Utility of C-arm CT in overcoming challenges in patients undergoing Transarterial chemoembolization for hepatocellular carcinoma.
Transarterial chemoembolization (TACE) is the well-known treatment for hepatocellular carcinoma. Multiple digital subtraction angiography (DSA) acquisitions in different projections are required to identify difficult arterial feeders. Moreover, the tell-tale tumor blush can be obscured by proximity to lung base, small size of lesion, and breathing artifacts. C-arm CT is a revolutionary advancement in the intervention radiology suite that allows acquisition of data which can be reformatted in multiple planes and volume rendered incorporating both soft tissue and vascular information like multidetector computed tomography (MDCT). These images acquired during the TACE procedure can provide critical inputs for achieving a safe and effective therapy. This case series aims to illustrate the utility of C-arm CT in solving specific problems encountered while performing TACE.
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India.
Chinmay
C
Kulkarni
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India.
K P
KP
Sreekumar
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India.
Nirmal Kumar
NK
Prabhu
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India.
Rajesh R
RR
Kannan
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India.
Srikanth
S
Moorthy
Arteriography digital subtraction; C-arm CT; cone beam computed tomography; hepatocellular carcinoma; transarterial chemoembolization