Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

12 results found
Article

Superior hypogastric nerve block

Superior hypogastric nerve block is a valuable tool for pain relief in the setting of uterine fibroid embolization. This procedure results in significant ischemic pain, peaking at 6-8 hours and lasting approximately 24 hours, then followed by a lesser degree of post-embolization pain which can l...
Article

Lumbar puncture

Lumbar puncture is a commonly-performed hospital procedure in which a needle is inserted through the back to the subarachnoid space in the spinal canal often to collect some cerebrospinal fluid or inject a therapeutic agent. The procedure can be performed under imaging-guidance, e.g. fluoroscopy...
Article

Ultrasound-guided spinal anesthesia

With the growing incidence of obesity in the western world, ultrasound-guided anesthesia is becoming more common. Spinal anesthesia is traditionally administered by identifying relevant surface anatomy and imaging is rarely used for pre-procedural identification of structures.  Indications low...
Article

Epidural blood patch

Epidural blood patch is a treatment option for patients with craniospinal hypotension or post-lumbar puncture headaches. The procedure can be done blind or under fluoroscopic or CT guidance, and is performed predominantly by radiologists and anesthesiologists.  Indications craniospinal hypoten...
Article

Fluoroscopy guided lumbar puncture

Fluoroscopy-guided lumbar puncture (LP) is a minimally invasive, image-guided diagnostic and therapeutic procedure that involves the removal of a small volume of cerebrospinal fluid (CSF) from, or an injection of medication or other substance (e.g. radiotracer, chemotherapy agents) into the lumb...
Article

Cervical interlaminar epidural steroid injection

Cervical interlaminar epidural steroid injections (ILESIs) are used to inject steroids in the epidural space and around the exiting nerve roots and are one of the two main spinal epidural injections; the other cervical transforaminal epidural injections.  Indications Typically performed in pat...
Article

Lumbar interlaminar epidural injection

Lumbar interlaminar epidural injections are one of some possible spinal epidural injections. For an alternative approach for the same region, please refer to the article on lumbar transforaminal epidural injections.  Indications Typically, epidural injections are performed in patients with rad...
Article

Caudal epidural injection

Caudal epidural injections, or sacral hiatus epidural injections, are one of several possible spinal epidural injections.  Indications Typically, epidural injections are performed in patients who are currently not surgical candidates. The caudal injection can be performed when patients are on ...
Article

Vertebroplasty

Vertebroplasty is an imaging-guided procedure which entails percutaneous injection of surgical polymethylmethacrylate (PMMA) cement into a diseased vertebral body. Vertebroplasty provides pain relief and strengthens the bone of vertebrae weakened by disease. Indications It can be used as a tre...
Article

Transforaminal epidural steroid injection

Transforaminal epidural steroid injections (TFESI), also known as transforaminal nerve root injections or nerve root blocks, are performed for the treatment and diagnosis of radicular pain. They differ from selective nerve root blocks (SNRB), as the aim is to get an "epidural spill" and get the ...
Article

Spinal epidural injection

Epidural spinal injections are one of the more frequently performed spinal interventional procedures. Three approaches to the epidural space exist:​ caudal epidural injection (via the sacral hiatus) interlaminar epidural injection cervical interlaminar epidural injection lumbar interlaminar ...
Article

Facet joint injection

Facet (zygapophyseal) joint injections are performed primarily for the diagnosis and differentiation of facet syndrome and radicular pain syndrome, and are one of the spinal interventional procedures. They can be performed under fluoroscopic, or CT image guidance, and cervical, thoracic or most ...

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