Utility of C-arm CT in overcoming challenges in patients undergoing Transarterial chemoembolization for hepatocellular carcinoma

• Published in: The Indian journal of radiology & imaging Vol. 24; no. 1; pp. 80 - 83
• Main Authors: Kulkarni, Chinmay, Sreekumar, P K, Prabhu, Nirmal Kumar, kannan, Rajesh R, Moorthy, Srikanth
• Format: Journal Article
• Language: English
• Published: A-12, Second Floor, Sector -2, NOIDA -201301, India Thieme Medical and Scientific Publishers Private Ltd 01-01-2014; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Thieme Medical and Scientific Publishers Pvt. Ltd
• Subjects: Angiography; arteriography digital subtraction; Care and treatment; cone beam computed tomography; CT imaging; c‑arm ct; Diagnosis; hepatocellular carcinoma; Hepatoma; Interventional Radiology; Patient outcomes; transarterial chemoembolization; India; C‑arm CT; transarterial chemoembolization; hepatocellular carcinoma; Arteriography digital subtraction; cone beam computed tomography; C-arm CT
• ISSN: 0971-3026; 0970-2016; 1998-3808
• DOI: 10.4103/0971-3026.130709

Abstract
Transarterial chemoembolization (TACE) is the well-known treatment for hepatocellular carcinoma. Multiple digital subtraction angiography (DSA) acquisitions in different projections are required to identify difficult arterial feeders. Moreover, the tell-tale tumor blush can be obscured by proximity to lung base, small size of lesion, and breathing artifacts. C-arm CT is a revolutionary advancement in the intervention radiology suite that allows acquisition of data which can be reformatted in multiple planes and volume rendered incorporating both soft tissue and vascular information like multidetector computed tomography (MDCT). These images acquired during the TACE procedure can provide critical inputs for achieving a safe and effective therapy. This case series aims to illustrate the utility of C-arm CT in solving specific problems encountered while performing TACE.