Selective B-TACE induced dense LE accumulation in HCC nodules in 39 (91 %) of 43 treatments in which BOASP was 64 mmHg or less.

B-TACE was an independent factor to improve overall survival rates on multivariate analysis, but there was no significant difference in overall survival rates between B-TACE and C-TACE groups on univariate analysis.

Aim: To measure the diameter of the main tumor feeding artery (TFA) of a hepatocellular carcinoma (HCC) nodule at the entry site into the nodule.Methods: Fifty-seven HCC nodules in 43 patients were analyzed using a 3-D workstation and picture archiving system (PACS). TFA was defined as an artery connected to a HCC nodule on catheter-assisted multidetector computed tomography angiography (CAMDCTA). The entry site of the main TFA into the nodule was identified on CAMDCTA, and the corresponding portion was measured on digital angiography (DA) or digital subtracted angiography (DSA). The measuring scale of the PACS was calibrated using the platinum tip of microballoon catheters 0.68 mm in diameter. We investigated the relationship between diameters of the nodule and its main TFA.Results: The diameters of the nodule and its main TFA ranged 7-63 mm (20.3 ± 12.7) and 0.12-1.79 mm (0.41 ± 0.32), respectively. Simple regression analysis revealed a relationship between diameters of the nodule and its main TFA (P < 0.0001). The diameter of the main TFA was less than 1 mm in 53 of 57 nodules (93.0%), and less than 0.5 mm in 42 (73.7%). Conclusion:The diameter of main TFA was thicker in the larger nodule. The size of commercially available porous gelatin particles (1 or 2 mm in diameter) seems too large for embolization of most of HCC nodules.

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The cause of chyluria cannot be easily detected by CT scan or other imaging methods, except conventional lymphography, but Tc-99m diethylenetriamine pentaacetic acid radionuclide lymphography clearly revealed the location of chyluria in the left renal pelvic area. Radionuclide lymphography is one of the choices in investigating chyluria due to its noninvasive and simple technique.