BSIR Educational Webinar Programme - September 10, 2020
We heartfully thank the esteemed panel of speakers & moderators and all the attendees who collectively contributed to the success of this special educational webinar organized by the British Society of Interventional Radiology
EDUCATIONAL WEBINAR PROGRAMME
(Full Session)
CT-guided Interventions: Pushing the limits
Speakers: Prof. Fred T. Lee Jr, Prof. Eric de Kerviler, Prof. Alban Denys
Moderators: Dr. Previn Diwakar, Dr. Jon Bell
Agenda
♦ Complex CT-Guided Biopsies – Professor Fred T. Lee Jr
♦ Challenging CT Guided Percutaneous Interventions – Professor Eric de Kerviler
♦ Difficult to access hepatic lesion ablation – Professor Alban Denys
♦ Live Q&A
CT-guided interventions: Evolution by Prof. Fred T. Lee Jr (6 min)
Complex biopsies with CT-Navigation™ by Prof. Fred T. Lee Jr (9 min)
Challenging CT-guided Percutaneous Interventions by Prof. Eric de Kerviler (15 min)
Complex liver ablations: Challenges and Solutions by Prof. Alban Denys (16 min)
BSIR Webinar Educational Session
Q&A (14 min)
CT-NAVIGATION™ INTERACTIVE WORKSHOP
(Full Session)
Interactive Workshop Session
Speakers: Prof. Fred T. Lee Jr, Sally King
Moderator: Dr. Previn Diwakar
Agenda
♦ CT-Navigation™ demo
♦ Tips and Tricks for lung biopsies
♦ Live Q&A
CT-Navigation™ demo by Sally King, Imactis (10 min)
CT-Navigation™ for Lung Biopsies: Tips and Tricks by Prof. Fred T. Lee Jr (7 min)
CT-Navigation™ Interactive Workshop Deep dive and Q&A (24 min)
♦ Phantom study involving 2 operators (junior & senior) and 4 dose reduction protocols
♦ Dose protocol, operator experience, obliquity and target location had no impact on accuracy
♦ The image quality and operator confidence decreased with dose reduction
D. Filippiadis, G. Velonakis, A. Mazioti, A. Tsochatzis, T. Vrachliotis, A. Kelekis, N. Kelekis – Medicina
♦ Review of the system: description, intended use, procedure details, main benefits and clinical data
♦ CT-Navigation could be considered as a first option in the diagnosis and/or treatment of lesions in difficult locations, even if further studies are necessary
J. A. Gómez Patiño, S. Méndez Alonso, M. Alfageme, R. González Costero, A. García Suárez, J. González Plaza, V. Perdomo Suriel, M. L. Collado Torres – ECR 2020
♦ Retrospective, comparative study involving 120 patients
♦ The system demonstrated a very high diagnostic success rate
♦ Radiation exposure & needle insertion time were significantly lower in the navigation group
♦ The use of CT-Navigation is efficient, reliable & safe for lung biopsy compared to conventional CT guidance
M. Lanouzière, O. Varbedian, O. Chevallier, L. Griviau, K. Guillen, R. Popoff, S.-L. Aho-Glélé and R. Loffroy – Diagnostics
♦ Case review of seven patients: 4 biopsies (hepatic, pulmonary, retroperitoneal and osseous lesions) and 3 ablations (pulmonary, pancreatic and hepatic carcinomas)
♦ The system was easily operated, facilitated pre-procedure planing and displayed an accurate needle trajectory
♦ Benefits for ablations (higher accuracy, better targeting of small lesions) and biopsies (fewer CT controls) without significant post-procedure complications
Yadiel Sánchez, BA, Dmitry S. Trifanov, MD, Taj M. Kattapuram, MD, Haiyang Tao, MD, PhD, Anand M. Prabhakar, MD, MBA, Ronald S. Arellano, MD, Raul N. Uppot, MD – Journal of the American College of Radiology
♦ Prospective controlled multicenter study protocol (500 patients maximum)
♦ The aim is to assess the safety, efficacy and performance within the 2 patient groups
RC. Rouchy, A. Moreau-Gaudry, E. Chipon, S. Aubry, L. Pazart, B. Lapuyade, M. Durand, M. Hajjam, S. Pottier, B. Renard, R. Logier, X. Orry, A. Cherifi, E. Quehen, G. Kervio, O. Favelle, F. Patat, E. De Kerviler, C. Hughes, M. Medici, J. Ghelfi, A. Mounier & I. Bricault – Trials
♦ Prospective controlled study involving 120 patients
♦ Accuracy improved by a factor of 2 (when using the navigation system)
♦ Fewer acquisition scans: 2 vs 3 (when using the navigation system)