Evidence map›Paper›PMID 38381153›Full record

ArticleRadiologie (Heidelberg, Germany)2024

CBCT-based three-dimensional dual-phase vascular image fusion: a novel technique for interventional real-time TIPS guidance.

Huibin Shi, Zhiquan Zhuang, Suming Zhang, Wenyi Li, Wen Zhang, Zihan Zhang, Minjie Yang, Jiaze Yu, Xin Zhou, Shiyao Chen and 4 more

Abstract read
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Article in Radiologie (Heidelberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Huibin ShiDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Zhiquan ZhuangDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Suming ZhangShanghai Siemens Medical Co., LTD, Shanghai, China.
Wenyi LiShanghai Siemens Medical Co., LTD, Shanghai, China.
Wen ZhangDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Zihan ZhangDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Minjie YangDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jiaze YuDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Xin ZhouDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Shiyao ChenDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jian WangDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jianjun LuoDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China. ma.jingqin@zs-hospital.sh.cn.
Jingqin MaDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China. luo.jianjun@zs-hospital.sh.cn.
Zhiping YanDepartment of Interventional Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the invisibility of the portal vein (PV), how to puncture the PV accurately and safely in transjugular intrahepatic portosystemic shunt (TIPS) creation remains a challenge of the procedure.

objectivesWe aimed to provide the first evaluation of the safety, feasibility, and efficiency of cone beam computed tomography (CBCT)-based three-dimensional (3D) dual-phase vascular image fusion for interventional real-time guided PV puncture during TIPS procedures. MATERIALS AND

methodsFrom January 2021 to May 2021, 13 patients undergoing TIPS were prospectively enrolled in this study. Images of the hepatic artery (HA) and PV in 3D were acquired and overlaid on interventional fluoroscopy images in a dual-phase display mode for real-time PV puncture guidance. The number of PV puncture attempts, puncture time, overlaid image accuracy, dose area product, fluoroscopy time, and interventional complications were recorded.

resultsPortal vein puncture guided by CBCT-based 3D dual-phase vascular image fusion was successfully performed on 92.3% (12/13) patients. The mean number of PV puncture attempts was 1.8 ± 0.7 (1-3). The mean puncture time and fluoroscopy time was 3.5 ± 1.2 (2-6) min and 25.1 ± 9.4 (15-45) min, respectively. The mean dose area product was 39.49 ± 7.88 (28.81-52.87) mGym

conclusionOur results show that 3D dual-phase vascular image fusion might be a safe and feasible technique for interventional real-time guided PV puncture during TIPS. This novel technique might help to reduce the number of PV puncture attempts and the puncture time as well as lower the risks of interventional complications.

Indexed as

Cone-Beam Computed TomographyImaging, Three-DimensionalPortal VeinPortasystemic Shunt, Transjugular IntrahepaticAdultAgedFeasibility StudiesFemaleFluoroscopyHumansMaleMiddle AgedProspective StudiesPuncturesRadiography, Interventional3D dual-phase vascular image fusionCBCTPortal hypertensionPortal vein punctureTransjugular intrahepatic portosystemic shunt

Identifiers

PMID38381153

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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.