Combined Angio-CT Systems: A Roadmap Tool for Precision Therapy in Interventional Oncology
Ryosuke Taiji1, Ethan Y Lin1, Yuan-Mao Lin1
1From the Departments of Interventional Radiology (R.T., E.Y.L., Y.M.L., S.Y., R.A., R.A.S., S.G., B.C.O.), Anesthesiology (J.R.R.), and Imaging Physics (A.K.J.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1471, Houston, TX 77030; Siemens Healthineers, USA (G.C.); and Department of Radiology, Nara Medical University, Nara, Japan (R.T., H.N., T.T., K.K.).
Combined angiography-CT (angio-CT) systems offer superior imaging for interventional oncology. This review guides their technical and clinical use in procedures like chemoembolization and ablation techniques.
Area of Science:
- Interventional Radiology
- Medical Imaging
- Oncology
Background:
- Combined angiography-CT (angio-CT) systems integrate traditional angiography with cross-sectional imaging.
- Cone-beam CT (CBCT) is established but angio-CT offers superior soft-tissue imaging and contrast resolution.
- Renewed interest in angio-CT for interventional oncology due to improved workflow, affordability, and usability.
Purpose of the Study:
- To provide a comprehensive technical and clinical guide for angio-CT systems in interventional oncology.
- To discuss basic concepts including workflow, imaging characteristics, and acquisition parameters.
- To review clinical applications and benefits in therapeutic and palliative interventional oncology procedures.
Main Methods:
- Review of technical aspects of angio-CT systems.
- Discussion of imaging characteristics and acquisition parameters.
- Overview of clinical applications in interventional oncology.
Main Results:
- Angio-CT systems are a viable alternative to stand-alone systems with CBCT.
- Improved workflow enhances affordability and usability.
- Demonstrated benefits in therapeutic and palliative interventional oncology procedures.
Conclusions:
- Angio-CT systems are valuable tools for interventional radiology and oncology.
- These systems offer advantages in soft-tissue imaging and contrast resolution.
- Comprehensive understanding of technical and clinical aspects is crucial for optimal use.
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