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.

124 results found
Article

Coronary Artery Disease - Reporting and Data System

Coronary Artery Disease - Reporting and Data System (CAD-RADSTM) classification is proposed by the Society for Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR), and the North American Society for Cardiovascular Imaging (NASCI), last updated in 2016. This recomm...
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Pulmonary artery catheter

Pulmonary artery catheters (or Swan-Ganz catheters) are balloon flotation catheters that can be inserted simply, quickly, with little training and without fluoroscopic guidance, at the bedside, even in the seriously ill patient. Historically they were widely used to measure right heart haemodyna...
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Hepatic venous pressure gradient

Hepatic venous pressure gradient measurement is a safe and minimally invasive method to indirectly measure portal vein pressure in chronic liver disease patients suspected of developing portal vein hypertension.  Indications diagnosis of liver fibrosis and risk stratification identification o...
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Percutaneous transhepatic biliary drainage

Percutaneous transhepatic biliary drainage is an interventional radiology procedure undertaken for those with biliary obstruction. It is almost exclusively performed in those with a malignant obstruction, such as cholangiocarcinoma, ampullary and pancreatic malignancies when retrograde access v...
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Portal vein embolisation

Portal vein embolisation (PVE) is a technique used to selectively occlude the blood supply to one of the liver lobes, diverting portal blood flow to the other lobe, the future liver remnant (FLR). This diversion will increase the size of the post hepatectomy future liver remnant (FLR) and increa...
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Facet joint injection

Facet (zygapophyseal) joint injections are one of the most frequently performed spinal interventional procedures, as both treatment for and diagnosis of radicular pain syndrome and facet syndrome. It can be performed under fluoroscopic, or CT image guidance and cervical, thoracic or most commonl...
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Femoral artery pseudoaneurysm

Femoral artery pseudoaneurysms are usually iatrogenic as the femoral artery is the vessel of choice for most endovascular arterial interventions. Pathology Aetiology iatrogenic anticoagulation therapy inadequate compression following endovascular intervention improper arterial puncture tec...
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Periprocedural anticoagulation

When planning an interventional procedure a patient’s coagulation status must be assessed and optimised to best balance the risk of bleeding and thrombosis. The following must be considered; bleeding risks associated with the procedure medications the patient is taking that alter coagulation o...
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Splenic trauma

Splenic trauma can occur after blunt or penetrating trauma or secondary to medical intervention (i.e. iatrogenic). The spleen is the most frequently injured internal organ after blunt trauma. Epidemiology In blunt trauma, the spleen can account for up to 49% of abdominal organ injuries 2. Cli...
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Urethrography

Urethrography refers to the radiographic study of the urethra using iodinated contrast media and is generally carried out in males.  Terminology When the urethra is studied with instillation of contrast into the distal/anterior urethra it has been referred to as retrograde urethrography (RUG)...
Article

Rotational vertebral artery occlusion syndrome

Rotational vertebral artery occlusion syndrome, also known as bow hunter's syndrome, is a rare form of vertebrobasilar insufficiency secondary to dynamic compression of the usually-dominant vertebral artery.  It has many predisposing aetiologies, but is most often due to large osteophytes, atla...
Article

May-Thurner syndrome

May-Thurner syndrome refers to a chronic compression of the left common iliac vein (CIV) against the lumbar vertebrae by the overlying right common iliac artery (CIA), with or without deep venous thrombosis 2. Although both left and right CIVs lie deep to the right common iliac artery, the left...
Article

Percutaneous cholecystostomy

Percutaneous cholecystostomy is an image-guided placement of drainage catheter into gallbladder lumen. This minimally invasive procedure can aid stabilisation of a patient to enable a more measured surgical approach with time for therapeutic planning. Indications poor surgical candidate/high r...
Article

Percutaneous nephrostomy

Percutaneous nephrostomy is a technique in which percutaneous access to the kidney is achieved under radiological guidance. The access is then often maintained with the use of an indwelling catheter. Indications urinary tract obstruction urinary diversion (e.g. ureteric injury; urine leak) a...
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Percutaneous transhepatic cholangiography

Percutaneous transhepatic cholangiography (PTC) is a radiographic technique employed in visualisation of the biliary tree and can be used as the first step in a number of percutaneous biliary interventions (e.g. percutaneous transhepatic biliary stent placement) Indications Purely diagnostic p...
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Percutaneous nephrostomy salvage and tube exchange

Percutaenous nephrostomy salvage and tube exchange are two procedures undertaken in those with long term nephrostomies. These patients are often either unsuitable or do not wish to have ureteric stenting to relieve their urinary tract obstruction. Nephrostomy salvage Nephrostomy salvage is und...
Article

