Evidence map›Paper›PMID 38273130›Full record

ArticleCardiovascular and interventional radiology2024

The Incidences and Related CT Features of Vascular Lake Phenomenon on Angiography Before Chemoembolization.

Kai-Lun Yang, Ya-Pan Guo, Xin-Yu Mao, Jian Shen, Jian-Wei Zou, Ming-Ming Li, Zhi Li

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Article in Cardiovascular and interventional radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kai-Lun YangDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China.
Ya-Pan GuoDepartment of Interventional Radiology, Suzhou Xiangcheng People's Hospital, No. 1060 Huayuan Road, Suzhou, 215131, China.
Xin-Yu MaoDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China.
Jian ShenDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China.
Jian-Wei ZouDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China.
Ming-Ming LiDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China.
Zhi LiDepartment of Interventional Radiology, The First Affiliated Hospital of Soochow University, No.188 Shizi Street, Suzhou, 215006, Jiangsu, China. lizhisoochow@suda.edu.cn.ORCID http://orcid.org/0000-0001-7613-4193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo elucidate incidence rates of vascular lake phenomenon (VLP) in hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (ICC), hepatic metastasis (HMT) on transarterial angiography before chemoembolization, and to identity CT features predictive for it. MATERIALS AND

methodsA comprehensive evaluation involved 665 subjects for incidence analysis, comprising 527 of HCC, 33 of ICC and 105 of HMT. VLP was characterized as intratumoral contrast material pool persisting late into venous phase. Incidences were cataloged on both super-selective and common hepatic artery angiography. For CT features analysis, a subset of 182 cases were analyzed. Enhancement ratio served as an index for comparative analysis of nodule enhancement degrees.

resultsIn HCC, incidence of VLP ascertained via super-selective angiography was 13.5%, whereas it as 7.8% on common hepatic artery angiography. Remarkably, no incidences of VLP were recorded in either ICC or HMT cases. On pre-interventional CT, the prevalence of pseudocapsule was statistically greater in VLP group than Non-VLP group (66.6% vs. 37.6%, P = 0.015). The Houndsfield units (HU) of tumors in plain scan (P = 0.007), arterial phase (P = 0.001), venous phase (P = 0.041), arterial phase enhancement ratio (P < 0.001) were statistically higher in VLP group compared to Non-VLP group. Arterial phase enhancement ratio (P = 0.025), presence of pseudocapsule (P = 0.001), HU of tumor in plain scan (P = 0.035) serve as independent risk factors for VLP manifestation.

conclusionVLP is a distinct angiography phenomenon uniquely associated with HCC. High arterial phase enhancement ratio, presence of pseudocapsule, high HU of tumor in plain scan are independent risk factors for VLP.

Indexed as

Bile Duct NeoplasmsCarcinoma, HepatocellularChemoembolization, TherapeuticCholangiocarcinomaLiver NeoplasmsAngiographyBile Ducts, IntrahepaticContrast MediaHepatic ArteryHumansIncidenceTomography, X-Ray ComputedContrast MediaEnhancement ratioIncidencePseudocapsuleVascular lake phenomenon

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.