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Although cone-beam computed tomography (CT) is the predominant cross-sectional imaging modality used by interventional radiologists, advancements in hybrid angiography-CT technology have demonstrated a strong potential for increased utilization in the angiography suite. The benefits of increased workflow efficiency, decreased relative cost, multipurpose utility, and most importantly, improved patient care, may encourage institutions to accept the higher upfront cost of angiography-CT rooms for potential long-term benefits. Hybrid angiography-CT setups are less prone to motion and streak artifacts and may provide superior image quality compared with cone-beam CT. Although angiography-CT technology has been most frequently utilized for oncologic treatments, its use is being expanded across multiple applications. In this review, the authors illustrate 6 nonhepatic cases at 2 tertiary hospitals that each showcase how angiography-CT technology enabled an intervention.
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http://dx.doi.org/10.1016/j.jvir.2025.01.032 | DOI Listing |
J Vasc Interv Radiol
May 2025
Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, Illinois.
Although cone-beam computed tomography (CT) is the predominant cross-sectional imaging modality used by interventional radiologists, advancements in hybrid angiography-CT technology have demonstrated a strong potential for increased utilization in the angiography suite. The benefits of increased workflow efficiency, decreased relative cost, multipurpose utility, and most importantly, improved patient care, may encourage institutions to accept the higher upfront cost of angiography-CT rooms for potential long-term benefits. Hybrid angiography-CT setups are less prone to motion and streak artifacts and may provide superior image quality compared with cone-beam CT.
View Article and Find Full Text PDFRadiol Cardiothorac Imaging
October 2024
From Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland (L.J.M., M.E., H.A.); Department of Diagnostic and Interventional Radiology, Herzzentrum Leipzig Universitatsklinik, Leipzig, Germany (M.G., R.F.G., C. Lücke
Br J Radiol
February 2024
Department of Radiology, Section of Interventional Radiology, The University of Chicago Medical Center, Chicago, IL 60637, United States.
Objective: To compare treatment volumes reconstructed from hybrid Angio-CT catheter-directed infusion imaging and Couinaud anatomic model as well as the implied differences in Y-90 radiation dosimetry.
Methods: Patients who underwent transarterial radioembolization (TARE) using Y-90 glass microspheres with pretreatment CT or MRI imaging as well as intraprocedural angiography-CT (Angio-CT) were analysed. Treatment volumes were delineated using both tumoural angiosomes (derived from Angio-CT) and Couinaud anatomic landmarks.
Background: Current techniques to evaluate computed tomography (CT) foot perfusion in patients with critical limb ischemia use high contrast doses and cannot be used during endovascular procedures. CT perfusion of the foot with intra-arterial contrast injection during endovascular treatment in a hybrid angiography CT suite might solve these problems.
Purpose: The main objective of this study was to evaluate whether intra-arterial CT foot perfusion using a hybrid CT angiosystem is feasible during endovascular treatment for critical limb ischemia.
Eur Radiol
November 2023
Department of Interventional Radiology, School of Medicine, University Hospital Klinikum Rechts Der Isar TUM, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany.
Objective: For transjugular intrahepatic portosystemic shunt (TIPS) creation, ultrasound guidance for portal vein puncture is strongly recommended. However, outside regular hours of service, a skilled sonographer might be lacking. Hybrid intervention suites combine CT imaging with conventional angiography allowing to project 3D information into the conventional 2D imaging and further CT-fluoroscopic puncture of the portal vein.
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