Stereotactic breast biopsy

Breast biopsy is performed whenever it becomes necessary to characterise a breast lesion. This consists of the withdrawal and collection of cells (cytologic exam) or tissue fragments (histologic exam) and in the anatomical-pathological analysis of the sample tissue.  There are many different wa...
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Inferior vena cava filter

Inferior vena cava filter, or just IVC filter, is an endovascular device which is typically placed in the infrarenal inferior vena cava (IVC) to prevent pulmonary embolism in selected patients. This procedure is most often performed by interventional radiologists under fluoroscopic guidance. In...
Article

Cell block cytology

Cell block cytology is a technique used in cytopathology (in addition to smears) for evaluation of tissue from fine needle aspirations or fluid aspirations. Multiple different protocols exist for processing a cell block, but the fundamental principles are the same: fragmentary bits of tissue (...
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Ultrasound guided peripheral intravenous cannulation

Peripheral intravenous cannulation under ultrasound guidance is the placement of a cannula into a peripherally located vein under the direct vision of ultrasound. This process allows the cannulation of veins that are unable to be visualised or palpated without ultrasound. In trained individuals ...
Article

Percutaneous renal biopsy

Percutaneous renal biopsy, utilising either ultrasound or CT, allows for an accurate, reliable method of acquiring renal tissue for histopathological assessment. The biopsy may be of a native or transplant kidney. It is divided into two types: non-focal or non-targeted focal or targeted (i.e....
Article

Thoracentesis

Thoracentesis, commonly known as a pleural tap or chest tap, is a procedure where excess pleural fluid is drained from the pleural space for diagnostic and/or therapeutic reasons. Ultrasound-guided thoracentesis performed by radiologists has been shown to have fewer complications than blind thor...
Article

Percutaneous nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is a surgical procedure for the extraction of large renal calculi. It is usually performed in the operating theatre either by a urologist or combined urologist-radiologist team. Indication PCNL is used to destroy and remove renal calculi, typically over 2 cm...
Article

Nephrostomy

Nephrostomy is a common urologic or interventional radiology procedure in which a tube/catheter is introduced into the renal collecting system (usually the renal pelvis). Nephrostomies can either be "open" nephrostomy: after a urological surgical procedure, such as a UPJ stone removal these t...
Article

Percutaneous endoscopic gastrostomy

Percutaneous endoscopic gastrostomy (PEG) is a procedure where a is a flexible feeding tube (commonly known as a PEG tube) is inserted through the abdominal wall and into the stomach. This may be placed under endoscopic or radiological guidance, in the latter, the procedure may be known as a per...
Article

Ultrasound guided breast biopsy

Ultrasound guided percutaneous breast biopsy is a widely used technique for an accurate histopathological assessment of suspected breast pathology. It is a fast, safe and economical procedure. Indications Ultrasound guidance is limited to lesions visible on ultrasound study, such as:  BIRADS ...
Article

Fine needle aspiration (FNA)

Fine needle aspiration (FNA) is a type of minimally-invasive tissue sampling. It often uses ultrasound as a targeting instrument, although CT, and even MRI or fluoroscopy could potentially be used, depending on the situation. Imaging guidance is particularly useful when sampling deep or diffuse ...
Article

Gene expression classifier

A gene expression classifier (GEC) test is a developing technology in the analysis of indeterminate thyroid nodules, using cells from a fine needle aspiration. The most common commercially available GEC in the United States is known as AFIRMA. The test is designed to use molecular markers to he...
Article

Radiofrequency ablation

Radiofrequency ablation (RFA) is a medical procedure that uses a high-frequency alternating current produced by a radiofrequency generator oscillating in a closed loop circuit. This current heats a needle to over 60°C, which is used to cause intentional protein denaturation and tissue damage 1. ...
Article

CT guided percutaneous drainage

CT guided percutaneous drainage is one form of image-guided drainage, allowing minimally invasive treatment of collections, potentially anywhere in the body. Although less commonly used than ultrasound guidance, it is particularly valuable in gaining access to deeper or more posterior parts of t...
Article

Transjugular intrahepatic portosystemic shunt

Transjugular intrahepatic portosystemic shunt (TIPS) is a treatment for portal hypertension in which direct communication is formed between a hepatic vein and a branch of the portal vein, thus allowing some proportion of portal flow to bypass the liver. The target portosystemic gradient after TI...
Article

CT guided thoracic biopsy

CT guided thoracic biopsy is usually performed for the diagnosis of suspicious lung, pleural or mediastinal lesions. It can be performed as an outpatient where patient monitoring and complications support are available.  A small percentage of lung and pleural biopsies may be performed under ultr...
Article

Ultrasound guided biopsy

Ultrasound guided biopsy is one form of image guided biopsy, typically performed by a radiologist.  It is the most common form of image guided biopsy, offering convenience and real time dynamic observation with echogenic markers on cannulae allowing for precise placement. It can potentially be ...
Article

