Seminars in Interventional Radiology最新文献_第4页

Discomfort with Transitions: Implications for Interventional Radiology. 过渡不适：对介入放射学的影响。

IF 1 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1786707

Charles E Ray

引用次数: 0

Role of Interventional Radiology in Managing Primary and Metastatic Breast Cancer 介入放射学在治疗原发性和转移性乳腺癌中的作用

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1786730

Amy R. Deipolyi, Robert C. Ward

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Innovations in Image-Guided Procedures: Unraveling Robot-Assisted Non-Hepatic Percutaneous Ablation 图像引导手术的创新：揭开机器人辅助非肝脏经皮消融术的神秘面纱

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1786724

David-Dimitris Chlorogiannis, Georgios Charalampopoulos, Reto Bale, Bruno Odisio, Bradford J. Wood, Dimitrios K. Filippiadis

{"title":"Innovations in Image-Guided Procedures: Unraveling Robot-Assisted Non-Hepatic Percutaneous Ablation","authors":"David-Dimitris Chlorogiannis, Georgios Charalampopoulos, Reto Bale, Bruno Odisio, Bradford J. Wood, Dimitrios K. Filippiadis","doi":"10.1055/s-0044-1786724","DOIUrl":"https://doi.org/10.1055/s-0044-1786724","url":null,"abstract":"Interventional oncology is routinely tasked with the feat of tumor characterization or destruction, via image-guided biopsy and tumor ablation, which may pose difficulties due to challenging-to-reach structures, target complexity, and proximity to critical structures. Such procedures carry a risk-to-benefit ratio along with measurable radiation exposure. To streamline the complexity and inherent variability of these interventions, various systems, including table-, floor-, gantry-, and patient-mounted (semi-) automatic robotic aiming devices, have been developed to decrease human error and interoperator and intraoperator outcome variability. Their implementation in clinical practice holds promise for enhancing lesion targeting, increasing accuracy and technical success rates, reducing procedure duration and radiation exposure, enhancing standardization of the field, and ultimately improving patient outcomes. This narrative review collates evidence regarding robotic tools and their implementation in interventional oncology, focusing on clinical efficacy and safety for nonhepatic malignancies. ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141588405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recent Advances in Minimally Invasive Management of Osteolytic Periacetabular Skeletal Metastases 骨溶解性髋臼周围骨骼转移瘤微创治疗的最新进展

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1787165

Will Jiang, Sangmin Lee, Dennis Caruana, Kun Da Zhuang, Roberto Cazzato, Igor Latich

{"title":"Recent Advances in Minimally Invasive Management of Osteolytic Periacetabular Skeletal Metastases","authors":"Will Jiang, Sangmin Lee, Dennis Caruana, Kun Da Zhuang, Roberto Cazzato, Igor Latich","doi":"10.1055/s-0044-1787165","DOIUrl":"https://doi.org/10.1055/s-0044-1787165","url":null,"abstract":"Painful skeletal osteolytic metastases, impending pathological fractures, and nondisplaced fractures present as a devastating clinical problem in advanced stage cancer patients. Open surgical approaches provide excellent mechanical stabilization but are often associated with high complication rates and slow recovery times. Percutaneous minimally invasive interventions have arisen as a pragmatic and logical treatment option for patients with late-stage cancer in whom open surgery may be contraindicated. These percutaneous interventions minimize soft tissue dissection, allow for the immediate initiation or resumption of chemotherapies, and present with fewer complications. This review provides the most up-to-date technical and conceptual framework for the minimally invasive management of osseous metastases with particular focus on periacetabular lesions. Fundamental topics discussed are as follows: (1) pathogenesis of cancer-induced bone loss and the importance of local cytoreduction to restore bone quality, (2) anatomy and biomechanics of the acetabulum as a weight-bearing zone, (3) overview of ablation options and cement/screw techniques, and (4) combinatorial approaches. Future studies should include additional studies with more long-term follow-up to better assess mechanical durability of minimally invasive interventions. An acetabulum-specific functional and pain scoring framework should be adopted to allow for better cross-study comparison. ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"18 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141584683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Local Treatment of Desmoid Tumors: An Update 蝶形肿瘤的局部治疗：最新进展

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1786813

Lawrence Han Hwee Quek, Lester Wai Mon Chan, Uei Pua

引用次数: 0

Consensus Guidelines of Irreversible Electroporation for Pancreatic Tumors: Protocol Standardization Using the Modified Delphi Technique 胰腺肿瘤不可逆电穿孔治疗共识指南：使用改良德尔菲技术实现方案标准化

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1787164

Danielle J. W. Vos, Alette H. Ruarus, Florentine E. F. Timmer, Bart Geboers, Sandeep Bagla, Giuseppe Belfiore, Marc G. Besselink, Edward Leen, Robert C. G. Martin II, Govindarjan Narayanan, Anders Nilsson, Salvatore Paiella, Joshua L. Weintraub, Philipp Wiggermann, Hester J. Scheffer, Martijn R. Meijerink

