Imaging of the hepatic arterial infusion pump: Primer for radiologists

Apurva Bonde, Alice W. Fung, Skye C. Mayo, Peter Li, Brett S. Walker, Sriram Jaganathan, Nadine Mallak, Elena K. Korngold

Producción científica: Review articlerevisión exhaustiva

Resumen

Hepatic arterial infusion (HAI) pumps are used to deliver liver-directed therapy by allowing the administration of selective chemotherapy to the liver via a catheter implanted most commonly into the gastroduodenal artery connected to a subcutaneous pump. This selective administration helps maximize the chemotherapeutic effect within the hepatic tumors while minimizing systemic toxicity. While HAI therapy has primarily been used to treat liver-only metastatic colorectal cancer, the indications have expanded to other malignancies, including intrahepatic cholangiocarcinoma. Radiologists play an important role in pre-operative planning, assessment of treatment response, and evaluation for potential complications using various imaging studies, including computed tomography angiography, magnetic resonance imaging, and perfusion scintigraphy. This article describes the radiologist's role as part of a multi-disciplinary oncology team to help maximize the success of HAI therapy and also helps radiologists familiarize themselves with various aspects of HAI pumps.

Idioma originalEnglish (US)
Número de artículo110022
PublicaciónClinical Imaging
Volumen105
DOI
EstadoPublished - ene 2024

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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