دورية أكاديمية
Cone-Beam CT With Enhanced Needle Guidance and Augmented Fluoroscopy Overlay: Applications in Interventional Radiology.
| العنوان: | Cone-Beam CT With Enhanced Needle Guidance and Augmented Fluoroscopy Overlay: Applications in Interventional Radiology. |
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| المؤلفون: | Key BM; Department of Radiology, Division of Vascular & Interventional Radiology, Medical College of Wisconsin, Froedtert Hospital, 9200 W Wisconsin Ave, Milwaukee, WI 53226., Tutton SM; Department of Radiology, Division of Vascular and Interventional Radiology, University of California San Diego, La Jolla, CA., Scheidt MJ; Department of Radiology, Division of Vascular & Interventional Radiology, Medical College of Wisconsin, Froedtert Hospital, 9200 W Wisconsin Ave, Milwaukee, WI 53226. |
| المصدر: | AJR. American journal of roentgenology [AJR Am J Roentgenol] 2023 Jul; Vol. 221 (1), pp. 92-101. Date of Electronic Publication: 2023 Feb 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Roentgen Ray Society Country of Publication: United States NLM ID: 7708173 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1546-3141 (Electronic) Linking ISSN: 0361803X NLM ISO Abbreviation: AJR Am J Roentgenol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2004-> : Leesburg, VA : American Roentgen Ray Society Original Publication: Springfield, Ill., Thomas. |
| مواضيع طبية MeSH: | Radiology, Interventional* , Cone-Beam Computed Tomography*/methods, Humans ; Spine/surgery ; Needles ; Fluoroscopy/methods ; Radiography, Interventional/methods |
| مستخلص: | Digital flat-panel detector cone-beam CT (CBCT), introduced in the early 2000s, was historically used in interventional radiology primarily for liver-directed therapies. However, contemporary advanced imaging applications, including enhanced needle guidance and augmented fluoroscopy overlay, have evolved substantially over the prior decade and now work synergistically with CBCT guidance to overcome limitations encountered with other imaging modalities. CBCT with advanced imaging applications has become increasingly used to facilitate a broad range of minimally invasive procedures, particularly relating to pain and musculoskeletal interventions. Potential advantages of CBCT with advanced imaging applications include greater accuracy for complex needle paths, improved targeting in the presence of metal artifact, enhanced visualization during injection of contrast medium or cement, increased ease when space in the gantry is limited, and reduced radiation doses versus conventional CT guidance. Nonetheless, CBCT guidance remains underutilized, partly relating to lack of familiarity with the technique. This article describes the practical implementation of CBCT with enhanced needle guidance and augmented fluoroscopy overlay and depicts the technique's application for an array of interventional radiology procedures, including epidural steroid injections, celiac plexus block and neurolysis, pudendal block, spine ablation, percutaneous osseous ablation fixation and osteoplasty, biliary recanalization, and transcaval type II endoleak repair. |
| التعليقات: | Comment in: AJR Am J Roentgenol. 2023 Apr 26;:11. (PMID: 37095675) |
| فهرسة مساهمة: | Keywords: cone-beam CT; musculoskeletal intervention; needle guidance |
| تواريخ الأحداث: | Date Created: 20230425 Date Completed: 20230623 Latest Revision: 20230625 |
| رمز التحديث: | 20240628 |
| DOI: | 10.2214/AJR.22.28712 |
| PMID: | 37095661 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1546-3141 |
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| DOI: | 10.2214/AJR.22.28712 |