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Congress: ECR24
Poster Number: C-14698
Type: EPOS Radiologist (educational)
DOI: 10.26044/ecr2024/C-14698
Authorblock: J. A. Gomez Patiño1, M. Alfageme Zubillaga1, S. Méndez Alonso1, R. González Costero1, M. L. Collado Torres1, J. A. Barrios Gonzalez2, J. Flórez De Hoyos3, m. de tiberis4, J. García Laborda1; 1Madrid/ES, 206808/PA, 3Buenos Aires/AR, 4modena/IT
Disclosures:
Juan Antonio Gomez Patiño: Nothing to disclose
Marta Alfageme Zubillaga: Nothing to disclose
Santiago Méndez Alonso: Nothing to disclose
Rocío González Costero: Nothing to disclose
Maria Luisa Collado Torres: Nothing to disclose
Jossuet Amir Barrios Gonzalez: Nothing to disclose
Juan Flórez De Hoyos: Nothing to disclose
matteo de tiberis: Nothing to disclose
Javier García Laborda: Nothing to disclose
Keywords: Interventional non-vascular, Pelvis, Cone beam CT, CT, Ultrasound, Drainage, Abscess, Image verification
Learning objectives Description drainage technique to avoid damage of vulnerable structures.To show the utility in the follow-up checking correct placement of the catheter and monitoring decrease volume collections.
Read more Background Deep pelvic collections are a challenge to interventional radiologist. This anatomical location has a difficult approach with high risk of damaging vulnerable structures, such as bladder, colon, prostate, uterus, ovarian and vessels.Poor ultrasound visualization is typical, especially in anterior or lateral approach, secondary to interposition of intestinal loops. In this situation, the role of CT to guide puncture have been improve for the development of new tools, such as my needle guide or fusion 3D/3D, which do the procedure more...
Read more Findings and procedure details The software myNeedle Guide allows you to plan the routes of needles in the 3D volume. It provides a real-time display of the planned routes in the image and thus serves as a guide for insertion procedures.One or more needle/puncture paths can be planned, either in the newly purchased 3D volume or in a 3D volume belonging to the same patient but from another exam. XA (DynaCT/3D Angio), MRI, CT, PET, or SPECT volumes can be used.When planning in a...
Read more Conclusion XA Dyna CT with 3D fusion CT images is an effective and safe procedure in the treatment of deep pelvic collections, that should be consider as an alternative to surgical management. Further prospective and comparative studies are necessary.
Read more References 1.- McKay T, Ingraham CR, Johnson GE, Kogut MJ, Vaidya S, Padia SA. Cone-Beam CT with Fluoroscopic Overlay Versus Conventional CT Guidance for Percutaneous Abdominopelvic Abscess Drain Placement. J Vasc Interv Radiol. 2016 Jan;27(1):52-7.2.- syngo Application Software. Manual del operador- para la familia de productos ARTIS VE2. Publicado por Siemens Healthineers / N. º de impresión ATB-100.620.03.01.04 / © Siemens Healthineers, 12.2021. Disponible en: siemens-healthineers.com3.- Sudakoff GS, Lundeen SJ, Otterson MF. Transrectal and transvaginal sonographic intervention of infected pelvic fluid...
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