CardioVascular and Interventional Radiology最新文献

{"title":"Intrasaccular Embolization of a Wide-Neck Bifurcation Aneurysm Using a Modified Amplatzer Vascular Plug II with Distal Coil Packing.","authors":"Satoru Nagatomi, Daigo Kanamori, Hiroshi Yamamoto","doi":"10.1007/s00270-025-04030-w","DOIUrl":"10.1007/s00270-025-04030-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"718-721"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779232","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":"MR-Guided Laser Ablation in Desmoid Tumor Treatment: An Alternative Approach for Cases with Cold Hypersensitivity.","authors":"Setayesh Sotoudehnia, Scott M Thompson, Aiming Lu, Angela Bathke, Ali Ganjizadeh, Juna Musa, Daniel A Adamo, David A Woodrum","doi":"10.1007/s00270-025-03991-2","DOIUrl":"10.1007/s00270-025-03991-2","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"705-707"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584679","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":"Percutaneous Cryoablation of Non-small Cell Lung Cancer in Patients with Recurrence After Stereotactic Body Radiation Therapy.","authors":"Adam G Fish, Henry S Park, Elizabeth Knight, Christin A Knowlton, David C Madoff","doi":"10.1007/s00270-025-04002-0","DOIUrl":"10.1007/s00270-025-04002-0","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluate safety and efficacy of lung cancer cryoablation in patients with stereotactic body radiation therapy (SBRT) recurrence.</p><p><strong>Materials and methods: </strong>Between 9/2018 and 11/2023, all patients with non-small cell lung cancer (NSCLC) treated with lung cryoablation after SBRT recurrence were retrospectively identified. Histories of smoking, COPD, post-procedural pneumothorax, adverse events requiring immediate post-procedural hospitalization, and initiation/worsening of home oxygen requirements 3-6 months later were obtained. Technical success was defined as ability to envelope the targeted tumor with an ice-ball without premature cessation of the cryoablation protocol. Outcome measures included local control, local progression-free survival, and overall survival at 6 months, 1 year, 2 years, and 3 years.</p><p><strong>Results: </strong>29 patients with NSCLC recurrence after SBRT underwent percutaneous cryoablation with 35 treatment sessions. Mean lesion size and standard deviation was 2.8 ± 1.5 cm (Range, 1.0-7.4 cm). Pneumothorax and hospitalization rates were 44.4% (16/36) and 36.1% (14/36). The mean number of ablation probes was 2.5 ± 1.5 (Range, 1-6). Twenty-six patients had COPD (92.9%), of which 3.8% (1/26) had new or worsened home oxygen requirements. All (36/36) cryoablations achieved technical success. Local control, local progression-free survival, and overall survival were 100%/92.9%/92.9% at 6 months, 76.2%/70.8%/92.9% at 1 year, 64.9%/60.3%/62.3% at 2 years, and 31.5%/22.6%/35.4% at 3 years.</p><p><strong>Conclusion: </strong>Percutaneous cryoablation of non-small cell lung cancer may be a safe and effective treatment alternative for recurrence after SBRT without worsening pulmonary function.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"626-632"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604001","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":"Bolus-Tracked Biphasic Contrast-Enhanced CT Imaging Following Microwave Liver Ablation Improves Ablation Zone Conspicuity and Semi-automatic Segmentation Quality.","authors":"Louise Giansante, Ed McDonagh, Jodie Basso, Arafat Haris, Sajjan Kc, Samuel J Withey, Joshua Shur, Nicos Fotiadis, S Nahum Goldberg, Edward W Johnston","doi":"10.1007/s00270-024-03948-x","DOIUrl":"10.1007/s00270-024-03948-x","url":null,"abstract":"<p><strong>Purpose: </strong>Contrast-enhanced CT (CECT) may be performed immediately following microwave liver ablation for assessment of ablative margins. However, practices and protocols vary among institutions. Here, we compare a standardized bolus-tracked biphasic CECT protocol and compare this with a single venous phase fixed delay protocol for ablation zone (AZ) assessment.