{"title":"Consensus Guidelines of Irreversible Electroporation for Pancreatic Tumors: Protocol Standardization Using the Modified Delphi Technique","authors":"Danielle J. W. Vos, Alette H. Ruarus, Florentine E. F. Timmer, Bart Geboers, Sandeep Bagla, Giuseppe Belfiore, Marc G. Besselink, Edward Leen, Robert C. G. Martin II, Govindarjan Narayanan, Anders Nilsson, Salvatore Paiella, Joshua L. Weintraub, Philipp Wiggermann, Hester J. Scheffer, Martijn R. Meijerink","doi":"10.1055/s-0044-1787164","DOIUrl":"https://doi.org/10.1055/s-0044-1787164","url":null,"abstract":"Since no uniform treatment protocol for pancreatic irreversible electroporation (IRE) exists, the heterogeneity throughout literature complicates the comparison of results. To reach agreement among experts, a consensus study was performed. Eleven experts, recruited according to predefined criteria regarding previous IRE publications, participated anonymously in three rounds of questionnaires according to a modified Delphi technique. Consensus was defined as having reached ≥80% agreement. Response rates were 100, 64, and 64% in rounds 1 to 3, respectively; consensus was reached in 93%. Pancreatic IRE should be considered for stage III pancreatic cancer and inoperable recurrent disease after previous local treatment. Absolute contraindications are ventricular arrhythmias, implantable stimulation devices, congestive heart failure NYHA class 4, and severe ascites. The inter-electrode distance should be 10 to 20 mm and the exposure length should be 15 mm. After 10 test pulses, 90 treatment pulses of 1,500 V/cm should be delivered continuously, with a 90-µs pulse length. The first postprocedural contrast-enhanced computed tomography should take place 1 month post-IRE, and then every 3 months. This article provides expert recommendations regarding patient selection, procedure, and follow-up for IRE treatment in pancreatic malignancies through a modified Delphi consensus study. Future studies should define the maximum tumor diameter, response evaluation criteria, and the optimal number of preoperative FOLFIRINOX cycles. ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"31 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141584680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Interventional Radiologist's Guide to Lung Cancer 介入放射医师肺癌指南

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1786725

Adam G. Fish, David C. Madoff

{"title":"An Interventional Radiologist's Guide to Lung Cancer","authors":"Adam G. Fish, David C. Madoff","doi":"10.1055/s-0044-1786725","DOIUrl":"https://doi.org/10.1055/s-0044-1786725","url":null,"abstract":"Lung cancer continues to be the third leading cause of cancer and the leading cause of cancer deaths. As the field of interventional oncology continues to grow, interventional radiologists are increasingly treating lung cancer patients. Involvement begins with tissue diagnosis for which biomarkers and immunohistochemistry are used to guide selective and advanced medical therapies. An interventional radiologist must be aware of the rationale behind tissue diagnosis and techniques to minimize biopsy complications. Staging is an important part of tumor board conversations and drives treatment pathways. Surgical therapy remains the gold standard for early-stage disease but with an aging population the need for less invasive treatments such as radiation therapy and ablation continue to grow. The interventionalist must be aware of the indications, techniques, and pre- and posttherapy managements for percutaneous ablation. Endovascular therapy is broadly divided into therapeutic treatment of lung cancer, which is gaining traction, and treatment of lung cancer complications such as hemoptysis. This review aims to provide a good basis for interventional radiologists treating lung cancer patients. ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"53 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141584876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Image-Guided Ablation of Renal Masses: Challenges to Produce High-Quality Evidence and Future Directions 图像引导下的肾脏肿块消融术：生成高质量证据的挑战与未来方向

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-07-10 DOI: 10.1055/s-0044-1787163

Vinson Wai-Shun Chan, Helen Hoi-Lam Ng, Tze Min Wah

{"title":"Image-Guided Ablation of Renal Masses: Challenges to Produce High-Quality Evidence and Future Directions","authors":"Vinson Wai-Shun Chan, Helen Hoi-Lam Ng, Tze Min Wah","doi":"10.1055/s-0044-1787163","DOIUrl":"https://doi.org/10.1055/s-0044-1787163","url":null,"abstract":"Image-guided ablation (IGA) is a rapidly developing field in interventional oncology. There is some evidence suggesting IGA's non-inferiority compared with partial or radical nephrectomy for the treatment of small renal masses (SRM). However, these are mostly limited to retrospective cohort studies. This review article outlines the evidence comparing IGA to partial nephrectomy by collating the different survival measures and evaluates the challenges of producing clinical trials and high-quality evidence. The main challenges are due to the heterogeneity of SRM, patient selection bias, unstandardized endpoint and outcomes, and the lack of global practice standards. Despite the evidence thus far demonstrating that IGA stands as a non-inferior treatment modality for SRMs, exhibiting favorable short- and long-term outcomes, further robust research is needed to integrate ablation techniques into routine clinical practice with a multidisciplinary approach. There is emerging evidence that suggests randomized controlled trial in SRMs is possible, and technologies such as histotripsy as well as artificial intelligence are used in IGA. ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"10 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141588404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intra-arterial Peptide Receptor Radionuclide Therapy for the Treatment of Hepatic Neuroendocrine Tumor Metastases: Hope or Hype? 治疗肝脏神经内分泌肿瘤转移的动脉内肽受体放射性核素疗法：希望还是炒作？

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-03-14 eCollection Date: 2024-02-01 DOI: 10.1055/s-0043-1778658

Michael V Khanjyan, Nicholas Fidelman

引用次数: 0

SBRT for Liver Tumors: What the Interventional Radiologist Needs to Know. 肝脏肿瘤的 SBRT 治疗：介入放射医师须知。

IF 1.4 4区医学

Seminars in Interventional Radiology Pub Date : 2024-03-14 eCollection Date: 2024-02-01 DOI: 10.1055/s-0043-1778657

Michael J Gutman, Lucas M Serra, Matthew Koshy, Rohan R Katipally

引用次数: 0