Amy C Taylor, Erica E Marsh, Elizabeth A Stewart, Ayman Al-Hendy, Lauren A Wise, Ganesa Wegienka, Janice M Newsome, Sateria Venable, Joyvina Evans, Nadine Abi-Jaoudeh, Richard D Shlansky-Goldberg
{"title":"Fibroids and Health Equity: Proceedings from the Society of Interventional Radiology Foundation Research Consensus Panel.","authors":"Amy C Taylor, Erica E Marsh, Elizabeth A Stewart, Ayman Al-Hendy, Lauren A Wise, Ganesa Wegienka, Janice M Newsome, Sateria Venable, Joyvina Evans, Nadine Abi-Jaoudeh, Richard D Shlansky-Goldberg","doi":"10.1016/j.jvir.2025.05.025","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.025","url":null,"abstract":"<p><p>While known healthcare disparities among patients with fibroids exist, there is a lack of research on health equity in this specific population and how it affects patients seeking care and the treatment options offered or ultimately the selection they make. Subject matter experts from interventional radiology, obstetrics and gynecology, epidemiology, public health, and patient advocacy participated in a Society of Interventional Radiology (SIR) Foundation Research Consensus Panel to discuss and prioritize critical research topics focusing on health equity in patients with uterine fibroids. After topic presentations and discussion of research ideas, the panelists prioritized the following topics: a) a prospective study evaluating whether the introduction of a standard educational program to patients with low health literacy regarding fibroids will improve their scores on standardized patient-reported outcome measures; b) evaluating whether a digital-based technology can be effectively used to improve health education and awareness of fibroids; and c) surveys of patients to understand their barriers to accessing fibroid care and their motivations for selecting different fibroid treatments.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thibault Tricard, Roberto Luigi Cazzato, Alice Schroeder, Michel De Mathelin, Clara Barhoumi, Victor Gaillard, Erik Sauleau, Afshin Gangi, Hervé Lang
{"title":"Magnetic Resonance Imaging-Guided Transurethral Ultrasound Ablation of Localized Prostate Cancer (MRI-TULSA): A Prospective Trial.","authors":"Thibault Tricard, Roberto Luigi Cazzato, Alice Schroeder, Michel De Mathelin, Clara Barhoumi, Victor Gaillard, Erik Sauleau, Afshin Gangi, Hervé Lang","doi":"10.1016/j.jvir.2025.05.024","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.024","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate the effectiveness and safety of the TULSA-PRO device in treating organ-confined low- to intermediate-risk prostate cancer (PCa).</p><p><strong>Methods: </strong>This prospective, single center clinical trial included 25 men with organ-confined low/intermediate-risk PCa (PSA ≤ 15 ng/mL, ISUP ≤ 2, MRI ≤ iT2c). Patients underwent MRI-guided Focused UltraSound Treatment, followed by clinical reevaluation at 1, 3, 6, and 12 months. The primary endpoint was the absence of clinically significant cancer (CSC) on 12-month systematic and targeted biopsy. Secondary endpoints included safety, quality of life, PSA variation, and functional outcomes.</p><p><strong>Results: </strong>At 12 months, 43.5% of patients (10/23) had CSC on biopsy, with a recurrence-free survival rate of 40% and a treatment-free survival rate of 72% after a median follow-up of 37 months (14 - 54 months). Functional outcomes revealed stress urinary incontinence in 6 patients, overactive bladder in 8, and severe erectile dysfunction in 7/13 preoproceduraly potent patients. The safety profile was favorable, with no major adverse event related to the treatment. MRI follow-up detected suspicious lesions in 3/10 (30%) patients with CSC at 12 months.</p><p><strong>Conclusion: </strong>TULSA shows promise as a focal treatment for localized PCa, though it may not be universally curative. Continued surveillance and further studies are required to assess long-term effectiveness and optimize functional outcomes.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thoracic Duct Embolization with a Shear-Thinning Nanocomposite Hydrogel.","authors":"Marco Fanous, Nima Kokabi, Alexander Villalobos","doi":"10.1016/j.jvir.2025.05.022","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.022","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Fun of Building from Zero: 2025 Gold Medalist Commentary.","authors":"Yasuaki Arai","doi":"10.1016/j.jvir.2025.05.023","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.023","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah L Steinberg-Vorhoff, Johannes Haubold, Sebastian Bauer, Heike Richly, Jens T Siveke, Julia Wimmer, Lale Umutlu, Benedikt M Schaarschmidt, Jens M Theysohn, Johannes M Ludwig
