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Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma
Purpose To evaluate changes in imaging findings on CT during hepatic arteriography (CTHA) and CT during arterial portography (CTAP) by balloon occlusion of the treated artery and their relationship with iodized oil accumulation in the tumor during balloon-occluded transcatheter arterial chemoemboliz...
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| Published in: | Cardiovascular and interventional radiology 2016-06, Vol.39 (6), p.865-874 |
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| container_title | Cardiovascular and interventional radiology |
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| creator | Yoshimatsu, Rika Yamagami, Takuji Ishikawa, Masaki Kajiwara, Kenji Aikata, Hiroshi Chayama, Kazuaki Awai, Kazuo |
| description | Purpose
To evaluate changes in imaging findings on CT during hepatic arteriography (CTHA) and CT during arterial portography (CTAP) by balloon occlusion of the treated artery and their relationship with iodized oil accumulation in the tumor during balloon-occluded transcatheter arterial chemoembolization (B-TACE).
Methods
Both B-TACE and angiography-assisted CT were performed for 27 hepatocellular carcinomas. Tumor enhancement on selective CTHA with/without balloon occlusion and iodized oil accumulation after B-TACE were evaluated. Tumorous portal perfusion defect size on CTAP was compared with/without balloon occlusion. Factors influencing discrepancies between selective CTHA with/without balloon occlusion and the degree of iodized oil accumulation were investigated.
Results
Among 27 tumors, tumor enhancement on selective CTHA changed after balloon occlusion in 14 (decreased, 11; increased, 3). In 18 tumors, there was a discrepancy between tumor enhancement on selective CTHA with balloon occlusion and the degree of accumulated iodized oil, which was higher than the tumor enhancement grade in all 18. The tumorous portal perfusion defect on CTAP significantly decreased after balloon occlusion in 18 of 20 tumors (mean decrease from 21.9 to 19.1 mm in diameter;
p
= 0.0001). No significant factors influenced discrepancies between selective CTHA with/without balloon occlusion. Central area tumor location, poor tumor enhancement on selective CTHA with balloon occlusion, and no decrease in the tumorous portal perfusion defect area on CTAP after balloon occlusion significantly influenced poor iodized oil accumulation in the tumor.
Conclusions
Tumor enhancement on selective CTHA frequently changed after balloon occlusion, which did not correspond to accumulated iodized oil in most cases. |
| doi_str_mv | 10.1007/s00270-015-1279-9 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22642514</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4046305671</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-c1b62fe036420c85dd10fa4a5a537c5cb90a494a43f64a21c066e19be627cbcd3</originalsourceid><addsrcrecordid>eNp1kcGO1SAUhonRONerD-DGkLhxUwUKpV1eq-NMMslsrok7ckppy6SFCu1ifA1fWGrH0Y0bzoLv_JzDh9BrSt5TQuSHSAiTJCNUZJTJKqueoAPlOctIWXx7ig6ESp5RIegFehHjHUlgycRzdMEKSWlJ8gP6WQ_geoOtw9cT9Nb1-NK6NtWIvcMn11vfB5iH--wUo42LaXF9xp_WsKEfYRy9d9mt1uPapqtzABc1LINZTMCnkE4LI64HM3kzNX60P2CxKbjzAV-ZGRavzTiuIwRcQ9DW-QleomcdjNG8eqhH9PXy87m-ym5uv1zXp5tMc0KWTNOmYJ0hecEZ0aVoW0o64CBA5FIL3VQEeMWB513BgVFNisLQqjEFk7rRbX5Eb_dcHxeroraL0YP2zhm9KMZSrEi_eUTvdmoO_vtq4qImG7ehwRm_RkVlKbmkXBR_Ax_RO78Gl3b4TZFcVHyj6E7p4GMMplNzsBOEe0WJ2ryq3atKutTmVVWp581D8tpMpn3s-CMyAWwH4ryZMeGfp_-b-gtpsq7A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1787035946</pqid></control><display><type>article</type><title>Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma</title><source>Springer Nature</source><creator>Yoshimatsu, Rika ; Yamagami, Takuji ; Ishikawa, Masaki ; Kajiwara, Kenji ; Aikata, Hiroshi ; Chayama, Kazuaki ; Awai, Kazuo</creator><creatorcontrib>Yoshimatsu, Rika ; Yamagami, Takuji ; Ishikawa, Masaki ; Kajiwara, Kenji ; Aikata, Hiroshi ; Chayama, Kazuaki ; Awai, Kazuo</creatorcontrib><description>Purpose
To evaluate changes in imaging findings on CT during hepatic arteriography (CTHA) and CT during arterial portography (CTAP) by balloon occlusion of the treated artery and their relationship with iodized oil accumulation in the tumor during balloon-occluded transcatheter arterial chemoembolization (B-TACE).
