Techniques in Vascular and Interventional Radiology最新文献

Health inequities, bias, and artificial intelligence 健康不平等、偏见和人工智能

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100990

Hanzhou Li , John T. Moon , Vishal Shankar , Janice Newsome , Judy Gichoya , Zachary Bercu

{"title":"Health inequities, bias, and artificial intelligence","authors":"Hanzhou Li , John T. Moon , Vishal Shankar , Janice Newsome , Judy Gichoya , Zachary Bercu","doi":"10.1016/j.tvir.2024.100990","DOIUrl":"10.1016/j.tvir.2024.100990","url":null,"abstract":"<div><div>Musculoskeletal (MSK) pain leads to significant healthcare utilization, decreased productivity, and disability globally. Due to its complex etiology, MSK pain is often chronic and challenging to manage effectively. Disparities in pain management—influenced by provider implicit biases and patient race, gender, age, and socioeconomic status—contribute to inconsistent outcomes. Interventional radiology (IR) provides innovative solutions for MSK pain through minimally invasive procedures, which can alleviate symptoms and reduce reliance on opioids. However, IR services may be underutilized, especially due to current treatment paradigms, referral patterns, and in areas with limited access to care. Artificial intelligence (AI) presents a promising avenue to address these inequities by analyzing large datasets to identify disparities in pain management, recognizing implicit biases, improving cultural competence, and enhancing pain assessment through multimodal data analysis. Additionally, patients who may benefit from an IR pain procedure for their MSK pain may then receive more information through their providers after being identified as a candidate by AI sifting through the electronic medical record. By leveraging AI, healthcare providers can potentially mitigate their biases while ensuring more equitable pain management and better overall outcomes for patients.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100990"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visceral nerve interventions in interventional radiology 介入放射学中的内脏神经介入术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100983

Shen Ning, Samir Ghandour, Ashraf Thabet, Shams Iqbal

引用次数: 0

Keeping it "straight": how to do spinal tumor ablation with vertebral augmentation 保持 "直线"：如何通过椎体增强进行脊柱肿瘤消融术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100988

Koustav Pal MBBS, Rahul A. Sheth MD FSIR, Milan N. Patel MD

引用次数: 0

Epidural steroid injection technique 硬膜外类固醇注射技术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100981

Ben McCafferty MD , Roger Williams DO

引用次数: 0

Vertebral augmentation: How we do it 椎体增强术：我们是如何做到的

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100979

Junaid Raja MD MSPH , Jake DiFatta BS , Junjian Huang MD , Dana Dunleavy MD

{"title":"Vertebral augmentation: How we do it","authors":"Junaid Raja MD MSPH , Jake DiFatta BS , Junjian Huang MD , Dana Dunleavy MD","doi":"10.1016/j.tvir.2024.100979","DOIUrl":"10.1016/j.tvir.2024.100979","url":null,"abstract":"<div><div>Vertebral augmentation consists of minimally invasive techniques indicated in the treatment of vertebral compression fractures (VCFs). These compression fractures cause vertebral body height loss and consequent significant pain and are most frequently the result of osteoporosis, cancer metastasis, or trauma. The deleterious effects of VCFs often compound, as greater load-bearing stress is transferred to the remaining healthy vertebrae. Kyphoplasty, vertebroplasty, and intravertebral implants are closely related vertebral augmentation techniques that serve to relieve pain and to counter pathophysiological stress and structural degradation of the vertebral column alignment. All 3 approaches are performed percutaneously and are therefore attractive options for patients deemed to be poor candidates for open surgery.</div><div>Each technique involves transpedicular needle access to the vertebral body matrix, followed by introduction of a cement-like polymer through a catheter to fill the space and provide structural fortification. Vertebroplasty involves injection of the cement material into the matrix space without any adjunctive measures. In kyphoplasty, a balloon is first introduced to expand the collapsed, fractured area with the goal of approximating the prefracture anatomy of the vertebral body and thereby spinal curvature, promptly followed by cement introduction. In intravertebral implantation procedures, a permanent jack is inserted into the vertebral body matrix and expanded craniocaudally, with the same purpose of restoring normal structure, before the matrix space is filled with cement polymer. This article provides an overview of these vertebral augmentation techniques, including pre and postprocedural considerations, with an emphasis on the technical aspects of the interventions.</div></div>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"27 3","pages":"Article 100979"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Targeted drug delivery via intrathecal pain pump for the treatment of malignant pain 通过鞘内止痛泵靶向给药治疗恶性疼痛

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100985

Dr. George Zlotchenko MD , Dr. Thor Johnson MD, PhD , Katherine Kelson BA

引用次数: 0

Thoracolumbar spinal cord stimulation: technique and overview 胸腰椎脊髓刺激术：技术与概述

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100986

Christopher Paul MD, Rene Powell DO, Prentiss Lawson MD

引用次数: 0

Basivertebral nerve ablation technique 椎基底神经消融技术

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100987

John B. Smirniotopoulos MS, MD , Uchenna Osuala MS , Clark R. Restrepo MD , Junjian Huang MD

引用次数: 0

Percutaneous spinal decompression 经皮脊柱减压

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100980

Kelly Trinh , Mohammad Ghasemi-Rad , Dimitrios Filiapadis , Zubin Irani

引用次数: 0

The importance of advanced image guided pain management and the role of interventional radiology 先进的图像引导疼痛治疗的重要性和介入放射学的作用

IF 1.4

Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI: 10.1016/j.tvir.2024.100978

Junjian Huang MD

引用次数: 0