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Feeding artery characteristics and enhancement patterns of hepatoblastoma patients treated with transarterial chemoembolization (TACE): Digital subtraction angiography evaluation Yus, Teuku M.; Sarastika, Hartono Y.; Soeprijanto, Bambang
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.209

Abstract

Hepatoblastoma is one of the most common primary malignant liver tumors in children. The incidence of hepatoblastoma has been increasing, reaching 1.2 per million children now. The transarterial chemoembolization (TACE) procedure is one of the most practical and effective treatment options besides surgery. Digital subtraction angiography (DSA) is performed as the first step of the TACE procedure. The aim of this study was to provide information about the feeding arteries and enhancement pattern of the hepatoblastoma that was assessed by DSA before the TACE procedure. A retrospective study was conducted among hepatoblastoma cases that had undergone DSA on the TACE procedure to obtain information on the vascularity of the tumor. A total of 26 hepatoblastoma cases who had DSA examination as a part of their first TACE procedure were included, consisting of 15 boys and 11 girls, aged between 1–15 years. All cases were stage III and IV according to the Pre-Treatment Extent of Tumor (PRETEXT) staging classification. All hepatoblastoma cases had multiple feeding arteries, most of which were branches of the right hepatic artery. The largest diameter of the feeding artery was 1.82 mm, and the smallest was 0.63 mm. Most cases (84.62%) had strong contrast absorption, and spread evenly, either at the edges or in the center of the tumor. DSA is believed to be an accurate procedure to provide a detailed description of the feeding artery; enhancement patterns of hepatoblastoma were influenced by an adequate TACE.
Daily sources of radiation in our environment: Potential Exposure beyond hospitals Yus, Teuku M.; Wijaya, Anandhika; Satria, Darma; Riany, Khairida; Abdullah, Masna D.
Trends in Infection and Global Health Vol 4, No 2 (2024): December 2024
Publisher : School of Medicine, Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/tigh.v4i2.42462

Abstract

Radiology examinations play a vital role in healthcare worldwide, but patient safety, particularly radiation protection, remains a key concern for all stakeholders. Despite this, some patients and their families still express concerns about the impact of radiation from radiology exams. Healthcare workers, including radiographers, radiologists, interventional surgeons, interventional cardiologists, and others, often find themselves explaining these concerns repeatedly before procedures. Misconceptions about the effects of radiation from medical examinations may stem from misinformation encountered by patients in the past. In reality, people are exposed to various environmental radiation sources daily, often without being aware of it, although the doses are typically low. The goal of this study was to explore the radiation sources that individuals are potentially exposed to on a daily basis. By integrating the ALARA (As Low As Reasonably Achievable) principle into radiological practice, the public should feel more reassured and less anxious about the risks. Thus, it is important for people to understand the sources of radiation in their everyday environment.