Hybrid CT-angiography (Angio-CT) for combined CT and fluoroscopic procedures in interventional radiology enhances utilization

Purpose To investigate the utilization of an angiography-CT (Angio-CT) system and its advantages for single patient encounters. Methods Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were...

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Published in:Abdominal imaging 2022-08, Vol.47 (8), p.2704-2711
Main Authors: Kwak, Daniel H., Ahmed, Osman, Habib, Hasan, Nijhawan, Karan, Kumari, Divya, Patel, Mikin
Format: Article
Language:English
Subjects:
Angiography
Biopsy
Catheters
Comparative analysis
Complexity
Computed Tomography Angiography
Fluoroscopy
Fluoroscopy - methods
Gastroenterology
Hepatology
Humans
Hybrid systems
Imaging
Interventional Radiology
Medical imaging
Medical instruments
Medicine
Medicine & Public Health
Pneumothorax
Radiography, Interventional - methods
Radiology
Radiology, Interventional
Reduction
Tomography
Tomography, X-Ray Computed - methods
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container_title Abdominal imaging
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creator Kwak, Daniel H.
Ahmed, Osman
Habib, Hasan
Nijhawan, Karan
Kumari, Divya
Patel, Mikin
description Purpose To investigate the utilization of an angiography-CT (Angio-CT) system and its advantages for single patient encounters. Methods Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Comparative analyses of room ( T Room ) and total encounter ( T Encounter ) times were performed between non-complex bundled cases and controls. Results Between June 2018 and August 2019, 1108 procedures were performed via the Angio-CT system; 10% (114/1108) used both fluoroscopy and CT. 21% (24/114) Involved more than one procedure in a single encounter that required a CT-only and fluoroscopy-only bundled procedure. 59% (67/114) were non-complex, and 70% (80/114) were non-oncologic. 82.5% (14/17) of non-complex bundled procedures demonstrated T Room below the mean of their respective controls; 52.8% (9/17) were 2 standard deviations below the control means. Pleural catheter placement following post-lung biopsy pneumothorax was the most common non-complex bundled case with a significant reduction in T Room when performed via Angio-CT compared to control (99 vs. 163 min, p  
doi_str_mv 10.1007/s00261-022-03576-4
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Methods Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Comparative analyses of room ( T Room ) and total encounter ( T Encounter ) times were performed between non-complex bundled cases and controls. Results Between June 2018 and August 2019, 1108 procedures were performed via the Angio-CT system; 10% (114/1108) used both fluoroscopy and CT. 21% (24/114) Involved more than one procedure in a single encounter that required a CT-only and fluoroscopy-only bundled procedure. 59% (67/114) were non-complex, and 70% (80/114) were non-oncologic. 82.5% (14/17) of non-complex bundled procedures demonstrated T Room below the mean of their respective controls; 52.8% (9/17) were 2 standard deviations below the control means. Pleural catheter placement following post-lung biopsy pneumothorax was the most common non-complex bundled case with a significant reduction in T Room when performed via Angio-CT compared to control (99 vs. 163 min, p  &lt; 0.0001). There was a significant reduction in T Encounter for abdominopelvic drain placement procedures bundled with either (1) percutaneous nephrostomy tube evaluation with or without replacement, or (2) central venous catheter placement (211 min vs. 344 min, p  &lt; 0.001 and 231 min vs. 347 min, p  &lt; 0.05, respectively). Conclusion The primary use for the hybrid Angio-CT system was to perform non-oncologic and non-complex cases with potential reduction in T Room and T Encounter for specific non-complex bundled cases. Graphical abstract</description><identifier>ISSN: 2366-0058</identifier><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-022-03576-4</identifier><identifier>PMID: 35723717</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Angiography ; Biopsy ; Catheters ; Comparative analysis ; Complexity ; Computed Tomography Angiography ; Fluoroscopy ; Fluoroscopy - methods ; Gastroenterology ; Hepatology ; Humans ; Hybrid systems ; Imaging ; Interventional Radiology ; Medical imaging ; Medical instruments ; Medicine ; Medicine &amp; Public Health ; Pneumothorax ; Radiography, Interventional - methods ; Radiology ; Radiology, Interventional ; Reduction ; Tomography ; Tomography, X-Ray Computed - methods</subject><ispartof>Abdominal imaging, 2022-08, Vol.47 (8), p.2704-2711</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d6f766a42125c4b1ed221411cade57b1a29f75fff0acbac13c4faba4c59bf0613</citedby><cites>FETCH-LOGICAL-c375t-d6f766a42125c4b1ed221411cade57b1a29f75fff0acbac13c4faba4c59bf0613</cites><orcidid>0000-0003-1184-0542</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35723717$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwak, Daniel H.