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Seminars in Interventional Radiology最新文献

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Dispelling the Myths of Percutaneous Catheter Drainage of Infected Abdominal Collections. 消除经皮导管引流感染腹腔积液的误区。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1791719
Jonathan M Lorenz
{"title":"Dispelling the Myths of Percutaneous Catheter Drainage of Infected Abdominal Collections.","authors":"Jonathan M Lorenz","doi":"10.1055/s-0044-1791719","DOIUrl":"10.1055/s-0044-1791719","url":null,"abstract":"<p><p>When consulted for percutaneous catheter drainage (PCD) of abdominopelvic collections, interventional radiologists (IRs) should consider the appropriateness of this technique in the context of other options such as conservative, endoscopic, or surgical management. Whenever possible, published data should be considered prior to performing percutaneous drainage, especially as regards controversial scenarios such as the use of fibrinolytic therapy, the primary placement of large-bore drainage catheters, the drainage of cystic tumors, the drainage of splenic abscesses, and the treatment of collections lacking an in-line drainage window. This article examines past and present published data on PCD to dispel some common myths and guide IRs toward the best applications of PCD.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"435-443"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-Guided Thyroid Biopsy. 超声引导甲状腺活检。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792123
Ravi Theja V Chintapalli, Carla B Harmath
{"title":"Ultrasound-Guided Thyroid Biopsy.","authors":"Ravi Theja V Chintapalli, Carla B Harmath","doi":"10.1055/s-0044-1792123","DOIUrl":"10.1055/s-0044-1792123","url":null,"abstract":"<p><p>Thyroid nodules are prevalent, estimated to affect up to 68% of the population, and the incidence increases with age. With the advances in medical imaging utilization, the detection of incidental thyroid nodules continues to rise, and given the low rate of malignancy in incidentally discovered thyroid nodules (4-15%), diagnostic guidelines are imperative for their management. Several guidelines have been developed: the most commonly used guidelines in the United States include the American Thyroid Association (ATA) Guidelines and the American College of Radiology Thyroid Imaging Reporting Data System (TI-RADS). These guidelines call for the utilization of a biopsy of nodules depending on a sonographic morphologic categorization. This article aims to briefly review these two main guidelines and discuss the techniques for ultrasound-guided biopsy of thyroid nodules.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"494-499"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Synergistic Approach To Acute Liver Trauma: Current Guidelines and the Importance of Collaboration Between Interventional Radiology and Trauma Surgery. 急性肝损伤的协同治疗：介入放射学与创伤外科合作的当前指南和重要性。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792089
Dan F Laney, Daniela Medina, Alexandra H Fairchild, Bahri Ustunsoz, Alison Smith, Hector Ferral
{"title":"A Synergistic Approach To Acute Liver Trauma: Current Guidelines and the Importance of Collaboration Between Interventional Radiology and Trauma Surgery.","authors":"Dan F Laney, Daniela Medina, Alexandra H Fairchild, Bahri Ustunsoz, Alison Smith, Hector Ferral","doi":"10.1055/s-0044-1792089","DOIUrl":"10.1055/s-0044-1792089","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"515-526"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast Biopsy Procedure Toolkit: Ultrasound, 2D Stereotactic, 3D Tomosynthesis, and MRI-Guided Procedures. 乳腺活检程序工具包：超声，二维立体定向，三维断层合成和mri引导程序。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792140
Kirti M Kulkarni, Anne Darrow, Monika Dangeti, Jacob S Ecanow
{"title":"Breast Biopsy Procedure Toolkit: Ultrasound, 2D Stereotactic, 3D Tomosynthesis, and MRI-Guided Procedures.","authors":"Kirti M Kulkarni, Anne Darrow, Monika Dangeti, Jacob S Ecanow","doi":"10.1055/s-0044-1792140","DOIUrl":"10.1055/s-0044-1792140","url":null,"abstract":"<p><p>This article explores various techniques and tips for performing successful percutaneous biopsies of the breast and axillary lymph nodes using different imaging modalities. The discussion includes detailed image guidance on ultrasound-guided, stereotactic/tomosynthesis-guided, and MRI-guided biopsies. Advice for draining fluid collections in the breast is also reviewed. Key findings include the comparative effectiveness of different imaging techniques and practical advice for improving procedural outcomes. This information is particularly relevant for radiologists involved in diagnostic and interventional breast care. Recommendations for optimizing biopsy procedures and managing complications are also presented.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"466-472"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous Biopsy and Drainage of the Pancreas. 经皮胰腺活检及引流术。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792138
