To identify liver tumor characteristics associated with low (<10%), intermediate (10%-20%), and high (>20%) lung shunt fraction (LSF) at technetium 99m ((99m)Tc) macroaggregated albumin (MAA) imaging performed before yttrium 90 ((90)Y) radioembolization (RE).In this single-center retrospective study, 141 patients (70 hepatocellular carcinoma [HCC], 71 other tumors; 95 men, 45 women; median age, 61 years) underwent mapping arteriography (99m)Tc-MAA LSF calculation (90)Y RE from 2006 to 2012....

Abstract Background Computed tomography (CT) is routinely used to guide cryoablation procedures. Notably, CT‐guidance provides 3D localization of cryoprobes and can be delineate frozen tissue during ablation. However, metal‐induced artifacts from ablation probes make accurate probe placement challenging degrade the ice ball conspicuity, which in combination could lead undertreatment potentially curable lesions. Purpose In this work, we propose an image‐based neural network (CNN) model for...

Background and rationale for the study. The Model End Stage Liver Disease (MELD) score has not been derived validated emergent transjugular intrahepatic portosystemic shunt (TIPS) population. We sought to identify predictive factors survival among TIPS patients, substantiate MELD outcomes prognostication in this Results. 101 patients with acute life threatening variceal hemorrhage underwent (defined by failed endoscopic therapy active bleeding, hemoglobin drop, ≥ 2-unit transfusion...

This study was performed to assess the safety, efficacy, and clinical outcomes of transjugular intrahepatic portosystemic shunt (TIPS) creation for treatment medically refractory ascites identify prognostic factors response, morbidity, mortality. MATERIALS AND METHODSIn this retrospective study, 80 patients (male:female, 52:28; mean age, 56 years; Model End-Stage Liver Disease [MELD] score, 15.1) who underwent elective TIPS between 1999-2012 were studied.A medical record review data on...

11C-Choline PET/CT for Detection and Localization of Parathyroid AdenomasAhmad Parvinian1, Erica L. Martin-Macintosh1, Ajit H. Goenka1, Jolanta M. Durski1, Brian P. Mullan1, Brad J. Kemp1 Geoffrey B. Johnson1Audio Available | Share

Purpose To quantify the correlation between doxorubicin (DOX) delivery and tumor necrosis after drug-eluting bead (DEB) transarterial chemoembolization (TACE). Materials Methods In this animal care committee-approved study, New Zealand white rabbit VX2 liver tumors were treated transarterially with DOX-loaded 70-150-μm DEBs in five treatment groups varying drug doses: sham (saline), 0 mg, 12.5 25 37.5 mg. DEB TACE was followed by 3- 7-day sacrifice, harvest, sectioning. Drug assessed using...

Imaging surveillance and multidisciplinary conference (MDC) review can potentially improve survival in patients with hepatocellular carcinoma (HCC) by increasing access to liver transplantation. Geographic disparities donor organ availability may reduce this benefit. This study evaluated the impact of HCC on use curative therapies a region long transplant waiting times.167 were retrospectively studied. Subjects had an established diagnosis or diagnosed during hepatology follow-up. Collected...

The purpose of this article is to characterize the temporal evolution and clinical impact laboratory liver function parameters after transjugular intrahepatic portosystemic shunt (TIPS) creation.In single-institution retrospective study, 157 patients (98 men 59 women; median age, 55 years) underwent TIPS between 2000 2012 had 1-month hepatobiliary follow-up. Medical record review was used compare baseline, peak, low bilirubin, aspartate aminotransferase (AST), alanine (ALT), alkaline...

The purpose of this study was to assess the efficacy and safety flow-directed catheter thrombolysis for treatment submassive pulmonary embolism (PE).In single-institution retrospective study, 19 patients (nine men 10 women; mean age [± SD], 54 ± 13 years) with PE underwent catheter-directed between 2009 2013. Presenting symptoms included dyspnea in 18 (95%) cases. Submassive diagnosed by CT arteriography right ventricular strain. bilateral 17 (89%) unilateral two (11%) Thrombolysis performed...

We aimed to assess the safety, efficacy, and clinical outcomes of splenic artery embolization (SAE).A total 50 patients (male:female, 33:17; mean age, 49 years) who underwent SAEs between 1998 2011 were retrospectively studied. The procedure indications included aneurysm or pseudoaneurysm (n=15), gastric variceal hemorrhage preoperative reduction surgical blood loss (n=9), other (n=11). In total, 22 procedures elective, 28 urgent emergent. embolic agents coils (n=50), gelatin sponges...

Percutaneous thoracic duct embolization (TDE) is a safe, effective, and minimally invasive option for treating chylothorax. A recent report demonstrated the feasibility of ultrasound-guided intranodal lymphangiography as an alternative to pedal visualization duct, promising relative technical ease decreased procedure time TDE.We case postoperative bilateral chylothorax treated with followed by TDE.Intranodal resulted in rapid opacification abdominal lymphatics, permitting technically...

Hemobilia, or hemorrhage within the biliary system, is an uncommon form of upper gastrointestinal (GI) bleeding that presents unique diagnostic and therapeutic challenges. Most cases are result iatrogenic trauma, although accidental trauma a variety inflammatory, infectious, neoplastic processes have also been implicated. Timely diagnosis can often be difficult, as classic triad GI hemorrhage, colic, jaundice present in minority cases, there may considerable delay onset after initial injury....

Purpose. To elucidate the impact of right atrial (RA) pressure on early mortality after transjugular intrahepatic portosystemic shunt (TIPS). Material and methods. In this single institution retrospective study, 125 patients (M:F = 75:50, mean age 55 years) who underwent TIPS with recorded intra-procedural RA pressures between 1999-2012 were studied. Demographic (age, gender), liver disease (Child-Pugh, Model for End Stage Liver Disease or MELD score), procedure (indication, urgency, Stent...

Use of oral sorafenib, an antiangiogenic chemotherapeutic agent for hepatocellular carcinoma (HCC), is limited by unfavorable side effect profile. Transarterial chemoembolization (TACE) employs targeted intravascular drug administration, and has potential as a novel sorafenib delivery method to increase tumoral concentrations reduce systemic levels. This study aimed discern the pharmacokinetics TACE in rabbit VX2 liver tumor model.A 3 mg/kg dose ethiodized oil emulsion was delivered via...