Transjugular renal biopsy

Transjugular renal biopsy can be performed to obtain an adequate tissue sample for histopathologic diagnosis on renal dysfunctions. It is usually performed in high-risk patients in whom percutaneous renal biopsy is not feasible or is contraindicated. This is also useful in morbidly obese patient...
Article

Glenohumeral joint hydrodilatation

Glenohumeral joint (shoulder) hydrodilatation or tension arthrography is an established treatment for adhesive capsulitis of the shoulder (frozen shoulder) and can be performed using a variety of modalities.  Indications adhesive capsulitis of the shoulder Contraindications anticoagulation/c...
Article

Glenohumeral arthrography

Glenohumeral (shoulder) arthrography is an imaging technique used to evaluate the glenohumeral joint to evaluate the joint components. A glenohumeral joint injection is usually performed under fluoroscopic guidance although ultrasound 1 and CT can be also be used. An alternative to direct arthro...
Article

Shoulder injection (disambiguation)

Shoulder injection is a general term, especially for the patient, for a variety of procedures including: acromioclavicular joint injection glenohumeral joint injection glenohumeral (shoulder) arthrography glenohumeral (shoulder) hydrodilatation long head of biceps tendon sheath injection s...
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Glenohumeral joint injection (technique)

Glenohumeral joint injections (often referred to as shoulder injections ) are performed as part of a number of therapeutic and imaging procedures using a variety of approaches and modalities. The underlying principles shared by all techniques are to avoid damage to the glenoid labrum, long head ...
Article

Subacromial bursal injection

Subacromial corticosteroid injection is reserved for patients with no response to initial treatment with impingement syndrome, subacromial bursitis and/or rotator cuff disorders. Nonsteroidal anti-inflammatory drugs (NSAIDs) and activity modification are the initial treatments to reduce the pain...
Article

Resuscitative endovascular balloon occlusion of the aorta

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a recently developed treatment for haemorrhagic shock used in major trauma patients with life-threatening abdominal or lower limb bleeding.  The aortic balloon is delivered on a catheter via the femoral artery in order to redu...
Article

T tube cholangiogram

T-tube cholangiograms are a fluroscopic study performed in the setting of hepatobiliary disease.  This technique has been largely superseded by MRCP and ERCP. Typically a T-shaped tube is left in the common bile duct at the time of surgery (e.g. cholecystectomy) and allows for exploration of th...
Article

Post thrombotic syndrome

Post thrombotic syndrome (PTS) is a syndrome of chronic venous insufficiency following deep vein thrombosis (DVT) due to valvular incompetence, which results in chronic reflux and chronic venous hypertension. Epidemiology PTS is a common complication following extensive DVT of the limbs. Up to...
Article

Pinch off syndrome

Pinch-off syndrome is a spontaneous catheter fracture, which is seen as a complication of subclavian venous catheterisation. Epidemiology It is a known complication of central venous catheterisation with a much-reduced incidence in current practice and is generally considered to be rare. Radi...
Article

Antonio Egas Moniz

Antonio Egas Moniz (1874-1955) 1 was a pioneering Portuguese neurologist that is notable in radiology history for his development of cerebral angiography in 1927. He is also known as the developer of prefrontal leucotomy (now better known as a lobotomy) ​for which he received a Nobel Prize in 1...
Article

Charles T Dotter

Charles T Dotter (1920-1985) is often considered the father of interventional radiology who in 1964 performed the very first peripheral angioplasty, and made many other major contributions in this field. Early life Charles Theodore Dotter was born in Boston on 14th June 1920. He graduated with...
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Persistent communications between the carotid and vertebrobasilar arteries (mnemonic)

A mnemonic to recall the persistent communications between the anterior (carotid) and posterior (vertebrobasilar) systems is: HOT Pepper Knowledge of these anatomical variants is important to avoid confusion with pathology and to prevent inadvertent injury during surgery. Mnemonic H: hypoglo...
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Ureteric stent

Ureteric stents, also known as double J stents or retrograde ureteric stents, is a urological catheter that has two "J-shaped" (curled) ends, where one is anchored in the renal pelvis and the other inside the bladder. Stents are used for the free passage of urine from the kidney to the bladder,...
Article

Hickman catheter

Hickman catheters (or Hickman lines) are a type of tunnelled central venous access device. Indications chemotherapy administration 2 parenteral nutrition 2 long-term parenteral antibiotic administration 2 Complications Insertion arrhythmia (most common) 1 arterial injury kinking pneumo...
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Peripherally inserted central catheters

Peripherally inserted central catheters (PICC), often incorrectly termed PICC lines, are a type of central venous catheter predominantly used amongst oncology patients and those with chronic diseases (e.g. cystic fibrosis). They offer the ability to have long-term central venous access without ...
Article

