Prostatic artery embolization (PAE) is associated with patients’ quality of life improvements and limited side effects compared to surgery. However, this procedure remains technically challenging due to complex vasculature, anatomical variations and small arteries, inducing long procedure times and high radiation exposure levels both to patients and medical staff. Moreover, the risk of non-target embolization can lead to relevant complications. In this context, advanced imaging can constitute a solid ally to address these challenges and deliver good clinical outcomes at acceptable radiation levels. This technical note aims to share the consolidated experience of four institutions detailing their optimized workflow using advanced image guidance, discussing variants, and sharing their best practices to reach a consensus standardized imaging workflow for PAE procedure, as well as pre and post-operative imaging. This technical note puts forth a consensus optimized imaging workflow and best practices, with the hope of helping drive adoption of the procedure, deliver good clinical outcomes, and minimize radiation dose levels and contrast media injections while making PAE procedures shorter and safer.

中文翻译：

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前列腺动脉栓塞术的高级图像引导——多中心技术说明

与手术相比，前列腺动脉栓塞术 (PAE) 与患者生活质量的改善和有限的副作用有关。然而，由于复杂的脉管系统、解剖变异和小动脉，该手术在技术上仍然具有挑战性，导致手术时间长，患者和医务人员的辐射暴露水平高。此外，非靶向栓塞的风险可能导致相关并发症。在这种情况下，先进的成像技术可以成为应对这些挑战的坚实盟友，并以可接受的辐射水平提供良好的临床结果。本技术说明旨在分享四家机构的综合经验，详细介绍其使用高级图像引导优化的工作流程，讨论变体，并分享他们的最佳实践，以就 PAE 程序以及术前和术后成像达成一致的标准化成像工作流程。本技术说明提出了一个共识优化的成像工作流程和最佳实践，希望有助于推动该程序的采用，提供良好的临床结果，并最大限度地减少辐射剂量水平和造影剂注射，同时使 PAE 程序更短、更安全。