CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors
AbstractPurpose To report procedural data and outcomes of a novel image guidance technique, CT renal arteriography (CTRA), performed to target and ablate small intraparenchymal renal tumors.Materials and methods We retrospectively analyzed data of 2 patients undergoing CTRA-guided ablation for 3 ren...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2023.2244706 |
| _version_ | 1827397123805544448 |
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| author | Riccardo Muglia Paolo Marra Ludovico Dulcetta Francesco Saverio Carbone Sandro Sironi |
| author_facet | Riccardo Muglia Paolo Marra Ludovico Dulcetta Francesco Saverio Carbone Sandro Sironi |
| author_sort | Riccardo Muglia |
| collection | DOAJ |
| description | AbstractPurpose To report procedural data and outcomes of a novel image guidance technique, CT renal arteriography (CTRA), performed to target and ablate small intraparenchymal renal tumors.Materials and methods We retrospectively analyzed data of 2 patients undergoing CTRA-guided ablation for 3 renal intraparenchymal tumors, from February to March 2023. We previously evaluated tumor visibility with US/CEUS, and in all cases conspicuity was poor, whereas contrast-enhanced CT (CECT) clearly depicted all hypervascular nodules. Our primary endpoint was CTRA-guidance feasibility for renal ablation, defined as the precise probe deployment inside the target tumor. The secondary endpoint was CTRA-guided ablation technical success, intended as the inclusion of the whole tumor inside the necrotic volume, with 5 mm safety margins. RENAL scores, complications, procedural time, dose length product (DLP), serum creatinine variation and hospital stay length were also recorded.Results A confident deployment of the probe tip inside the nodule was accomplished in all 3 cases, with a 100% of correct targeting. We observed immediate technical success after all 3 ablations. The 3 nodules had a RENAL score <7 points, and we encountered no complications due to line placement or ablation. The average time from preablative to postablative CTRA was 54 min (50–58min), with a DLP of 3632mGy*cm (2807–4458mGy*cm). Serum creatinine didn’t show a significant variation after the procedures; both patients were hospitalized for 2 days.Conclusion Preliminary data showed that CTRA-guidance might provide unique advantages over conventional CECT-guidance to assist the ablation of small renal intraparenchymal tumor not visualized on US/CEUS. |
| first_indexed | 2024-03-08T19:02:42Z |
| format | Article |
| id | doaj.art-4d1aedd5638e45be8f5b6d432ea7f16b |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-03-08T19:02:42Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-4d1aedd5638e45be8f5b6d432ea7f16b2023-12-28T04:15:42ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2244706CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumorsRiccardo Muglia0Paolo Marra1Ludovico Dulcetta2Francesco Saverio Carbone3Sandro Sironi4Department of Radiology, Papa Giovanni XXIII Hospital, Bergamo, ItaliaDepartment of Radiology, Papa Giovanni XXIII Hospital, Bergamo, ItaliaDepartment of Radiology, Papa Giovanni XXIII Hospital, Bergamo, ItaliaDepartment of Radiology, Papa Giovanni XXIII Hospital, Bergamo, ItaliaDepartment of Radiology, Papa Giovanni XXIII Hospital, Bergamo, ItaliaAbstractPurpose To report procedural data and outcomes of a novel image guidance technique, CT renal arteriography (CTRA), performed to target and ablate small intraparenchymal renal tumors.Materials and methods We retrospectively analyzed data of 2 patients undergoing CTRA-guided ablation for 3 renal intraparenchymal tumors, from February to March 2023. We previously evaluated tumor visibility with US/CEUS, and in all cases conspicuity was poor, whereas contrast-enhanced CT (CECT) clearly depicted all hypervascular nodules. Our primary endpoint was CTRA-guidance feasibility for renal ablation, defined as the precise probe deployment inside the target tumor. The secondary endpoint was CTRA-guided ablation technical success, intended as the inclusion of the whole tumor inside the necrotic volume, with 5 mm safety margins. RENAL scores, complications, procedural time, dose length product (DLP), serum creatinine variation and hospital stay length were also recorded.Results A confident deployment of the probe tip inside the nodule was accomplished in all 3 cases, with a 100% of correct targeting. We observed immediate technical success after all 3 ablations. The 3 nodules had a RENAL score <7 points, and we encountered no complications due to line placement or ablation. The average time from preablative to postablative CTRA was 54 min (50–58min), with a DLP of 3632mGy*cm (2807–4458mGy*cm). Serum creatinine didn’t show a significant variation after the procedures; both patients were hospitalized for 2 days.Conclusion Preliminary data showed that CTRA-guidance might provide unique advantages over conventional CECT-guidance to assist the ablation of small renal intraparenchymal tumor not visualized on US/CEUS.https://www.tandfonline.com/doi/10.1080/02656736.2023.2244706CT renal arteriographyimaging guidancethermal ablationrenal cell carcinomakidney tumor |
| spellingShingle | Riccardo Muglia Paolo Marra Ludovico Dulcetta Francesco Saverio Carbone Sandro Sironi CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors International Journal of Hyperthermia CT renal arteriography imaging guidance thermal ablation renal cell carcinoma kidney tumor |
| title | CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| title_full | CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| title_fullStr | CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| title_full_unstemmed | CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| title_short | CT renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| title_sort | ct renal arteriography as a novel imaging guidance for the percutaneous ablation of small renal tumors |
| topic | CT renal arteriography imaging guidance thermal ablation renal cell carcinoma kidney tumor |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2023.2244706 |
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