The Use of Laser Guidance Reduces Fluoroscopy Time for C-Arm Cone-Beam Computed Tomography-Guided Biopsies.

Cardiovasc Intervent Radiol

Department of Radiology and Nuclear Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Published: September 2016

AI Article Synopsis

  • The study investigates how laser guidance affects the efficiency of needle interventions during cone-beam computed tomography (CBCT)-guided biopsies.
  • It compares prospective data from 15 biopsies using laser guidance to retrospective data from 36 biopsies performed with a freehand technique, measuring fluoroscopy time and procedure duration.
  • Results show that laser guidance significantly reduces fluoroscopy time (87 seconds vs. 165 seconds) but leads to longer overall procedure times (30 minutes vs. 24 minutes with freehand).

Article Abstract

Purpose: When using laser guidance for cone-beam computed tomography (CBCT)-guided needle interventions, planned needle paths are visualized to the operator without the need to switch between entry- and progress-view during needle placement. The current study assesses the effect of laser guidance during CBCT-guided biopsies on fluoroscopy and procedure times.

Materials And Methods: Prospective data from 15 CBCT-guided biopsies of 8-65 mm thoracic and abdominal lesions assisted by a ceiling-mounted laser guidance technique were compared to retrospective data of 36 performed CBCT-guided biopsies of lesions >20 mm using the freehand technique. Fluoroscopy time, procedure time, and number of CBCT-scans were recorded. All data are presented as median (ranges).

Results: For biopsies using the freehand technique, more fluoroscopy time was necessary to guide the needle onto the target, 165 s (83-333 s) compared to 87 s (44-190 s) for laser guidance (p < 0.001). Procedure times were shorter for freehand-guided biopsies, 24 min versus 30 min for laser guidance (p < 0.001).

Conclusion: The use of laser guidance during CBCT-guided biopsies significantly reduces fluoroscopy time.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963440PMC
http://dx.doi.org/10.1007/s00270-016-1345-yDOI Listing

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