Methods
Both B-TACE and angiography-assisted CT were performed for 27 hepatocellular carcinomas. Tumor enhancement on selective CTHA with/without balloon occlusion and iodized oil accumulation after B-TACE were evaluated. Tumorous portal perfusion defect size on CTAP was compared with/without balloon occlusion. Factors influencing discrepancies between selective CTHA with/without balloon occlusion and the degree of iodized oil accumulation were investigated.
Results
Among 27 tumors, tumor enhancement on selective CTHA changed after balloon occlusion in 14 (decreased, 11; increased, 3). In 18 tumors, there was a discrepancy between tumor enhancement on selective CTHA with balloon occlusion and the degree of accumulated iodized oil, which was higher than the tumor enhancement grade in all 18. The tumorous portal perfusion defect on CTAP significantly decreased after balloon occlusion in 18 of 20 tumors (mean decrease from 21.9 to 19.1 mm in diameter;
p
= 0.0001). No significant factors influenced discrepancies between selective CTHA with/without balloon occlusion. Central area tumor location, poor tumor enhancement on selective CTHA with balloon occlusion, and no decrease in the tumorous portal perfusion defect area on CTAP after balloon occlusion significantly influenced poor iodized oil accumulation in the tumor.
Conclusions
Tumor enhancement on selective CTHA frequently changed after balloon occlusion, which did not correspond to accumulated iodized oil in most cases.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-015-1279-9</identifier><identifier>PMID: 26711803</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Aged, 80 and over ; ARTERIES ; Balloon Occlusion - methods ; BALLOONS ; BIOMEDICAL RADIOGRAPHY ; Carcinoma, Hepatocellular - diagnostic imaging ; Carcinoma, Hepatocellular - drug therapy ; Cardiology ; Clinical Investigation ; COMPARATIVE EVALUATIONS ; Computed Tomography Angiography - methods ; COMPUTERIZED TOMOGRAPHY ; Female ; HEPATOMAS ; Humans ; Imaging ; LIVER ; Liver - diagnostic imaging ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - drug therapy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; OILS ; Radiography, Interventional - methods ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Tomography, X-Ray Computed - methods ; Treatment Outcome ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2016-06, Vol.39 (6), p.865-874</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2015</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-c1b62fe036420c85dd10fa4a5a537c5cb90a494a43f64a21c066e19be627cbcd3</citedby><cites>FETCH-LOGICAL-c400t-c1b62fe036420c85dd10fa4a5a537c5cb90a494a43f64a21c066e19be627cbcd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26711803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22642514$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshimatsu, Rika</creatorcontrib><creatorcontrib>Yamagami, Takuji</creatorcontrib><creatorcontrib>Ishikawa, Masaki</creatorcontrib><creatorcontrib>Kajiwara, Kenji</creatorcontrib><creatorcontrib>Aikata, Hiroshi</creatorcontrib><creatorcontrib>Chayama, Kazuaki</creatorcontrib><creatorcontrib>Awai, Kazuo</creatorcontrib><title>Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To evaluate changes in imaging findings on CT during hepatic arteriography (CTHA) and CT during arterial portography (CTAP) by balloon occlusion of the treated artery and their relationship with iodized oil accumulation in the tumor during balloon-occluded transcatheter arterial chemoembolization (B-TACE).
