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Related Concept Videos

Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
195

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Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
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Prostatic artery embolization using three-dimensional cone-beam computed tomography.

F Cadour1, F Tradi1, P Habert1

  • 1Department of Radiology, University Hospital La Timone, AP-HM, 13005 Marseille, France.

Diagnostic and Interventional Imaging
|June 14, 2020
PubMed
Summary
This summary is machine-generated.

Three-dimensional cone-beam computed tomography (3D CBCT) aids in identifying prostatic arteries for embolization in benign prostatic hypertrophy (BPH) patients. This imaging technique facilitates successful catheterization with acceptable radiation exposure.

Keywords:
Arterial catheterization, peripheralBenign prostatic hypertrophyCone-beam computed tomographyEmbolization, therapeutic/methods

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Area of Science:

  • Interventional Radiology
  • Medical Imaging
  • Urology

Background:

  • Benign prostatic hypertrophy (BPH) affects a significant number of aging men, leading to lower urinary tract symptoms.
  • Prostatic artery embolization (PAE) is an emerging minimally invasive treatment option for BPH.
  • Accurate visualization of prostatic arteries is crucial for successful PAE.

Purpose of the Study:

  • To evaluate the utility of three-dimensional (3D) cone-beam computed tomography (CBCT) in guiding prostatic artery embolization (PAE).
  • To assess the technical success, procedure time, and radiation exposure associated with 3D CBCT-assisted PAE for benign prostatic hypertrophy (BPH).

Main Methods:

  • Retrospective observational study of 23 men with BPH undergoing PAE using 3D CBCT.
  • Analysis of procedure time, fluoroscopy time, technical success rates, and complications.
  • Dosimetric indices, including dose area product and cumulative air kerma, were recorded.

Main Results:

  • Technical success was achieved in 91% of patients (21/23).
  • Mean fluoroscopy time was 42.3±23.1 minutes.
  • No non-target embolization occurred, and radiation exposure was deemed acceptable.

Conclusions:

  • Three-dimensional cone-beam computed tomography (3D CBCT) is a valuable tool for identifying and facilitating catheterization of prostatic arteries.
  • 3D CBCT-assisted PAE offers a high technical success rate with manageable radiation doses for BPH treatment.