Image guiding techniques and navigation for TACE, SIRT and TIPS Bildführungstechniken und Navigation bei TACE, SIRT und TIPS

Adamus R, Pfister M, Uder M, Loose RW (2013)

Publication Type: Journal article

Publication year: 2013

Journal

Radiologe Springer Verlag (Germany)

Book Volume: 53

Pages Range: 1009-1016

Journal Issue: 11

DOI: 10.1007/s00117-012-2464-3

Abstract

Clinical/methodical issue: To avoid non-targeted embolization in liver tumors, arteries important for embolization must be detected. In transarterial chemoembolization (TACE) arteries for particle embolization have to be detected and in selective internal radiotherapy (SIRT) extrahepatic arteries which must be protected from embolization have to be detected. In transjugular intrahepatic portosystemic shunt (TIPS) the problem is to achieve an exactly targeted puncture of the portal vein. Standard radiological methods: In TACE and SIRT detection of the vessels is performed from various angles by digital subtraction angiography (DSA). In TIPS puncture is guided by ultrasound or performed blindly. Methodical innovations: Using cone beam CT (CBCT) very small vessels in the liver can be visualized and 2D-3D back projection is able to detect the exact position of the portal vein in TIPS. Achievements: The use of CBCT and 2D-3D back projection significantly enhances navigation of vessels. Practical recommendations: If flat detector technique is available CBCT should be used in TACE and SIRT and 2D-3D navigation needs hardware and software updates. © 2013 Springer-Verlag Berlin Heidelberg.

Authors with CRIS profile

Michael Uder Lehrstuhl für Diagnostische Radiologie

Involved external institutions

Klinikum Nürnberg DE Germany (DE) Siemens AG, Healthcare Sector DE Germany (DE)

How to cite

APA:

Adamus, R., Pfister, M., Uder, M., & Loose, R.W. (2013). Image guiding techniques and navigation for TACE, SIRT and TIPS Bildführungstechniken und Navigation bei TACE, SIRT und TIPS. Radiologe, 53(11), 1009-1016. https://doi.org/10.1007/s00117-012-2464-3

MLA:

Adamus, R., et al. "Image guiding techniques and navigation for TACE, SIRT and TIPS Bildführungstechniken und Navigation bei TACE, SIRT und TIPS." Radiologe 53.11 (2013): 1009-1016.

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