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Category Interventional Radiology
Intraarterial procedures for the musculoskeletal system
Key points Intraarterial procedures are useful for pain palliation, local disease control and as an adjunct to a planned surgical intervention. Meticulous angiographic technique and careful monitoring of the patient’s neurologic status is essential for preventing complications during embolization of…
Vertebroplasty and kyphoplasty in malignant vertebral fracture
Key points Vertebroplasty and kyphoplasty are mainly used for pain relief. Tumor dissemination is an unknown factor in these techniques. Locoregional tumor control can be effective when combined with other techniques. Excessive vertebral destruction might need additional support by other…
Ablation of musculoskeletal metastatic lesions including cementoplasty
Key points Percutaneous ablation of bone and soft tissue metastases may be performed for palliation of pain, prevention of complications due to progressive disease, and local disease control in nonsurgical patients. Patients treated for palliation of painful metastases should have…
Musculoskeletal interventions for benign bone lesions
Key points Radiofrequency ablation is now the standard of care for the treatment of osteoid osteoma. Surgical treatments carry significant morbidity and recovery times. Improved image guidance techniques drive the increased use of ablation options in treatment of benign bone…
Percutaneous musculoskeletal biopsy
Key points Percutaneous musculoskeletal biopsy planning should involve multidisciplinary collaboration Recognize common “pseudotumors” and “don’t-touch lesions” A solitary bone lesion of unknown etiology is a primary tumor until proven otherwise Perform the biopsy with imaging modality that best demonstrates the…
Metastatic disease
Key points Interventional management of thoracic metastases involves careful consideration not only of parenchymal lesions, but also pleural and chest wall disease. Management of parenchymal metastases is similar to that of primary neoplasms, with the same technical considerations applying. Malignant…
Primary lung carcinoma
Key points Thermal ablation is a proven method for treatment of early-stage non–small cell lung carcinoma for patients who are medically inoperable. Basic approaches to lung biopsy and ablation are similar. The risks of lung intervention include pneumothorax, hemorrhage, and…
Head: Intracranial – gliomas, and meningiomas and extracranial – orbits, internal auditory canals, and skull base
Primary central nervous system tumors constitute a relatively rare, but significant, fatal health problem in the United States and the rest of the world. Every year in the United States approximately 44,000 new primary brain tumors are diagnosed, or 14…
Transcatheter chemotherapy for malignancies in the brain, head, and neck
Introduction Intraarterial chemotherapy has long been investigated as a potentially superior treatment modality for tumors of the cervicocephalic, thoracic and abdominopelvic regions, and the limbs. Tumors of the brain, head, and neck have attracted the most attention for several reasons.…