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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(01): 80-83
DOI: 10.4103/0971-3026.130709
Interventional Radiology

Utility of C-arm CT in overcoming challenges in patients undergoing Transarterial chemoembolization for hepatocellular carcinoma

Chinmay Kulkarni
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India
,
P K Sreekumar
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India
,
Nirmal Kumar Prabhu
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India
,
Rajesh R kannan
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India
,
Srikanth Moorthy
Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Amrita Lane, Elamakkara P.O. Cochin, Kerala, India
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Abstract

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.

Keywords

Arteriography digital subtraction - C‑arm CT - cone beam computed tomography - hepatocellular carcinoma - transarterial chemoembolization


Publication History

Article published online:
02 August 2021

© 2014. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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