</p><p><strong>Methods: </strong>An institutional review board approved study performed at a specialist cancer centre. A prospective cohort of patients undergoing bolus-tracked biphasic imaging was compared with a retrospective cohort of patients who underwent fixed delay venous phase imaging. AZ conspicuity and segmentation quality were semi-quantitatively scored using Five-point Likert scales. Time between ablation and image acquisition was recorded for each AZ and was correlated to AZ conspicuity and segmentation quality.</p><p><strong>Results: </strong>Forty patients, median age 59 years (IQR 48-66 years), 24 men, underwent microwave ablation of 68 liver tumours. AZ conspicuity was higher in the bolus-tracked (n = 33) vs. fixed delay (n = 35) cohorts, 4.5 vs. 2.5, P < 0.0001. Commensurate segmentation quality was also higher, 5.0 vs. 3.0 respectively, P < 0.0001. Ordinal regression showed that image quality scores declined by 3-4% for each minute that passes after ablation, particularly for arterial phase images, where regression coefficients were - 0.04, P = 0.007, and -0.03, P = 0.012 for conspicuity and segmentation quality, respectively.</p><p><strong>Conclusion: </strong>Bolus-tracked biphasic contrast-enhanced CT protocols improve both conspicuity and semi-automatic segmentation quality of microwave liver ablation zones, particularly if imaged soon after ablation.</p><p><strong>Evidence-based medicine: </strong>Level 2b; exploratory prospective cohort study.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"643-652"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IR-GPT: AI Foundation Models to Optimize Interventional Radiology.","authors":"Jacqueline L Brenner, James T Anibal, Lindsey A Hazen, Miranda J Song, Hannah B Huth, Daguang Xu, Sheng Xu, Bradford J Wood","doi":"10.1007/s00270-024-03945-0","DOIUrl":"10.1007/s00270-024-03945-0","url":null,"abstract":"<p><p>Foundation artificial intelligence (AI) models are capable of complex tasks that involve text, medical images, and many other types of data, but have not yet been customized for procedural medicine. This report reviews prior work in deep learning related to interventional radiology (IR), identifying barriers to generalization and deployment at scale. Moreover, this report outlines the potential design of an \"IR-GPT\" foundation model to provide a unified platform for AI in IR, including data collection, annotation, and training methods-while also contextualizing challenges and highlighting potential downstream applications.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"585-592"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Durability of Tunneled Hemodialysis Catheters: Outcomes from a Single Institution 22-Year Experience.","authors":"Austin Zhang, Timothy Wi Clark, Scott O Trerotola","doi":"10.1007/s00270-024-03941-4","DOIUrl":"10.1007/s00270-024-03941-4","url":null,"abstract":"<p><strong>Purpose: </strong>To describe long-term physical durability of tunneled hemodialysis catheters, highlighted in the 2019 Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines as a specific area for future research.</p><p><strong>Materials and methods: </strong>Tunneled hemodialysis catheters with known outcomes and dwell times > 1 year were entered into this retrospective study. Data includes demographics, complications, catheter type, dwell time, reason for removal, access site, and placement via exchange or de novo. Catheter durability < 1 year dwell was analyzed as a secondary aim.</p><p><strong>Results: </strong>272 catheters in 229 patients were included. Dwell times ranged from 366 to 3,802 days (median 504), totaling 162,439 catheter days. 17 (6%) catheters > 1 year dwell had broken external components. For these, dwell times until breaking ranged from 377 to 1,436 days (median 489), totaling 10,434 catheter days. 5 had a broken hub, 11 had a broken clamp, and 1 had broken hub and clamp. 12 were Ash Split Cath (n = 240) and 5 were Arrow-Clark VectorFlow (n = 32). In the durability < 1 year sub-analysis, 6,515 catheters with dwell times < 1 year in 3,693 patients were included, totaling 425,018 catheter days. 48 were damaged, with 24 broken hubs, 17 broken clamps, and 7 holes. Median time to breakage was 110 days. 38 were Ash Split Cath (n = 5,636) and 10 Arrow-Clark VectorFlow (n = 812). In both analyses, breakage was limited to hubs, clamps, and extensions.