Ellen A Redstone, Zhenteng Li
{"title":"Percutaneous Biopsy and Drainage of the Pancreas.","authors":"Ellen A Redstone, Zhenteng Li","doi":"10.1055/s-0044-1792138","DOIUrl":"10.1055/s-0044-1792138","url":null,"abstract":"<p><p>Percutaneous biopsy and drainage of pancreatic lesions, though less frequent due to advancements in endoscopic techniques, remain vital skills for interventional radiologists. This review details the indications, options, approaches, and technical considerations for pancreatic biopsy and (peri)pancreatic fluid drainage by examining a comprehensive range of literature. The importance of a multidisciplinary approach is emphasized to ensure optimal patient care and outcomes, highlighting current best practices and recent advancements.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"473-485"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous CT-Guided Deep Neck Access. 经皮ct引导下的深颈部通路。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792175
Caleb VanDyke, Olga Pasternak-Wise, Edward A Michals, Ramez N Abdalla, Michael C Hurley
{"title":"Percutaneous CT-Guided Deep Neck Access.","authors":"Caleb VanDyke, Olga Pasternak-Wise, Edward A Michals, Ramez N Abdalla, Michael C Hurley","doi":"10.1055/s-0044-1792175","DOIUrl":"10.1055/s-0044-1792175","url":null,"abstract":"<p><p>Computed tomography guidance enables deep neck biopsies beyond the range of ultrasound and spares the patient more invasive open surgery. This review article describes proper patient preparation, devices, and techniques. Cases illustrate the favored access routes in the suprahyoid neck including the subzygomatic, retromandibular, transfacial, submastoid, transoral, and posterior approaches, as well as in the infrahyoid neck including the anterolateral and posterolateral approaches. A thorough understanding of the neck anatomy, assessment of prior imaging with respect to eloquent structures such as arteries and nerves, and a sound knowledge of the technique will result in an extremely low complication rate.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"507-514"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonvascular Renal Interventions: A Review and Procedural Considerations for the Interventional Radiologist. 非血管肾介入：介入放射科医师的回顾和程序考虑。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-10 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1792124
Divya Kumari
{"title":"Nonvascular Renal Interventions: A Review and Procedural Considerations for the Interventional Radiologist.","authors":"Divya Kumari","doi":"10.1055/s-0044-1792124","DOIUrl":"10.1055/s-0044-1792124","url":null,"abstract":"<p><p>Interventional radiology plays a vital role in performing noninvasive, nonvascular genitourinary interventions. This article discusses practical aspects of the biopsy technique using the cortical tangential approach for native and transplant kidneys. Additionally, the indications, contraindications, and procedure details of the nephrostomy tube and nephroureteral placement will be reviewed.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 5","pages":"486-493"},"PeriodicalIF":1.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Imaging and Innovations in Aortic Aneurysm and Dissection. 主动脉瘤及夹层的临床影像学与创新。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-12-09 eCollection Date: 2024-12-01 DOI: 10.1055/s-0044-1800823
Nicholas S Burris, Prabhvir S Marway, Carlos Alberto Campello Jorge
{"title":"Clinical Imaging and Innovations in Aortic Aneurysm and Dissection.","authors":"Nicholas S Burris, Prabhvir S Marway, Carlos Alberto Campello Jorge","doi":"10.1055/s-0044-1800823","DOIUrl":"10.1055/s-0044-1800823","url":null,"abstract":"<p><p>Imaging plays a central role in the management of patients with aortic disease. Such imaging can be made particularly complex by changing terminology and definitions, overlapping pathologies, and unfamiliarity with evolving endovascular treatment approaches. This article will review basic principles of aortic imaging that can be applied across a variety of settings and pathologies, with a description of key best practices and potential pitfalls for image acquisition, diagnostic assessment, and reporting. Additionally, the topic of imaging in the setting of endovascular aortic repair will be addressed, as well as a variety of imaging-related diagnostic challenges in the setting of chronic aortic dissection, including surgically repaired type A and uncomplicated type B dissections. Finally, recent developments in advanced aortic imaging will be highlighted with descriptions of several areas of promising research that may yield significant advances in imaging of aortic disease.