Flat panel X-ray based software for bi-plane angiography — 3D RA, CBCT, CBCT Angio and Vaso CT for precise endovascular planning and monitoring.
Advanced software based on flat panel X-ray for bi-plane angiography is a significant step forward in planning and monitoring endovascular treatment within the angiosuite. This innovative system allows neurointerventional radiologists to obtain side-by-side and overlapping images of blood vessels and organs.
Four techniques matter most: 3D RA, CBCT, CBCT Angio, and Vaso CT — each serving a distinct role in planning and executing complex neurovascular procedures.
3D RA creates three-dimensional images of blood vessels. A catheter is guided to the area of interest, contrast is injected to make the vessels visible, and the X-ray machine rotates around the patient — capturing multiple angles that specialised software reconstructs into a 3D image.
It's commonly used to diagnose and treat cerebral aneurysms, AVMs, and carotico-cavernous fistulas, providing a more detailed, accurate view than traditional 2D angiography — helpful for identifying small aneurysms that could otherwise be missed. It also helps plan the best working angles for the procedure itself.
Complements bi-plane angiography for more detailed 3D reconstruction.
Shows bones and soft tissue not visible on angiography images alone.
Combined with angiography for more accurate procedure planning.
3D vasculature reconstructed during the bi-plane angiography itself.
CBCT Angiography combines cone-beam CT with contrast injection to produce 3D images of blood vessels — a non-invasive technique visualising vasculature of the head, neck, chest, and extremities. The CBCT machine rotates around the patient, and a computer reconstructs the images into a 3D picture.
It's particularly useful for diagnosing aneurysms, AVMs, and stenoses. Because CBCT Angio provides soft-tissue detail alongside blood vessels, it's specifically helpful for tumor embolization procedures like TACE and TARE for liver cancer.
Vaso-CT is a higher-resolution version of CBCT. Contrast agent is injected into the bloodstream to highlight the blood vessels, giving a detailed picture that goes beyond anatomy alone.
Specific device-functioning details — adequacy of placement, impingement on normal brain vessels, and whether a device has opened correctly — are delineated exclusively using this software.
3D RA uses a rotating X-ray machine and contrast dye to create detailed three-dimensional images of blood vessels, commonly used to diagnose and treat cerebral aneurysms, AVMs, and carotico-cavernous fistulas with greater accuracy than 2D angiography.
CBCT (Cone Beam CT) complements bi-plane angiography by showing surrounding structures like bones and soft tissue that aren't visible on angiography images alone, helping doctors understand anatomy and plan procedures more accurately.
CBCT Angiography produces detailed 3D images of blood vessels combined with soft-tissue detail, useful for diagnosing aneurysms, AVMs, and stenoses, and particularly helpful for tumor embolization procedures like TACE and TARE for liver cancer.
Vaso-CT is a higher-resolution version of CBCT that shows detailed information about devices placed inside brain blood vessels, including stents, flow diverters, and intrasaccular devices like WEB — confirming correct placement and that the device has opened properly.
Real-time 3D and 2D imaging allows doctors to make quicker, more precise decisions about patient care during the procedure itself, rather than relying on assumptions between imaging passes.
Dr. Suresh Giragani, Consultant Interventional Radiologist at Apollo Hospitals, Jubilee Hills, Hyderabad, uses advanced neuroangio software including 3D RA, CBCT, CBCT Angio, and Vaso CT, with over 18 years of experience.
Book a consultation with Dr. Giragani, or send your scans and reports for a specialist second opinion.