الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
HCC is the sixth most common type of cancer worldwide. TACE is reserved for inoperable HCC. To perform super selective TACE, intraprocedural monitoring is essential. DSA has been the mainstay intraprocedural monitoring technique for TACE, recently cone beam CT has become more available to interventional radiologists.
The purpose of this study was to compare the sensitivity of Cone Beam CT to rotational angiography in detecting hepatic feeders of HCC.
The study included 28 patients and 32 HCC lesions were enrolled in this study. All patients were subject to the same image acquisition procedure using a Flat panel detector.
Cone Beam CT was able to detect 73 feeders yet 9 were false positives, coming in at 91% sensitivity and a Positive Predictive Value of 87.6%. Rotational Angiography was able to detect 59 feeders and only 9 of those were false positives, resulting in a sensitivity of 71.4% and a Positive Predictive Value of 84.7%.
In conclusion, cone beam CT was more sensitive at detecting feeding vessels of HCC under optimal conditions.