{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:14:44Z","timestamp":1772165684241,"version":"3.50.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T00:00:00Z","timestamp":1602720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T00:00:00Z","timestamp":1602720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Imaging"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Integrated Angiography-Computed Tomography (ACT) suites were initially designed in the 1990\u2019s to perform complex procedures requiring high-resolution cross-sectional imaging and fluoroscopy. Since then, there have been technology developments and changes in patient management. The purpose of this study was to review the current usage patterns of a single center\u2019s integrated ACT suites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All procedures performed in 2017 in 3 ACT suites (InterACT Discovery RT, GE Healthcare) at a tertiary cancer center were reviewed retrospectively. Usage was classified as: Standard, in which the patient underwent a single procedure using either fluoroscopy, CT, or ultrasound (US); Combined, in which the patient underwent a single procedure utilizing both fluoroscopy and CT; or Staged, in which the patient underwent 2 separate but successive procedures using fluoroscopy and CT individually. The most frequently performed Combined and Staged procedures were further reviewed to determine how the different modalities were used. The duration of the most common Staged procedures was compared to analogous procedures\u2019 durations in single modality rooms over the period Jan 2016 to Sep 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 3591 procedures were performed on 2678 patients in the 3 ACT Suites. 80% of patients underwent a Standard procedure using fluoroscopy (38%), CT (32%) or US (10%) and accounted for 70% of the room occupation time. Fourteen and three percent of the patients underwent Combined or Staged procedures, occupying 19 and 5% of the room time, respectively. The remaining procedures were classified as both Combined and Staged, representing 3% of the patients and 6% of the room occupation time. The most common Combined procedures were drainages, hepatic arterial embolizations or radioembolizations, arterial, and biliary interventions. The most common Staged procedures were multiple drainages and hepatic arterial embolizations followed by biopsies or ablations. The room occupation time for liver tumor embolization and ablation was significantly shorter (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.01) when performed in a Staged fashion versus the analogous procedures in single modality room.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An integrated ACT system provides the capability to perform complex Combined or Staged procedures as well as scheduling flexibility by allowing any type of case to be performed in the IR suite.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12880-020-00515-x","type":"journal-article","created":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T04:03:12Z","timestamp":1602734592000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Utilization of integrated angiography-CT interventional radiology suites at a tertiary cancer center"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1876-727X","authenticated-orcid":false,"given":"Joseph P.","family":"Erinjeri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Doustaly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gr\u00e9goire","family":"Avignon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achiude","family":"Bendet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena N.","family":"Petre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etay","family":"Ziv","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hooman","family":"Yarmohammadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen B.","family":"Solomon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"515_CR1","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1146\/annurev.me.43.020192.000301","volume":"43","author":"A Inoue","year":"1992","unstructured":"Inoue A. Development of a hybrid CT\/angiography system. Med Rev. 1992;43:9\u201315.","journal-title":"Med Rev"},{"key":"515_CR2","doi-asserted-by":"publisher","first-page":"20140126","DOI":"10.1259\/bjr.20140126","volume":"87","author":"T Tanaka","year":"2014","unstructured":"Tanaka T, Arai Y, Inaba Y, Inoue M, Nishiofuku H, Anai H, et al. Current role of hybrid CT\/angiography system compared with C-arm cone beam CT for interventional oncology. Br J Radiol. 2014;87:20140126.","journal-title":"Br J Radiol"},{"key":"515_CR3","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1016\/S1051-0443(99)70120-X","volume":"10","author":"H Ishijima","year":"1999","unstructured":"Ishijima H, Koyama Y, Aoki J, Kawano T, Nakajima T, Ishizaka H, et al. Use of a combined CT-angiography system for demonstration of correlative anatomy during embolotherapy for hepatocellular carcinoma. J Vasc Interv Radiol. 1999;10:811\u20135.","journal-title":"J Vasc Interv Radiol"},{"key":"515_CR4","doi-asserted-by":"publisher","first-page":"955","DOI":"10.2214\/ajr.174.4.1740955","volume":"174","author":"Y Inaba","year":"2000","unstructured":"Inaba Y, Arai Y, Kanematsu M, Takeuchi Y, Matsueda K, Yasui K, et al. Revealing hepatic metastases from colorectal cancer: value of combined helical CT during arterial portography and CT hepatic arteriography with a unified CT and angiography system. AJR Am J Roentgenol. 2000;174:955\u201361.","journal-title":"AJR Am J Roentgenol"},{"key":"515_CR5","doi-asserted-by":"publisher","first-page":"681","DOI":"10.2214\/ajr.176.3.1760681","volume":"176","author":"K Takayasu","year":"2001","unstructured":"Takayasu K, Muramatsu Y, Maeda T, Iwata R, Furukawa H, Muramatsu N, et al. Targeted transarterial oily chemoembolization for small foci of hepatocellular carcinoma using a unified helical CT and angiography system: analysis of factors affecting local recurrence and survival rates. AJR Am J Roentgenol. 