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Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study

PURPOSE: Digital variance angiography (DVA), a recently developed image processing technology, provided higher contrast-to-noise ratio (CNR) and better image quality (IQ) during lower limb interventions than digital subtraction angiography (DSA). Our aim was to investigate whether this quality impro...

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Autores principales: Lucatelli, Pierleone, Rocco, Bianca, Ciaglia, Simone, Teodoli, Leonardo, Argirò, Renato, Guiu, Boris, Saba, Luca, Vallati, Giulio, Spiliopoulos, Stavros, Patrone, Lorenzo, Gyánó, Marcell, Góg, István, Osváth, Szabolcs, Szigeti, Krisztian, Kiss, János P., Catalano, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156832/
https://www.ncbi.nlm.nih.gov/pubmed/37076552
http://dx.doi.org/10.1007/s00270-023-03420-2
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author Lucatelli, Pierleone
Rocco, Bianca
Ciaglia, Simone
Teodoli, Leonardo
Argirò, Renato
Guiu, Boris
Saba, Luca
Vallati, Giulio
Spiliopoulos, Stavros
Patrone, Lorenzo
Gyánó, Marcell
Góg, István
Osváth, Szabolcs
Szigeti, Krisztian
Kiss, János P.
Catalano, Carlo
author_facet Lucatelli, Pierleone
Rocco, Bianca
Ciaglia, Simone
Teodoli, Leonardo
Argirò, Renato
Guiu, Boris
Saba, Luca
Vallati, Giulio
Spiliopoulos, Stavros
Patrone, Lorenzo
Gyánó, Marcell
Góg, István
Osváth, Szabolcs
Szigeti, Krisztian
Kiss, János P.
Catalano, Carlo
author_sort Lucatelli, Pierleone
collection PubMed
description PURPOSE: Digital variance angiography (DVA), a recently developed image processing technology, provided higher contrast-to-noise ratio (CNR) and better image quality (IQ) during lower limb interventions than digital subtraction angiography (DSA). Our aim was to investigate whether this quality improvement can be observed also during liver transarterial chemoembolization (TACE). MATERIALS AND METHODS: We retrospectively compared the CNR and IQ parameters of DSA and DVA images from 25 patients (65% male, mean ± SD age: 67.5 ± 11.2 years) underwent TACE intervention at our institute. CNR was calculated on 50 images. IQ of every image set was evaluated by 5 experts using 4-grade Likert scales. Both single image evaluation and paired image comparison were performed in a blinded and randomized manner. The diagnostic value was evaluated based on the possibility to identify lesions and feeding arteries. RESULTS: DVA provided significantly higher CNR (mean CNR(DVA)/CNR(DSA) was 1.33). DVA images received significantly higher individual Likert score (mean ± SEM 3.34 ± 0,08 vs. 2.89 ± 0.11, Wilcoxon signed-rank p < 0.001) and proved to be superior also in paired comparisons (median comparison score 1.60 [IQR:2.40], one sample Wilcoxon p < 0.001 compared to equal quality level). DSA could not detect lesion and feeding artery in 28 and 36% of cases, and allowed clear detection only in 22% and 16%, respectively. In contrast, DVA failed only in 8 and 18% and clearly revealed lesions and feeding arteries in 32 and 26%, respectively. CONCLUSION: In our study, DVA provided higher quality images and better diagnostic insight than DSA; therefore, DVA could represent a useful tool in liver TACE interventions. LEVEL OF EVIDENCE: III Non-consecutive study.
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spelling pubmed-101568322023-05-05 Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study Lucatelli, Pierleone Rocco, Bianca Ciaglia, Simone Teodoli, Leonardo Argirò, Renato Guiu, Boris Saba, Luca Vallati, Giulio Spiliopoulos, Stavros Patrone, Lorenzo Gyánó, Marcell Góg, István Osváth, Szabolcs Szigeti, Krisztian Kiss, János P. Catalano, Carlo Cardiovasc Intervent Radiol Clinical Investigation PURPOSE: Digital variance angiography (DVA), a recently developed image processing technology, provided higher contrast-to-noise ratio (CNR) and better image quality (IQ) during lower limb interventions than digital subtraction angiography (DSA). Our aim was to investigate whether this quality improvement can be observed also during liver transarterial chemoembolization (TACE). MATERIALS AND METHODS: We retrospectively compared the CNR and IQ parameters of DSA and DVA images from 25 patients (65% male, mean ± SD age: 67.5 ± 11.2 years) underwent TACE intervention at our institute. CNR was calculated on 50 images. IQ of every image set was evaluated by 5 experts using 4-grade Likert scales. Both single image evaluation and paired image comparison were performed in a blinded and randomized manner. The diagnostic value was evaluated based on the possibility to identify lesions and feeding arteries. RESULTS: DVA provided significantly higher CNR (mean CNR(DVA)/CNR(DSA) was 1.33). DVA images received significantly higher individual Likert score (mean ± SEM 3.34 ± 0,08 vs. 2.89 ± 0.11, Wilcoxon signed-rank p < 0.001) and proved to be superior also in paired comparisons (median comparison score 1.60 [IQR:2.40], one sample Wilcoxon p < 0.001 compared to equal quality level). DSA could not detect lesion and feeding artery in 28 and 36% of cases, and allowed clear detection only in 22% and 16%, respectively. In contrast, DVA failed only in 8 and 18% and clearly revealed lesions and feeding arteries in 32 and 26%, respectively. CONCLUSION: In our study, DVA provided higher quality images and better diagnostic insight than DSA; therefore, DVA could represent a useful tool in liver TACE interventions. LEVEL OF EVIDENCE: III Non-consecutive study. Springer US 2023-04-19 2023 /pmc/articles/PMC10156832/ /pubmed/37076552 http://dx.doi.org/10.1007/s00270-023-03420-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Clinical Investigation
Lucatelli, Pierleone
Rocco, Bianca
Ciaglia, Simone
Teodoli, Leonardo
Argirò, Renato
Guiu, Boris
Saba, Luca
Vallati, Giulio
Spiliopoulos, Stavros
Patrone, Lorenzo
Gyánó, Marcell
Góg, István
Osváth, Szabolcs
Szigeti, Krisztian
Kiss, János P.
Catalano, Carlo
Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title_full Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title_fullStr Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title_full_unstemmed Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title_short Possible use of Digital Variance Angiography in Liver Transarterial Chemoembolization: A Retrospective Observational Study
title_sort possible use of digital variance angiography in liver transarterial chemoembolization: a retrospective observational study
topic Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156832/
https://www.ncbi.nlm.nih.gov/pubmed/37076552
http://dx.doi.org/10.1007/s00270-023-03420-2
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