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 6","pages":"536-546"},"PeriodicalIF":1.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pearls and Pitfalls in the Management of Vascular Anomalies. 血管畸形管理中的珍珠和陷阱。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791279
Omar Sanon, Andrew Henderson, Robert J Rosen
{"title":"Pearls and Pitfalls in the Management of Vascular Anomalies.","authors":"Omar Sanon, Andrew Henderson, Robert J Rosen","doi":"10.1055/s-0044-1791279","DOIUrl":"10.1055/s-0044-1791279","url":null,"abstract":"<p><p>Recent advancements in endovascular techniques have transformed the management of vascular malformations, shifting away from traditional surgical resections to less invasive methods like embolization and sclerotherapy. Vascular malformations are congenital anomalies resulting from embryonic angiogenesis failures, often misdiagnosed but manageable through a multidisciplinary approach. These malformations range from high-flow arteriovenous connections to low-flow venous, lymphatic, or mixed lesions, each requiring specific diagnostic and treatment strategies. Specific syndromes like Klippel-Trenaunay and Parkes-Weber require tailored approaches due to their unique presentations. Diagnosis relies on a combination of physical examination and advanced imaging techniques, including ultrasound and MRI. Treatment is focused on symptomatic relief and improving the patient's quality of life. Interventional treatment is indicated when conservative and/or medical management is insufficient. Surgical interventions remain relevant for select cases, often in a multidisciplinary context. Newer therapies, such as sirolimus, are emerging for complex, treatment-resistant cases.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"363-369"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primer on Embolic Agents and Sclerosants for the Treatment of Vascular Malformations. 治疗血管畸形的栓塞剂和硬化剂入门。
IF 1 4区 医学
Seminars in Interventional Radiology Pub Date : 2024-11-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1791278
Junaid Raja, Dakota Williams, Rachel Oser
{"title":"Primer on Embolic Agents and Sclerosants for the Treatment of Vascular Malformations.","authors":"Junaid Raja, Dakota Williams, Rachel Oser","doi":"10.1055/s-0044-1791278","DOIUrl":"10.1055/s-0044-1791278","url":null,"abstract":"<p><p>Vascular malformations (VMs) are a heterogeneous group of arterial, venous, capillary, and/or lymphatic networks that typically are present at birth and grow with the patient. Signs and symptoms associated with VM range from absent to severe, with a broad spectrum of pain, cosmetic disfigurement, and local tissue destruction. Treatment options for these malformations extend from observation to surgical reconstruction. Each treatment modality has a role in the management of vascular anomalies, but also has specific challenges. Observation is not always sufficient, medical therapies may only be available for a subset of patients and are ultimately not curative, and surgical excision may itself be disfiguring or incomplete/not definitive. Sclerotherapy and/or embolotherapy have become a cornerstone of treatment for many types of VMs. These techniques are applicable to a wide range of VMs, are less invasive, have a shorter recovery period, and are repeatable. Although some VMs may not be amenable to percutaneous or endovascular treatment given their location, and multiple sessions may be required for select large and complex VMs, these minimally invasive treatments are often first line and may be definitive in treating VMs. Various agents may be used in sclerotherapy and embolotherapy, each with their own risks and benefits. Although there is a paucity of Level 1 evidence supporting the superiority of one agent over another, longstanding case series and expert experience exist, informing our knowledge of the safety and efficacy of sclerotherapy and embolotherapy. A brief overview of the most used sclerotherapy and embolotherapy agents and their uses is provided.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"41 4","pages":"370-375"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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