Clinical application value of the cone beam CT software in detection of tumor-feeding arteries in transarterial chemoembolization
10.3969/j.issn.1002-1671.2025.01.025
- VernacularTitle:基于锥形束CT的肿瘤滋养动脉检测软件在经肝动脉化疗栓塞术的临床应用价值
- Author:
Ying LIN
1
;
Rui AN
;
Jian XU
Author Information
1. 空军军医大学西京医院介入手术中心,陕西 西安 710032;西安交通大学公共卫生学院流行病与卫生统计学系,陕西 西安 710061
- Publication Type:Journal Article
- Keywords:
transarterial chemoembolization;
cone beam com-puted tomography;
radiation dose;
tumor-feeding arteries
- From:
Journal of Practical Radiology
2025;41(1):110-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application value of software in detection of tumor-feeding arteries FPFL based on cone beam computed tomography(CBCT)in the transarterial chemoembolization(TACE).Methods A retrospective analysis was conducted on 120 patients who underwent TACE treatment.According to whether the tumor-feeding arteries detection software FPFL was used during TACE procedures,the patients were divided into FPFL group and traditional treatment group.The propensity score matching(PSM)method was used to match the two groups in a ratio of 1︰1,with the matching variables including age,gender,number of lesions,Eastern Cooperative Oncology Group(ECOG)score,maximum tumor diameter,and alpha-fetoprotein(AFP)value.Ultimately,a total of 11 pairs of patients were successfully matched between the FPFL group and the traditional treatment group,and then the differences of intraoperative clinical data between the two groups were analyzed.Results The surgeon identified a total of 38 tumors in both groups of patients during the operation,and then 92 tumor supplying arteries were recognized and confirmed.The identification accuracy was 93%for the traditional treatment group and 100%for the FPFL group.The technical success rates of both groups of patients were 100%.Compared with the traditional treatment group,the FPFL group had the reduction of 28%in fluoroscopy expo-sure time,37.12%in total air release energy,52.38%in dose-area product(DAP)value,52.63%in digital subtraction angiography(DSA)sequence number,39.26%in iodine contrast agent dosage,and 40.49%in surgical time.Conclusion The FPFL software can effec-tively improve the identification and confirmation of tumor-feeding arteries,significantly reduce the surgical time,iodine contrast agent dosage and radiation dose,and optimizes the surgical process.
