Exploring software navigation tools for liver tumour angiography: a scoping review

IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Medical Radiation Sciences Pub Date : 2024-02-02 DOI:10.1002/jmrs.760

Nathan Brunskill BSc(Hons), John Robinson PhD, Don Nocum PhD, Warren Reed PhD

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Abstract

Introduction

Liver cancer presents a growing global health concern, necessitating advanced approaches for intervention. This review investigates the use and effectiveness of software navigation in interventional radiology for liver tumour procedures.

Methods

In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, a scoping review was conducted of the literature published between 2013 and 2023 sourcing articles through MEDLINE, Scopus, CINAHL and Embase. Eligible studies focused on liver cancer, utilised cone-beam computed tomography (CBCT), and employed software for intervention. Twenty-one articles were deemed eligible for data extraction and analysis.

Results

Categorised by type, software applications yielded diverse benefits. Feeder detection software significantly enhanced vessel identification, reducing non-target embolisation by up to 43%. Motion correction software demonstrated a 20% enhancement in image quality, effectively mitigating breathing-induced motion artefacts. Liver perfusion software facilitated efficient tumour targeting while simultaneously reducing the occurrence of side effects. Needle guide software enabled precise radiofrequency ablation needle placement. Additionally, these software applications provided detailed anatomical simulations. Overall, software integration resulted in shorter procedures, reduced radiation exposure and decreased contrast media usage.

Conclusion

This scoping review highlights the innovative yet relatively underexplored role of software navigation for liver tumour procedures. The integration of software applications not only enhances procedural efficiency but also bolsters operator confidence, and contributes to improved patient outcomes. Despite the current lack of uniformity and standardisation, these software-driven advancements hold significant promise for transforming liver tumour interventions. To realise these benefits, further research is needed to explore the clinical impact and optimal utilisation of software navigation tools in interventional radiology.

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探索肝脏肿瘤血管造影的软件导航工具：范围界定综述。

导言肝癌是全球日益关注的健康问题，需要先进的干预方法。本综述调查了软件导航在介入放射学肝肿瘤手术中的应用和效果：根据《系统综述和荟萃分析首选报告项目扩展至范围界定综述》（PRISMA-ScR）指南，我们对 2013 年至 2023 年间发表的文献进行了范围界定综述，文章来源包括 MEDLINE、Scopus、CINAHL 和 Embase。符合条件的研究以肝癌为重点，采用锥形束计算机断层扫描（CBCT），并使用软件进行干预。21篇文章被认为符合数据提取和分析条件：按类型分类，软件应用产生了不同的益处。馈线检测软件大大提高了血管识别能力，减少了43%的非目标栓塞。运动校正软件显示图像质量提高了20%，有效减轻了呼吸引起的运动伪影。肝脏灌注软件促进了高效的肿瘤靶向，同时减少了副作用的发生。针引导软件实现了射频消融针的精确放置。此外，这些应用软件还提供了详细的解剖模拟。总之，软件集成缩短了手术时间，减少了辐射暴露，降低了造影剂的使用量：本范围综述强调了软件导航在肝脏肿瘤手术中的创新作用，但这一作用相对来说还未被充分发掘。软件应用的整合不仅提高了手术效率，还增强了操作者的信心，有助于改善患者的预后。尽管目前缺乏统一性和标准化，但这些软件驱动的进步为改变肝脏肿瘤介入治疗带来了巨大希望。要实现这些优势，还需要进一步研究软件导航工具对介入放射学的临床影响和最佳利用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Radiation Sciences RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.20

自引率

4.80%

发文量

审稿时长

8 weeks

期刊介绍： Journal of Medical Radiation Sciences (JMRS) is an international and multidisciplinary peer-reviewed journal that accepts manuscripts related to medical imaging / diagnostic radiography, radiation therapy, nuclear medicine, medical ultrasound / sonography, and the complementary disciplines of medical physics, radiology, radiation oncology, nursing, psychology and sociology. Manuscripts may take the form of: original articles, review articles, commentary articles, technical evaluations, case series and case studies. JMRS promotes excellence in international medical radiation science by the publication of contemporary and advanced research that encourages the adoption of the best clinical, scientific and educational practices in international communities. JMRS is the official professional journal of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and the New Zealand Institute of Medical Radiation Technology (NZIMRT).