY), 2022, 47: 1457- 1463.
[5] Yuan H, Li X, Tian X, et al. Comparison of Angio- CT and cone- beam CT- guided immediate radiofrequency ablation after transcatheter arterial chemoembolization for large hepatocellular carcinoma[J]. Abdom Radiol(NY), 2020, 45: 2585- 2592.
[6] Feinberg N,Funaki B,Hieromnimon M,et al. Improved utilization following conversion of a fluoroscopy suite to hybrid CT/angiography system[J]. J Vasc Interv Radiol, 2020, 31: 1857- 1863.
[7] Tanaka T, Arai Y, Inaba Y, et al. Current role of hybrid CT/angiography system compared with C- arm cone beam CT for interventional oncology[J]. Br J Radiol, 2014, 87: 20140126.
[8] Takada K, Toyoda H, Tada T, et al. Accurate and rapid identi-fication of feeding arteries with multidetector- row angiography- assisted computed tomography for transarterial chemoembolization for hepatocellular carcinoma[J]. J Gastroenterol, 2015, 50: 1190- 1196.
[9] Lionberg A, Nijhawan K, Navuluri R, et al. Hybrid angiography- CT for transarterial radioembolization: a pictorial essay[J]. Abdom Radiol (NY), 2021, 46: 2850- 2854.
[10] Orth RC, Wallace MJ, Kuo MD,et al. C- arm cone- beam CT: general principles and technical considerations for use in interventional radiology[J]. J Vasc Interv Radiol, 2008, 19: 814- 820.
[11] de Oliveira Pinto MG, Melo SLS, Suassuna FCM, et al. Influence of size of field of view(FOV), position within the FOV, and scanning mode on the detection of root fracture and observer’s perception of artifacts in CBCT images[J]. Dentomaxillofac Radiol, 2021,50:20200563.
[12] Piron L, Le Roy J, Cassinotto C, et al. Radiation exposure during transarterial chemoembolization: angio- CT versus cone- beam CT[J]. Cardiovasc Intervent Radiol, 2019, 42: 1609- 1618.
[13] Marshall EL, Guajardo S, Sellers E, et al. Radiation dose during transarterial radioembolization: a dosimetric comparison of cone- beam CT and angio- CT technologies[J]. J Vasc Interv Radiol, 2021, 32: 429- 438.
[14] Toyoda H, Kumada T, Sone Y. Impact of a unified CT angiography system on outcome of patients with hepatocellular carcinoma[J]. AJR Am J Roentgenol, 2009, 192: 766- 774.
[15] Chen Z, Xie H, Hu M, et al. Recent progress in treatment of hepatocellular carcinoma[J]. Am J Cancer Res, 2020, 10: 2993- 3036.
[16] 刘若冰,李开艳,罗鸿昌,等. 大血管旁部位小肝癌的精准消融治疗[J]. 介入放射学杂志, 2019, 28:440- 443.
[17] Pan F, Do TD, Vollherbst DF, et al. Percutaneous irreversible electroporation for treatment of small hepatocellular carcinoma invisible on unenhanced CT: a novel combined strategy with prior transarterial tumor marking[J]. Cancers(Basel), 2021, 13: 2021.
[18] Liu FY, Li X, Yuan HJ, et al. Angio- computed tomograph- guided immediate lipiodol computed tomograph for diagnosis of small hepatocellular carcinoma lesions during transarterial chemoem-bolization[J]. Chin Med J, 2018, 131: 2410- 2416.
[19] Lencioni R, de Baere T, Soulen MC, et al. Lipiodol transarterial chemoembolization for hepatocellular carcinoma: a systematic review of efficacy and safety data[J]. Hepatology, 2016, 64: 106- 116.
[20] Abdelaziz AO, Nabeel MM, Elbaz TM, et al. Microwave ablation versus transarterial chemoembolization in large hepatocellular carcinoma: prospective analysis[J]. Scand J Gastroenterol, 2015, 50: 479- 484.
[21] 张 源,翟 博.大肝癌的微创介入治疗[J]. 介入放射学杂志,2019, 28:394- 399.
[22] Yuan H, Liu F, Li X, et al. Angio- CT- guided transarterial chemoembolization immediately in combination with radiofre-quency ablation for large hepatocellular carcinoma[J]. Acad Radiol, 2019, 26: 224- 231.
[23] Goh WXT, Leong S, Too CW, et al. Catheter- directed computed tomography hepatic angiography for yttrium- 90 selective internal radiotherapy of hepatocellular carcinoma reduces prophylactic embolization of extrahepatic vessels[J]. Cardiovasc Intervent Radiol, 2020, 43: 478- 487.
[24] 郑致远.钇90放射性微球治疗肝脏恶性肿瘤的应用进展[J].复旦学报(医学版), 2020, 47:622- 627.
[25] Marqueen KE, Kim E, Ang C, et al. Cost- effectiveness analysis of selective internal radiotherapy with yttrium- 90 versus sorafenib in locally advanced hepatocellular carcinoma[J]. JCO Oncol Pract, 2021, 17: e266- e277.
[26] 吴文铭,陈 洁,白春梅,等. 中国胰腺神经内分泌肿瘤诊疗指南(2020)[J]. 中华消化外科杂志, 2021, 20:579- 599.
[27] Fu J, Liu F, Yuan K, et al. The value of hybrid angio- CT in preoperative detection and localization of insulinomas: a single- center retrospective study[J]. Cardiovasc Intervent Radiol, 2018, 41: 633- 638.
[28] Fu J, Zhang J, Wang Y, et al. Comparison of angio- CT versus multidetector ct in the detection and location for insulinomas[J]. Clin Radiol, 2020, 75: 796.e11- 796.e16.
[29] Yevich S, Odisio B, Sheth R, et al. Integrated CT- fluoroscopy equipment: improving the interventional radiology approach and patient experience for treatment of musculoskeletal malignancies[J]. Semin Intervent Radiol, 2018, 35: 229- 237.
[30] Wada S, Arai Y, Sone M, et al. The value of angio- CT system on splanchnic nerve neurolysis[J]. Diagn Interv Radiol, 2021, 27: 408- 412.

相似文献/References:

[1]刘卫东,钟伟清,张翼,等.基于C型臂微创手术导航的图像配准研究[J].介入放射学杂志,2010,(11):908.
 LIU Wei-dong,ZHONG Wei-qing,ZHANG Yi,et al. A multi-step 2D/3D image registration method for minimally invasive image-guided surgery[J].journal interventional radiology,2010,(11):908.
[2]李 艳,吕传剑,吴学军,等. 遗传性出血性毛细血管扩张症累及肝脏的CT及DSA表现[J].介入放射学杂志,2013,(10):854.
 LI Yan,LV Chuan? jian,WU Xue? jun,et al. Hepatic involvement of hereditary hemorrhagic telangiectasia: its imaging findings on CT and DSA[J].journal interventional radiology,2013,(11):854.
[3]朱统寅,孙军辉,陈新华,等.CT导引纳米刀消融猪肝脏可行性实验研究[J].介入放射学杂志,2016,(04):337.
 ZHU Tong- yin,SUN Jun- hui,CHEN Xin- hua,et al.CT- guided NanoKnife ablation of experimental pig liver: a feasibility study[J].journal interventional radiology,2016,(11):337.

备注/Memo

备注/Memo:
(收稿日期:2022- 05- 10)
(本文编辑:新 宇)
更新日期/Last Update: 2023-11-30