2001;176:681\u20138.","journal-title":"AJR Am J Roentgenol"},{"key":"515_CR6","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1259\/bjr\/55877882","volume":"82","author":"MW Lee","year":"2009","unstructured":"Lee MW, Kim YJ, Park SW, Hwang JH, Jung SI, Jeon HJ, et al. Percutaneous radiofrequency ablation of small hepatocellular carcinoma invisible on both ultrasonography and unenhanced CT: a preliminary study of combined treatment with transarterial chemoembolization. Br J Radiol. 2009;82:908\u201315.","journal-title":"Br J Radiol"},{"key":"515_CR7","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1046\/j.1440-1673.2003.01223","volume":"47","author":"Y Inaba","year":"2003","unstructured":"Inaba Y, Arai Y, Matsueda K, Aramaki T, Kodera Y. Intractable massive ascites following radical gastrectomy, treatment with local intraperitoneal administration of OK-432 using a unified CT and fluoroscopy system. Australas Radiol. 2003;47:465\u20137. https:\/\/doi.org\/10.1046\/j.1440-1673.2003.01223.","journal-title":"Australas Radiol"},{"key":"515_CR8","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1259\/bjr\/16954991","volume":"83","author":"N Kashiwagi","year":"2010","unstructured":"Kashiwagi N, Nakanishi K, Kozuka T, Sato Y, Tanaka K, Tsukaguchi I, et al. Vascular supply with angiography-CT for superselective intra-arterial chemotherapy in advanced maxillary sinus cancer. Br J Radiol. 2010;83:171\u20138.","journal-title":"Br J Radiol"},{"key":"515_CR9","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1259\/bjr.75.893.750470","volume":"75","author":"T Tanaka","year":"2002","unstructured":"Tanaka T, Inaba Y, Arai Y, Matsueda K, Aramaki T, Dendo S. Mediastinal abscess successfully treated by percutaneous drainage using a unified CT and fluoroscopy system. Br J Radiol. 2002;75:470\u20133.","journal-title":"Br J Radiol"},{"key":"515_CR10","doi-asserted-by":"publisher","first-page":"3966","DOI":"10.1007\/s00330-017-4762-7","volume":"27","author":"J Pfaff","year":"2017","unstructured":"Pfaff J, Sch\u00f6nenberger S, Herweh C. Influence of a combined CT\/C-arm system on periprocedural workflow and procedure times in mechanical thrombectomy. Eur Radiol. 2017;27:3966\u201372.","journal-title":"Eur Radiol"},{"issue":"2","key":"515_CR11","doi-asserted-by":"publisher","first-page":"266","DOI":"10.3171\/JNS-07\/08\/0266","volume":"107","author":"M Matsumae","year":"2007","unstructured":"Matsumae M, Koizumi J, Fukuyama H, Ishizaka H, Mizokami Y, Baba T, Atsumi H, Tsugu A, Oda S, Tanaka Y, Osada T, Imai M, Ishiguro T, Yamamoto M, Tominaga J, Shtmoda M, Imai Y. World\u2019s first magnetic resonance imaging\/x-ray\/operating room suite: a significant milestone in the improvement of neurosurgical diagnosis and treatment. J Neurosurg. 2007;107(2):266\u201373.","journal-title":"J Neurosurg"},{"key":"515_CR12","doi-asserted-by":"publisher","first-page":"1034","DOI":"10.1007\/s00270-005-0287-6","volume":"29","author":"S Hirota","year":"2006","unstructured":"Hirota S, Nakao N, Yamamoto S, et al. Cone-beam CT with flat-panel-detector digital angiography system: early experience in abdominal interventional procedures. Cardiovasc Intervent Radiol. 2006;29:1034. https:\/\/doi.org\/10.1007\/s00270-005-0287-6.","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"515_CR13","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s00270-015-1180-6","volume":"39","author":"B Bapst","year":"2016","unstructured":"Bapst B, Lagadec M, Breguet R, Vilgrain V, Ronot M. Cone beam computed tomography (CBCT) in the field of interventional oncology of the liver. Cardiovasc Intervent Radiol. 2016;39(1):8\u201320.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"515_CR14","volume-title":"Utilization of Integrated Angiography-CT Interventional Radiology Suites at a Tertiary Cancer","author":"A Bendet","year":"2019","unstructured":"Bendet A, Zener R, Avignon G, Petre EN, Solomon SB. Utilization of Integrated Angiography-CT Interventional Radiology Suites at a Tertiary Cancer. Boston: Abstract presented at the Society of Interventional Oncology. Annual scientific meeting; 2019."}],"container-title":["BMC Medical Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12880-020-00515-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12880-020-00515-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12880-020-00515-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T10:49:12Z","timestamp":1634294952000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedimaging.biomedcentral.com\/articles\/10.1186\/s12880-020-00515-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,15]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["515"],"URL":"https:\/\/doi.org\/10.1186\/s12880-020-00515-x","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-35712\/v3","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-35712\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-35712\/v1","asserted-by":"object"}]},"ISSN":["1471-2342"],"issn-type":[{"value":"1471-2342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,15]]},"assertion":[{"value":"12 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This retrospective study was approved by our Institutional Review Board\/Privacy Board at Memorial Sloan Kettering Cancer Center (FWA00004998) with a waiver of informed consent.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Raphael Doustaly and Gregoire Avignon are General Electric Healthcare employees. General Electric Healthcare sponsored Dr. Achiude Bendet\u2019s research fellowship at Memorial Sloan Kettering Cancer Center.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"114"}}