Benefits and safety of CT fluoroscopy in interventional radiologic procedures

PURPOSE: To determine the benefits and safety of computed tomographic (CT) fluoroscopy when compared with conventional CT for the guidance of interven tional radiologic procedures. MATERIALS AND METHODS: Data on 203 consecutive percutaneous interventional procedures performed with use of CT fluoroscopic guidance and 99 consecutiv e procedures with conventional CT guidance were obtained from a questionnai re completed by the radiologists and CT technologists who performed the pro cedures. The questionnaire specifically addressed radiation dose measuremen ts to patients and personnel, total procedure time, total CT fluoroscopy ti me, mode of CT fluoroscopic guidance (continuous versus intermittent), succ ess of procedure, major complications, type of procedure (biopsy, aspiratio n, or drainage), site of procedure, and level of operator experience. RESULTS: The median calculated patient absorbed dose per procedure and the median procedure time with CT fluoroscopy were 94% less and 32% less, respe ctively, than those measurements with conventional CT scanning (P < .05). A n intermittent mode of image acquisition was used in 97% of the 203 cases. This resulted in personnel radiation dosimetric readings below measurable l evels in all cases. CONCLUSION: As implemented at the authors' institution, use of CT fluorosco py for the guidance of interventional radiologic procedures markedly decrea sed patient radiation dose and total procedure time compared with use of co nventional CT guidance.