The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage

• Material Type: 博士論文
• Title: The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage
• Author/Editor: Kinoshita, Mitsuhiro; Shirono, Ryozo; Takechi, Katsuya; Yonekura, Hironobu; Iwamoto, Seiji; Shinya, Takayoshi; Takao, Shoichiro; Harada, Masafumi
• Author Heading: Kinoshita, Mitsuhiro; Shirono, Ryozo; Takechi, Katsuya; Yonekura, Hironobu; Iwamoto, Seiji; Shinya, Takayoshi; Takao, Shoichiro; Harada, Masafumi
• Publication, Distribution, etc.: Springer
• Publication Date: 2017-01-26
• Publication Date (W3CDTF): 2017-01-26
• Alternative Title: PTBDにおけるVirtual Fluoroscopic Preprocedural Planningの有用性の検討
• Periodical title: CardioVascular and Interventional Radiology
• No. or year of volume/issue: 40 6
• Volume: 40
• Issue: 6
• Pages: 894-901
• ISSN (Periodical Title): ISSN : 0174-1551; ISSN : 1432-086X
• Degree grantor/type: 徳島大学
• Date Granted: 2018-03-23
• Dissertation Number: 甲第3123号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Virtual fluoroscopic preprocedural planning; Virtual fluoroscopy; Percutaneous transhepatic biliary drainage; Procedure time; Ray Summation image; X-ray fluoroscopy time
• Target Audience: 一般
• Note (General): Purpose: To retrospectively evaluate the usefulness of virtual fluoroscopic preprocedural planning (VFPP) in the percutaneous transhepatic biliary drainage (PTBD) procedure. Materials and Methods: Twenty-two patients who were treated by PTBD were included in this study. Twelve patients were treated using PTBD intraoperative referencing coronal computed tomography (CT) images (i.e., coronal CT group), and 10 patients were treated using PTBD intraoperative referencing VFPP images (i.e., VFPP group). To analyze the effect of the intraoperative referencing VFPP image, the VFPP group was retrospectively compared with the coronal CT group. Results: The characteristics of both patient groups were not statistically significantly different. There were no significant differences in the targeted bile duct, diameter and depth of the target bile, breath-holding ability, number of targeted bile duct puncture attempts, change in the targeted bile duct, and exchange of the drainage catheter. However, the X-ray fluoroscopy time and the procedure time were significantly shorter in the VFPP group than in the coronal CT group (196 vs. 334 seconds, P < 0.05; and 16.0 vs. 27.2 minutes, P < 0.05). Conclusion: Intraoperative referencing using the VFPP imaging in PTBD intuitively can be a useful tool for better localization of the guidewire in the bile duct, and therebyshorten the X-ray fluoroscopy time and procedure 1 time while minimizing radiation exposure and complications.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1007/s00270-017-1581-9
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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http://repo.lib.tokushima-u.ac.jp/files/public/11/111549/20190827113730233286/k3123_abstract_review.pdf fulltext

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