{"title":"Degradable Starch Microsphere Transarterial Chemoembolization as Salvage Therapy in Patients with Uveal Melanoma Liver Metastases.","authors":"Hannah L Steinberg-Vorhoff, Johannes Haubold, Sebastian Bauer, Heike Richly, Jens T Siveke, Julia Wimmer, Lale Umutlu, Benedikt M Schaarschmidt, Jens M Theysohn, Johannes M Ludwig","doi":"10.1016/j.jvir.2025.05.020","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.020","url":null,"abstract":"<p><strong>Purpose: </strong>To assess DSM-TACE retrospectively as salvage therapy in patients with unresectable uveal melanoma (UM) liver metastases and to identify prognostic factors for survival.</p><p><strong>Methods: </strong>Fifty-five patients (49.1% male, median age 65 years) who underwent a median of two (range 1-12) DSM-TACE treatments were included. Cox proportional hazard models for uni- and multivariate analyses (hazard ratio, 95% confidence interval [CI], p-value) and Kaplan-Meier analysis were performed to determine the median overall survival and time to progression (mOS/TTP; 95% CI). Response assessment was performed according to the RECIST 1.1 criteria.</p><p><strong>Results: </strong>The median OS of the study cohort was 8.0 (95% CI: 6.7-9.3) months. Univariate analysis identified low lactate dehydrogenase (LDH <2x the upper level of normal) (0.26; 0.12-0.57, p<0.001), normal serum protein (0.32; 0.15-0.7, p=0.008), hepatic tumor burden ≤25% (0.39; 0.19-0.78, p=0.007), and monthly tumor growth rate (TGR) ≤ 20% before the first DSM-TACE (0.32; 0.14-0.7, p=0.005) as predictors of prolonged mOS. Multivariate analysis confirmed low LDH (mOS: 11.4 vs. 4.3 months, p=0.021) and low TGR (mOS: 9.9 vs. 6.4 months, p=0.005) as independent predictors. Median TTP was four months (95%CI: 3.1-5.7). The best response observed was PR in 13.6%, SD in 65.9%, and PD in 20.5%, with mOS of 25 (13.5-31.6), 8 (7.1-9.8), and 4.4 (2.1-20.4) months, respectively.</p><p><strong>Conclusions: </strong>DSM-TACE represents a salvage treatment option for UM patients with liver metastases that can help control the tumor. Lower pretreatment serum LDH levels and low TGR have been associated with prolonged mOS. However, direct comparison with alternative treatments is required.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It Was Even Better To Both Give And Receive: 2025 Gold Medalist Commentary.","authors":"Michael C Brunner","doi":"10.1016/j.jvir.2025.05.019","DOIUrl":"https://doi.org/10.1016/j.jvir.2025.05.019","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Al Tarhuni MD , Dennis Martin MD , Jessica A. Regan MD
{"title":"Catecholamine Surge-Induced Takotsubo Cardiomyopathy Following Ablation of an Adrenal Gland Metastasis","authors":"Mohammed Al Tarhuni MD , Dennis Martin MD , Jessica A. Regan MD","doi":"10.1016/j.jvir.2024.12.590","DOIUrl":"10.1016/j.jvir.2024.12.590","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 6","pages":"Pages 1097-1099"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crossword Puzzle","authors":"","doi":"10.1016/j.jvir.2025.03.003","DOIUrl":"10.1016/j.jvir.2025.03.003","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 6","pages":"Page 1096"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Active Extravasation from a Ruptured Varix in the Duodenum","authors":"Akhil Baby MD, Shubham Suryavanshi MD, Sasidharan Rajesh MD","doi":"10.1016/j.jvir.2025.02.004","DOIUrl":"10.1016/j.jvir.2025.02.004","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":"36 6","pages":"Page 1100"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}