Application of multislice spiral CT angiography on transcatheter arterial chemoembolization for hepatocellular carcinoma.
OBJECTIVE
Multislice spiral CT angiography (MSCTA) is very important in the diagnosis and treatment of liver diseases. Currently, most studies on three-dimensional MSCTA of the liver vascular system focus on the liver tumors, preoperative assessment of liver transplantation and the systematic anatomy of the liver vascular system. This study was to investigate the clinical application of MSCTA on transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC) by comparing images of MSCTA and digital subtraction angiography (DSA).


METHODS
MSCT dual-phase enhanced scanning was performed in 50 patients with advanced HCC. Both hepatic artery angiography and portal vein angiography were conducted using maximal intensity projection (MIP) and volume rendering technique (VRT). DSA of the celiac artery, superior mesenteric artery, renal artery and diaphragm artery, as well as TACE were performed in all patients. MSCTA and DSA images of the 50 patients were compared.


RESULTS
MSCTA and DSA showed equal detectability in revealing classification of the hepatic artery anatomy and tumor blood vessels, with a coincidence of 100% (p = 1.00). However, MSCTA was superior to DSA in displaying arterioportal shunt and portal vein tumor thrombus.


CONCLUSIONS
As a noninvasive and easy to conduct technique, MSCTA can accurately provide information of the hepatic artery, portal vein and tumor supply vessels. Therefore MSCTA has a favorable value to guide TACE for HCC.
Huang
Jin-Hua
JH
State Key Laboratory of Oncology in South China, Department of Imaging and Interventional Radiology, Sun Yat-sen University, Guangzhou, Guangdong, PR China. hjinh@mail.sysu.edu.cn
Fan
Wei-Jun
WJ
Li
Chang-Jiang
CJ
Gu
Yang-Kui
YK
Zhang
Liang
L
Gao
Fei
F
Lu
Lian-Wei
LW
Li
Wen-Quan
WQ
D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods; D015901:Angiography, Digital Subtraction / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000000981:diagnostic imaging*; D016461:Chemoembolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008113:Liver Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging; D015203:Reproducibility of Results; D036542:Tomography, Spiral Computed / Q000379:methods*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging; D055815:Young Adult