</creatorcontrib><creatorcontrib>Ahmed, Osman</creatorcontrib><creatorcontrib>Habib, Hasan</creatorcontrib><creatorcontrib>Nijhawan, Karan</creatorcontrib><creatorcontrib>Kumari, Divya</creatorcontrib><creatorcontrib>Patel, Mikin</creatorcontrib><title>Hybrid CT-angiography (Angio-CT) for combined CT and fluoroscopic procedures in interventional radiology enhances utilization</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Purpose To investigate the utilization of an angiography-CT (Angio-CT) system and its advantages for single patient encounters. Methods Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Comparative analyses of room ( T Room ) and total encounter ( T Encounter ) times were performed between non-complex bundled cases and controls. Results Between June 2018 and August 2019, 1108 procedures were performed via the Angio-CT system; 10% (114/1108) used both fluoroscopy and CT. 21% (24/114) Involved more than one procedure in a single encounter that required a CT-only and fluoroscopy-only bundled procedure. 59% (67/114) were non-complex, and 70% (80/114) were non-oncologic. 82.5% (14/17) of non-complex bundled procedures demonstrated T Room below the mean of their respective controls; 52.8% (9/17) were 2 standard deviations below the control means. Pleural catheter placement following post-lung biopsy pneumothorax was the most common non-complex bundled case with a significant reduction in T Room when performed via Angio-CT compared to control (99 vs. 163 min, p  &lt; 0.0001). There was a significant reduction in T Encounter for abdominopelvic drain placement procedures bundled with either (1) percutaneous nephrostomy tube evaluation with or without replacement, or (2) central venous catheter placement (211 min vs. 344 min, p  &lt; 0.001 and 231 min vs. 347 min, p  &lt; 0.05, respectively). Conclusion The primary use for the hybrid Angio-CT system was to perform non-oncologic and non-complex cases with potential reduction in T Room and T Encounter for specific non-complex bundled cases. 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Methods Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Comparative analyses of room ( T Room ) and total encounter ( T Encounter ) times were performed between non-complex bundled cases and controls. Results Between June 2018 and August 2019, 1108 procedures were performed via the Angio-CT system; 10% (114/1108) used both fluoroscopy and CT. 21% (24/114) Involved more than one procedure in a single encounter that required a CT-only and fluoroscopy-only bundled procedure. 59% (67/114) were non-complex, and 70% (80/114) were non-oncologic. 82.5% (14/17) of non-complex bundled procedures demonstrated T Room below the mean of their respective controls; 52.8% (9/17) were 2 standard deviations below the control means. Pleural catheter placement following post-lung biopsy pneumothorax was the most common non-complex bundled case with a significant reduction in T Room when performed via Angio-CT compared to control (99 vs. 163 min, p  &lt; 0.0001). There was a significant reduction in T Encounter for abdominopelvic drain placement procedures bundled with either (1) percutaneous nephrostomy tube evaluation with or without replacement, or (2) central venous catheter placement (211 min vs. 344 min, p  &lt; 0.001 and 231 min vs. 347 min, p  &lt; 0.05, respectively). Conclusion The primary use for the hybrid Angio-CT system was to perform non-oncologic and non-complex cases with potential reduction in T Room and T Encounter for specific non-complex bundled cases. Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35723717</pmid><doi>10.1007/s00261-022-03576-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1184-0542</orcidid></addata></record>
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subjects Angiography
Biopsy
Catheters
Comparative analysis
Complexity
Computed Tomography Angiography
Fluoroscopy
Fluoroscopy - methods
Gastroenterology
Hepatology
Humans
Hybrid systems
Imaging
Interventional Radiology
Medical imaging
Medical instruments
Medicine
Medicine & Public Health
Pneumothorax
Radiography, Interventional - methods
Radiology
Radiology, Interventional
Reduction
Tomography
Tomography, X-Ray Computed - methods
title Hybrid CT-angiography (Angio-CT) for combined CT and fluoroscopic procedures in interventional radiology enhances utilization
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