Application value of XperCT in treatment of advanced primary liver cancer with transcatheter arterial chemoembolization
Lu Yi
Wu Jianda
Yin Guowen
Jiang Hao
Lu You
Abstract：Objective To investigate the application value of XperCT in the treatment of advanced primary liver cancer with transcatheter arterial chemoembolization(TACE).Methods Eighty-two patients with advanced primary liver cancer who were admitted to Jiangsu Cancer Hospital from December 2016 to December 2018 were randomly divided into observation group and control group,with 41 cases in each group.TACE comprehensive interventional therapy was performed in both groups.The observation group was treated with XperCT during intervention,while the control group underwent routine digital subtraction angiography.Average times of TACE,accuracy of target vessel detection,lipiodol deposition,duration time of intervention and radiation quantity were analyzed.Results The observation group received 68 times of TACE,with an average of (1.7 ± 0.5);the control group received 65 times of TACE,with an average of (1.6 ± 0.4);there was no significant difference of the average treatment times between groups (t =0.877,P =0.382).Seventy-three tumor-supplying arteries were obtained in observation group;72 tumor-supplying arteries were obtained in control group;the accuracy of target vessel detection in observation group was significantly higher than that in control group [93.2％ (68/73) vs 76.4％ (55/72)] (x2 =7.913,P =0.005).The proportion of iodized oil deposition type Ⅰ was 91.2％ (62/68)in observation group,which was significantly higher than that in control group [70.8％ (46/65)] (x2 =9.067,P =0.003).The duration time of intervention in observation group was significantly longer and radiation quantity was significantly less than those in control group[(72 ±9)min vs (60 ±9)min,(38 ±7)mGy vs (55 ±8)mGy](t =7.599,13.674;both P ＜0.001).Conclusion Application of XperCT in TACE for advanced liver carcinoma can help display extrahepatic feeding arteries,increase the detection accuracy for target vessel,ameliorate iodized oil deposition and reduce radiation quantity.
Keywords：Primary liver cancerTranscatheter arterial chemoembolizationXperCTDigital subtraction angiographyIodine oil depositionExtrahepatic blood supply arteryRadiation quantity
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1665-1669 )