</p><p><strong>Conclusions: </strong>Tunneled hemodialysis catheters are exceptionally durable, rarely requiring removal for hub-related issues after one year. Breakdown was not observed as a long-term durability issue. Further, broken external components can be replaced using external repair kits.</p><p><strong>Level of evidence: </strong>Level 2b, Retrospective Study.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"619-625"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy and Uterine Artery Embolisation: Myth Busted.","authors":"Warren Clements, Gerard S Goh, Matthew W Lukies","doi":"10.1007/s00270-024-03949-w","DOIUrl":"10.1007/s00270-024-03949-w","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"583-584"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881251","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":"Cryoneedle Artifacts During MRI-Guided Cryoablation: Sources and Potential Mitigation Strategies.","authors":"Kevin J Treb, David A Woodrum, Scott M Thompson, Daniel A Adamo, Krzysztof R Gorny, Aiming Lu","doi":"10.1007/s00270-025-04021-x","DOIUrl":"10.1007/s00270-025-04021-x","url":null,"abstract":"<p><strong>Purpose: </strong>Cryoneedle artifacts are frequently observed in MRI-guided cryoablations, and may obscure visualization of critical anatomy and compromise needle placement accuracy. This work experimentally investigated the contributing factors of these artifacts to identify effective mitigation strategies.</p><p><strong>Materials and methods: </strong>Ex vivo porcine tissue with inserted cryoneedles was imaged on a 1.5-Tesla MRI. Fast spin echo (FSE) and spoiled gradient echo (GRE) sequences with echo times from 1.04 to 60 ms and specific absorption rates (SARs) from 0.01 to 2.1 W/kg were used. During MRI, cryoneedle temperatures were monitored using fiber-optic sensors. Configurations with one to three cryoneedles oriented at 0-degree or 45-degree angles to the patient table were investigated. The body coil was used for transmit/receive, both with and without an additional receive-only surface loop coil. Artifact width and intensity were measured for analysis.</p><p><strong>Results: </strong>Cryoneedle artifact widths were unrelated to echo time for both FSE (p = 0.6) and GRE (p = 0.3) and were smaller in GRE than in FSE images (p << 0.05). Artifact widths correlated with cryoneedle temperature elevations (r² = 0.969, p << 0.05) but were not correlated with SAR (GRE: p = 0.3; FSE: p = 0.5). The artifact intensity with the cryoneedle oriented at 0 degrees increased with a greater number of cryoneedles in the tissue (p = 0.006), and when the surface loop coil was used (p = 0.008).</p><p><strong>Conclusion: </strong>Clinically observed cryoneedle artifacts compromising treatment efficacy can be indicative of tissue radiofrequency heating risk, and effectively mitigated by either using GRE-based sequences or adjusting coil/cryoneedle configurations.</p>","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"678-686"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802560","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":"Acceptability of Genicular Artery Embolization for the Treatment of Painful Knee Osteoarthritis: A Single-Center Experience.","authors":"Amaya K Smole, Dongmei Sun, Alison H Zhao, Benjamin J Swett, Yvonne M Shea, Sarah P Gottesman, Geoffrey Westrich, Michael Alexiades, Alejandro Gonzalez Della Valle, Sirish Kishore, Laura Yee, Caroline Reilly, Elizabeth TenBarge, Lisa A Mandl","doi":"10.1007/s00270-025-03978-z","DOIUrl":"10.1007/s00270-025-03978-z","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"702-704"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596233","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":"Letter to the Editor on ''Novel Application of A Shear-Thinning Conformable Embolic Gel for Occlusion of A Bronchobiliary Fistula''.","authors":"Ahmet Tanyeri","doi":"10.1007/s00270-025-04015-9","DOIUrl":"10.1007/s00270-025-04015-9","url":null,"abstract":"","PeriodicalId":9591,"journal":{"name":"CardioVascular and Interventional Radiology","volume":" ","pages":"715-717"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623562","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}