Methods
Both B-TACE and angiography-assisted CT were performed for 27 hepatocellular carcinomas. Tumor enhancement on selective CTHA with/without balloon occlusion and iodized oil accumulation after B-TACE were evaluated. Tumorous portal perfusion defect size on CTAP was compared with/without balloon occlusion. Factors influencing discrepancies between selective CTHA with/without balloon occlusion and the degree of iodized oil accumulation were investigated.
Results
Among 27 tumors, tumor enhancement on selective CTHA changed after balloon occlusion in 14 (decreased, 11; increased, 3). In 18 tumors, there was a discrepancy between tumor enhancement on selective CTHA with balloon occlusion and the degree of accumulated iodized oil, which was higher than the tumor enhancement grade in all 18. The tumorous portal perfusion defect on CTAP significantly decreased after balloon occlusion in 18 of 20 tumors (mean decrease from 21.9 to 19.1 mm in diameter;
p
= 0.0001). No significant factors influenced discrepancies between selective CTHA with/without balloon occlusion. Central area tumor location, poor tumor enhancement on selective CTHA with balloon occlusion, and no decrease in the tumorous portal perfusion defect area on CTAP after balloon occlusion significantly influenced poor iodized oil accumulation in the tumor.
Conclusions
Tumor enhancement on selective CTHA frequently changed after balloon occlusion, which did not correspond to accumulated iodized oil in most cases.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ARTERIES</subject><subject>Balloon Occlusion - methods</subject><subject>BALLOONS</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Carcinoma, Hepatocellular - diagnostic imaging</subject><subject>Carcinoma, Hepatocellular - drug therapy</subject><subject>Cardiology</subject><subject>Clinical Investigation</subject><subject>COMPARATIVE EVALUATIONS</subject><subject>Computed Tomography Angiography - methods</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>Female</subject><subject>HEPATOMAS</subject><subject>Humans</subject><subject>Imaging</subject><subject>LIVER</subject><subject>Liver - diagnostic imaging</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - drug therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>OILS</subject><subject>Radiography, Interventional - methods</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kcGO1SAUhonRONerD-DGkLhxUwUKpV1eq-NMMslsrok7ckppy6SFCu1ifA1fWGrH0Y0bzoLv_JzDh9BrSt5TQuSHSAiTJCNUZJTJKqueoAPlOctIWXx7ig6ESp5RIegFehHjHUlgycRzdMEKSWlJ8gP6WQ_geoOtw9cT9Nb1-NK6NtWIvcMn11vfB5iH--wUo42LaXF9xp_WsKEfYRy9d9mt1uPapqtzABc1LINZTMCnkE4LI64HM3kzNX60P2CxKbjzAV-ZGRavzTiuIwRcQ9DW-QleomcdjNG8eqhH9PXy87m-ym5uv1zXp5tMc0KWTNOmYJ0hecEZ0aVoW0o64CBA5FIL3VQEeMWB513BgVFNisLQqjEFk7rRbX5Eb_dcHxeroraL0YP2zhm9KMZSrEi_eUTvdmoO_vtq4qImG7ehwRm_RkVlKbmkXBR_Ax_RO78Gl3b4TZFcVHyj6E7p4GMMplNzsBOEe0WJ2ryq3atKutTmVVWp581D8tpMpn3s-CMyAWwH4ryZMeGfp_-b-gtpsq7A</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Yoshimatsu, Rika</creator><creator>Yamagami, Takuji</creator><creator>Ishikawa, Masaki</creator><creator>Kajiwara, Kenji</creator><creator>Aikata, Hiroshi</creator><creator>Chayama, Kazuaki</creator><creator>Awai, Kazuo</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20160601</creationdate><title>Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma</title><author>Yoshimatsu, Rika ; Yamagami, Takuji ; Ishikawa, Masaki ; Kajiwara, Kenji ; Aikata, Hiroshi ; Chayama, Kazuaki ; Awai, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-c1b62fe036420c85dd10fa4a5a537c5cb90a494a43f64a21c066e19be627cbcd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ARTERIES</topic><topic>Balloon Occlusion - methods</topic><topic>BALLOONS</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Carcinoma, Hepatocellular - diagnostic imaging</topic><topic>Carcinoma, Hepatocellular - drug therapy</topic><topic>Cardiology</topic><topic>Clinical Investigation</topic><topic>COMPARATIVE EVALUATIONS</topic><topic>Computed Tomography Angiography - methods</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>Female</topic><topic>HEPATOMAS</topic><topic>Humans</topic><topic>Imaging</topic><topic>LIVER</topic><topic>Liver - diagnostic imaging</topic><topic>Liver Neoplasms - diagnostic imaging</topic><topic>Liver Neoplasms - drug therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>OILS</topic><topic>Radiography, Interventional - methods</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshimatsu, Rika</creatorcontrib><creatorcontrib>Yamagami, Takuji</creatorcontrib><creatorcontrib>Ishikawa, Masaki</creatorcontrib><creatorcontrib>Kajiwara, Kenji</creatorcontrib><creatorcontrib>Aikata, Hiroshi</creatorcontrib><creatorcontrib>Chayama, Kazuaki</creatorcontrib><creatorcontrib>Awai, Kazuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshimatsu, Rika</au><au>Yamagami, Takuji</au><au>Ishikawa, Masaki</au><au>Kajiwara, Kenji</au><au>Aikata, Hiroshi</au><au>Chayama, Kazuaki</au><au>Awai, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>39</volume><issue>6</issue><spage>865</spage><epage>874</epage><pages>865-874</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To evaluate changes in imaging findings on CT during hepatic arteriography (CTHA) and CT during arterial portography (CTAP) by balloon occlusion of the treated artery and their relationship with iodized oil accumulation in the tumor during balloon-occluded transcatheter arterial chemoembolization (B-TACE).
Methods
Both B-TACE and angiography-assisted CT were performed for 27 hepatocellular carcinomas. Tumor enhancement on selective CTHA with/without balloon occlusion and iodized oil accumulation after B-TACE were evaluated. Tumorous portal perfusion defect size on CTAP was compared with/without balloon occlusion. Factors influencing discrepancies between selective CTHA with/without balloon occlusion and the degree of iodized oil accumulation were investigated.
Results
Among 27 tumors, tumor enhancement on selective CTHA changed after balloon occlusion in 14 (decreased, 11; increased, 3). In 18 tumors, there was a discrepancy between tumor enhancement on selective CTHA with balloon occlusion and the degree of accumulated iodized oil, which was higher than the tumor enhancement grade in all 18. The tumorous portal perfusion defect on CTAP significantly decreased after balloon occlusion in 18 of 20 tumors (mean decrease from 21.9 to 19.1 mm in diameter;
p
= 0.0001). No significant factors influenced discrepancies between selective CTHA with/without balloon occlusion. Central area tumor location, poor tumor enhancement on selective CTHA with balloon occlusion, and no decrease in the tumorous portal perfusion defect area on CTAP after balloon occlusion significantly influenced poor iodized oil accumulation in the tumor.
Conclusions
Tumor enhancement on selective CTHA frequently changed after balloon occlusion, which did not correspond to accumulated iodized oil in most cases.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26711803</pmid><doi>10.1007/s00270-015-1279-9</doi><tpages>10</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2016-06, Vol.39 (6), p.865-874 |
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| recordid | cdi_osti_scitechconnect_22642514 |
| source | Springer Nature |
| subjects | Aged Aged, 80 and over ARTERIES Balloon Occlusion - methods BALLOONS BIOMEDICAL RADIOGRAPHY Carcinoma, Hepatocellular - diagnostic imaging Carcinoma, Hepatocellular - drug therapy Cardiology Clinical Investigation COMPARATIVE EVALUATIONS Computed Tomography Angiography - methods COMPUTERIZED TOMOGRAPHY Female HEPATOMAS Humans Imaging LIVER Liver - diagnostic imaging Liver Neoplasms - diagnostic imaging Liver Neoplasms - drug therapy Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine OILS Radiography, Interventional - methods Radiology RADIOLOGY AND NUCLEAR MEDICINE Tomography, X-Ray Computed - methods Treatment Outcome Ultrasound |
| title | Change in Imaging Findings on Angiography-Assisted CT During Balloon-Occluded Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma |
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