Virtual Injection Software Reduces Radiation Exposure and Procedural Time of Prostatic Artery Embolization Performed with Cone-Beam Computed Tomography.

benign prostatic hyperplasia cone-beam computed tomography embolization prostate artery embolization radiation exposure

Journal

Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Titre abrégé: J Vasc Interv Radiol
Pays: United States
ID NLM: 9203369

Informations de publication

Date de publication:
24 Nov 2023
Historique:
received: 30 03 2023
revised: 07 09 2023
accepted: 10 11 2023
medline: 27 11 2023
pubmed: 27 11 2023
entrez: 26 11 2023
Statut: aheadofprint

Résumé

Cone-beam computed tomography (CBCT) guidance has been introduced to assist evaluation of the vascular anatomy and improve navigation in prostatic artery embolization (PAE). This study aimed to evaluate the impact of virtual injection software (VIS) use during CBCT-guided PAE procedure on both patient radiation exposure and operative time. This IRB-approved comparative retrospective study analyzed the treatment at a single institution of 131 consecutive patients from January of 2020 to May of 2022. CBCT was used with (group 1: 77/131; 58.8%) or without VIS (group 2: 54/131, 41.2%). Radiation exposure (number of digital subtracted angiography [DSA]); dose area product (DAP); total air kerma (AK); peak skin dose (PSD); fluoroscopy time (FT); and procedure time (PT) were recorded. The influence of age, body mass index (BMI), radial access and use of VIS were assessed. In bivariate analysis, VIS use reduced the number of DSA (8.6 ± 3.7 vs. 16.8 ± 4.3; p<0.001); DAP (110.4 ± 46.8 vs. 140.5 ± 61Gy.cm The use of VIS during PAE performed under CBCT can lead to a substantial reduction in patient radiation exposure and operative time.

Identifiants

DOI: 10.1016/j.jvir.2023.11.012 PMID: 38008376
pubmed: 38008376
pii: S1051-0443(23)00826-6
doi: 10.1016/j.jvir.2023.11.012
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Auteurs

Matthias Barral (M)

Hôpital Tenon - APHP, Department of Radiology, 4 rue de la Chine, 75020 Paris, France; Department of Interventional Radiology, Sorbonne Université, 21 rue de L'école de Médecine, 75006 Paris, France; Sorbonne Université, 19 Rue de la Sorbonne, 75005 Paris, France. Electronic address: matthiasbarral@gmail.com.

Louis Lassalle (L)

Réseau d'imagerie Sud Francilien (RISF), 2 Avenue du Mousseau, 91000 Evry, France; Ramsay Sante, Clinique du Mousseau, 2 avenue du Mousseau, 91000 Evry, France.

François Gardavaud (F)

Hôpital Tenon - APHP, Department of Radiology, 4 rue de la Chine, 75020 Paris, France.

Raphael Lehrer (R)

Hôpital Tenon - APHP, Department of Radiology, 4 rue de la Chine, 75020 Paris, France; Department of Interventional Radiology, Sorbonne Université, 21 rue de L'école de Médecine, 75006 Paris, France; Sorbonne Université, 19 Rue de la Sorbonne, 75005 Paris, France.

Idriss Haffaf (I)

Hôpital Tenon - APHP, Department of Radiology, 4 rue de la Chine, 75020 Paris, France.

Rémi Agbonon (R)

Hôpital Tenon - APHP, Department of Radiology, 4 rue de la Chine, 75020 Paris, France; Department of Interventional Radiology, Sorbonne Université, 21 rue de L'école de Médecine, 75006 Paris, France; Sorbonne Université, 19 Rue de la Sorbonne, 75005 Paris, France.

Olivier Cussenot (O)

Sorbonne Université, 19 Rue de la Sorbonne, 75005 Paris, France; Hôpital Tenon - APHP, Department of Urology, 27 rue du Fbg St Jacques, 75014 Paris, France.

François H Cornelis (FH)

Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA.

Classifications MeSH