Donna L. D'Souza, Ranjan Ragulojan, Chunxiao Guo, Connie M. Dale, Christopher J. Jones, Reza Talaie
{"title":"Thermal Ablation in the Liver: Heat versus Cold—What Is the Role of Cryoablation?","authors":"Donna L. D'Souza, Ranjan Ragulojan, Chunxiao Guo, Connie M. Dale, Christopher J. Jones, Reza Talaie","doi":"10.1055/s-0043-1777845","DOIUrl":"https://doi.org/10.1055/s-0043-1777845","url":null,"abstract":"<p>Cryoablation is commonly used in the kidney, lung, breast, and soft tissue, but is an uncommon choice in the liver where radiofrequency ablation (RFA) and microwave ablation (MWA) predominate. This is in part for historical reasons due to serious complications that occurred with open hepatic cryoablation using early technology. More current technology combined with image-guided percutaneous approaches has ameliorated these issues and allowed cryoablation to become a safe and effective thermal ablation modality for treating liver tumors. Cryoablation has several advantages over RFA and MWA including the ability to visualize the ice ball, minimal procedural pain, and strong immunomodulatory effects. This article will review the current literature on cryoablation of primary and secondary liver tumors, with a focus on efficacy, safety, and immunogenic potential. Clinical scenarios when it may be more beneficial to use cryoablation over heat-based ablation in the liver, as well as directions for future research, will also be discussed.</p> ","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"65 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139559969","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}
Sara Rostami, Jacob Miller, Nikhil Grandhi, Charles E Ray, Ali Kord
{"title":"Intravascular Ultrasound-Guided Retrieval of a Radiolucent Foreign Body from the Superior Vena Cava.","authors":"Sara Rostami, Jacob Miller, Nikhil Grandhi, Charles E Ray, Ali Kord","doi":"10.1055/s-0043-1777713","DOIUrl":"10.1055/s-0043-1777713","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 6","pages":"549-552"},"PeriodicalIF":1.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139562902","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}
Mohammad-Kasim Fassia, Resmi Charalel, Adam D Talenfeld
{"title":"Demonstrating the Value of Interventional Radiology.","authors":"Mohammad-Kasim Fassia, Resmi Charalel, Adam D Talenfeld","doi":"10.1055/s-0043-1774407","DOIUrl":"10.1055/s-0043-1774407","url":null,"abstract":"<p><p>While national healthcare expenditures per capita in the United States exceed those in all other Organisation for Economic Co-operation and Development (OECD) countries, measures of health outcomes in the United States lag behind those in peer nations. This combination of high healthcare spending and relatively poor health has led to attempts to identify high- and low-value healthcare services and to develop mechanisms to reimburse health care providers based on the value of the care delivered. This article investigates the meaning of value in healthcare and identifies specific services delivered by interventional radiologists that have accrued evidence that they meet criteria for high-value services. Recognizing the shift in reimbursement to high-value care, it is imperative that interventional radiology (IR) develop the evidence needed to articulate to all relevant stakeholders how IR contributes value to the system.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"403-406"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487676","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}
Joseph N McLaughlin, Daniel Lamus, Siddhi Hegde, Sanjeeva P Kalva
{"title":"Endobronchial Migration of a POD Packing Coil Following Embolization of a Pulmonary Artery Pseudoaneurysm.","authors":"Joseph N McLaughlin, Daniel Lamus, Siddhi Hegde, Sanjeeva P Kalva","doi":"10.1055/s-0043-1774408","DOIUrl":"10.1055/s-0043-1774408","url":null,"abstract":"<p><p>The authors report a case of endobronchial migration of a POD packing coil following embolization of a pulmonary artery pseudoaneurysm in a patient with cavitary tuberculosis and its successful management by bronchoscopy-assisted removal of the coil. Coil migration may be secondary to continued cough and persistence of a bronchial to pulmonary artery fistula from tuberculous infection and inflammation.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"407-410"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487677","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}
{"title":"How Medical Services Get Valued.","authors":"Katharine L Krol","doi":"10.1055/s-0043-1775841","DOIUrl":"10.1055/s-0043-1775841","url":null,"abstract":"<p><p>The mechanisms for Medicare payment to physicians are complicated and, in fee for service Medicare, the value of a procedure code explicitly determines the payment to the physician and the out-of-pocket cost to the beneficiary. These codes are created and then valued for payment through a complex but reproducible and transparent process that allows for physician and specialty society input. This article describes the process and its implications for interventional radiology.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"437-440"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491194","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}
{"title":"Communicating with Your Department Chair: A Primer on How to Advocate for Your IR Section.","authors":"James B Spies","doi":"10.1055/s-0043-1775719","DOIUrl":"10.1055/s-0043-1775719","url":null,"abstract":"<p><p>Many interventional radiologists express concern about communicating their practice needs to their radiology department chairs. As a result, they may have difficulty getting support for hiring of additional physicians and staff, capital investments in equipment, and marketing of IR services. Some perceive that chairs have a preference for diagnostic radiology initiatives over interventional and want to know why. More importantly, they want to know how to approach their chair and succeed in their advocacy for IR. The key to success is understanding the perspective of the chair and the pressures and demands they face. That understanding allows the IR to propose their initiatives in a form that helps address some of the chair's needs and thus eases their path to success.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"399-402"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487675","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}
{"title":"Health Services Research: A Review for the Interventional Radiologist.","authors":"Katherine Marchak, Mira Malavia, Premal S Trivedi","doi":"10.1055/s-0043-1775849","DOIUrl":"10.1055/s-0043-1775849","url":null,"abstract":"<p><p>Health services research (HSR) is a multidisciplinary field which studies access to drivers of health care service utilization, the quality and cost of services, and their outcomes on groups of patients. Since its foundations in the 1960s, there has been a large focus on HSR and using large data sets to study real-world care. Because interventional radiology (IR) is a dynamic field with foundations in innovation, research often focuses on small-scale projects. This review will discuss HSR including data sources, focus areas, methodologies, limitations, and opportunities for future directions in IR.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"452-460"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491192","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}
{"title":"Trainee Ethics in Interventional Radiology.","authors":"Eric D Cyphers, Eric J Keller, Mina S Makary","doi":"10.1055/s-0043-1772816","DOIUrl":"10.1055/s-0043-1772816","url":null,"abstract":"","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"472-474"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491213","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}
{"title":"Government Relations and Interventional Radiology.","authors":"Meridith J Englander","doi":"10.1055/s-0043-1772813","DOIUrl":"10.1055/s-0043-1772813","url":null,"abstract":"<p><p>Health care policy in the United States is made by nonphysician lawmakers and government employees. Through advocacy and lobbying, physicians have an opportunity to be involved in the process. Interventional radiologists (IRs) are the experts on issues related to IR. Government relation offers IRs the opportunity to engage with members of Congress, officials in Federal and State agencies, and State legislators to inform and influence their decision making. The Society of Interventional Radiology PAC (SIRPAC) is the only PAC to represent the interests of interventional radiology. Increased contributions to SIRPAC are essential to be sure that the voice of IR is heard.</p>","PeriodicalId":48689,"journal":{"name":"Seminars in Interventional Radiology","volume":"40 5","pages":"395-398"},"PeriodicalIF":1.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487678","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}