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Radiology Research and Practice
Volume 2013 (2013), Article ID 580839, 6 pages
http://dx.doi.org/10.1155/2013/580839
Clinical Study

Comparison of the Number of Image Acquisitions and Procedural Time Required for Transarterial Chemoembolization of Hepatocellular Carcinoma with and without Tumor-Feeder Detection Software

1Department of Radiology, Nissay Hospital, 6-3-8 Itachibori, Nishi-ku, Osaka 550-0012, Japan
2Department of Radiology, Komatsu Hospital, 11-6 Kawakatsucho, Neyagawa 572-8567, Japan

Received 17 April 2013; Revised 29 June 2013; Accepted 1 July 2013

Academic Editor: Sotirios Bisdas

Copyright © 2013 Jin Iwazawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To compare the number of image acquisitions and procedural time required for transarterial chemoembolization (TACE) with and without tumor-feeder detection software in cases of hepatocellular carcinoma (HCC). Materials and Methods. We retrospectively reviewed 50 cases involving software-assisted TACE (September 2011–February 2013) and 84 cases involving TACE without software assistance (January 2010–August 2011). We compared the number of image acquisitions, the overall procedural time, and the therapeutic efficacy in both groups. Results. Angiography acquisition per session reduced from 6.6 times to 4.6 times with software assistance ( ). Total image acquisition significantly decreased from 10.4 times to 8.7 times with software usage ( ). The mean procedural time required for a single session with software-assisted TACE (103 min) was significantly lower than that for a session without software (116 min, ). For TACE with and without software usage, the complete (68% versus 63%, resp.) and objective (78% versus 80%, resp.) response rates did not differ significantly. Conclusion. In comparison with software-unassisted TACE, automated feeder-vessel detection software-assisted TACE for HCC involved fewer image acquisitions and could be completed faster while maintaining a comparable treatment response.