Image-guided solutions for interventional oncology - Siemens ...

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Selective Internal Radiation Therapy (SIRT)Courtesy of Tobias Jakobs, M.D.,Department of RadiologyLudwig Maximilian University of Munich,Campus GrosshadernMunich, GermanyDiagnosisTreatment-refractory liver metastases from aNeuroendocrine Tumor (NET)TreatmentA superselective injection into the segmentalartery supplying liver segment 4 was performed.A conspicuous vessel was identifiedshowing a course which might reflect a falciformartery. To rule out a falciform artery aLarge Volume syngo DynaCT was performed.The axial and coronal reformats clearly demonstratethat the suspicious vessel is not thefalciform artery and no contrast uptake isseen within the abdominal wall.12
Selective Internal Radiation Therapy (SIRT)Courtesy of Tobias Jakobs, M.D.,Department of RadiologyLudwig Maximilian University of Munich,Campus GrosshadernMunich, GermanyPatient history69-year-old maleDiagnosisIntrahepatic cholangiocellular carcinomaTreatmentA selective injection into the left hepatic arterywas performed in a patient who previouslyunderwent right lobe hemi-hepatectomy.No suspicious vessel was identified.However, Large Volume syngo DynaCT revealedcontrast uptake within the lesser curvatureof the stomach. Therefore the catheterposition was altered and the tip was placedmore distally. The following syngo DynaCT revealedthat there was no more evidence forectopic contrast uptake in the stomach butcomplete coverage of the tumors. This wasconfirmed by SPECT-CT after injection of technetium-99mmacroaggregated albumin.13
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Image-guided solutions for interventional oncology - Siemens ...

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