Evidence map›Paper›PMID 38831076›Full record

ArticleAbdominal radiology (New York)2024

Radiation dose during transarterial chemoembolization and associated factors.

Tae Won Choi, Jin Wook Chung

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Article in Abdominal radiology (New York), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Tae Won ChoiDepartment of Radiology, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0002-0396-728X
Jin Wook ChungDepartment of Radiology, Seoul National University Hospital, Seoul, Korea. chungjw@snu.ac.kr.ORCID 0000-0002-1090-6872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide detailed reports on radiation doses during transarterial chemoembolization (TACE) in the cone-beam computed tomography (CBCT) era and to identify the associated factors.

methodsThis retrospective study included 385 consecutive patients who underwent initial conventional TACE for hepatocellular carcinoma (HCC) between January 2016 and December 2017. In most cases, CBCT was performed at the common hepatic artery or celiac axis to confirm the location of the tumor and the three-dimensional hepatic artery anatomy. Superselective TACE was performed for all technically feasible cases. Information on total dose area product (DAP), total cumulative air kerma (CAK), fluoroscopy time, and DAP and CAK of each digital subtraction angiography (DSA) and CBCT scan was recorded. Multiple linear regression analysis was performed to identify the factors associated with increased DAP during TACE.

resultsThe mean values of total DAP and CAK were 165.2 ± 81.2 (Gy·cm²) and 837.1 ± 571.0 (mGy), respectively. The mean fluoroscopy time was 19.1 ± 10.3 min. The mean DAP caused by fluoroscopy, DSA, and CBCT was 51.8 ± 43.9, 28.0 ± 24.1, and 83.9 ± 42.1 Gy·cm², respectively. Male sex, a high body mass index, largest tumor size > 3 cm, presence of aberrant right and left hepatic arteries, and superselective TACE were identified as independent predictors of increased total DAP during TACE.

conclusionWe were able to provide detailed reports on radiation doses during TACE and associated factors.

Indexed as

Angiography, Digital SubtractionCarcinoma, HepatocellularChemoembolization, TherapeuticCone-Beam Computed TomographyLiver NeoplasmsRadiation DosageAdultAgedAged, 80 and overFemaleFluoroscopyHepatic ArteryHumansMaleMiddle AgedRadiography, InterventionalChemoembolizationCone-beam CTHepatocellular carcinomaRadiation exposure

Identifiers

PMID38831076

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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.