Intercostal catheter

The intercostal catheter (ICC or chest tube) is a tube inserted into the pleural space to drain gas or fluid. It is mainly inserted to treat pneumothorax. Indication The indications are wide and can include 1: pneumothorax chest trauma pleural effusion haemothorax chylothorax bronchopleu...
Article

Infusothorax

Infusothorax is a complication of central venous catheter malposition where the catheter tip is located in the pleural space and the infusion of the fluid collects inadvertantly in the pleural space in the form of a pleural effusion. Longer term complications depend on the fluid being infused.
Article

CT cisternography

Computed tomography (CT) cisternography is an imaging technique used to diagnose CSF rhinorrhoea or CSF otorrhoea (CSF leaks), as CT allows the assessment of the bones of the base of skull.  Procedure pre-contrast CT is performed with thin slices 3-10 mL of an iodinated non-ionic low-osmolar ...
Article

Ultrasound-guided spinal anaesthesia

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

Seldinger technique

The Seldinger technique is the mainstay of vascular and other luminal access in interventional radiology.  History The Seldinger technique was first described in 1953 by Sven-Ivar Seldinger (1921-1998), a pioneering Swedish interventional radiologist. Prior to this procedure, sharp large-bore ...
Article

Catheter-directed thrombolysis

Catheter-directed thrombolysis (CDT) is an endovascular approach to the treatment of acute iliofemoral deep vein thrombosis. It involves the administration of a lytic agent directly into a thrombus.  Indications precise diagnosis of iliofemoral deep vein thrombosis  first episode of acute ili...
Article

Needle gauge system

The needle gauge system, often called just the Gauge or G, is an internationally-used scale for sizing needles. It was adopted from pre-existing gauges which were used in industry to size metal wire. In contradistinction to the French scale, the other well-known sizing system, which is a metric...
Article

Retroaortic left renal vein

Retroaortic left renal vein (RLRV) is a normal anatomical variant where the left renal vein is located between the aorta and the vertebra, and drains into the inferior vena cava. Its recognition is important in order to avoid complications during retroperitoneal surgery or interventional proced...
Article

Onyx

OnyxTM is the trade name for a liquid embolic agent used in interventional radiology for the occlusion of blood vessels in embolisation therapy. It is an elastic copolymer (ethylene vinyl alcohol copolymer (EVOH)), dissolved in dimethyl-sulfoxide (DMSO). Micronised tantalum powder is also added ...
Article

Woggle technique (interventional procedure)

The Woggle technique is the purse-string suture modified using to close a puncture site after a percutaneous procedure. Techniques common to all procedure include: a purse-string suture is done around the introducer sheath (the short plastic tube placed within a vein or artery) cut the needle...
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French gauge

The French gauge (Fr) (also known as the French scale or system) is used to size catheters, and other instruments, in interventional radiology and surgery. In some parts of the world, the Charrière (Ch) is used as the name of the unit, in honour of its inventor.  French sizing The French syste...
Article

Coeliac plexus block

Coeliac plexus block under image guidance is an easy and safe percutaneous procedure with good outcomes for pain palliation in patients who have chronic abdominal pain related to the coeliac ganglia.  This usually includes patients with advanced cancers, especially from upper abdominal viscera,...
Article

Abdominal paracentesis

Abdominal paracentesis, more commonly referred to as an ascitic tap, is a procedure that can be performed to collect peritoneal fluid for analysis or as a therapeutic intervention. Indications diagnostic: especially for newly diagnosed ascites determine aetiology of ascites assess for bacter...
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Endoscopic retrograde cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and interventional procedure technique using both endoscopy and fluoroscopy for examination and intervention of the biliary tree and pancreatic ducts. It is typically performed by doctors with endoscopic qualifications (e.g. g...
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Left paramediastinal catheter position (differential)

When a central venous catheter that is supposed to project over the superior vena cava is abnormally located to the left of the mediastinum a limited differential of left paramediastinal catheter position should be considered 1: located within a vein left sided superior vena cava left interna...
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Fractional flow reserve

Fractional flow reserve (FFR) is a technique to evaluate the haemodynamic relevance of coronary artery stenoses 1,2,. It is defined as "the ratio of maximal flow achievable in the stenotic coronary artery to the maximal flow achievable in the same coronary artery if it was normal" 1 . FFR has b...
Article

Magnetic resonance cholangiopancreatography

Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive imaging technique to visualize intra and extrahepatic biliary tree and pancreatic ductal system. It can provide the diagnostic range equivalent to the ERCP and so it can replace the ERCP in high risk patient to avoid significa...
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...
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Sven-Ivar Seldinger

Sven-Ivar Seldinger (1921-1998) is primarily remembered for the invention of his revolutionary technique.  Early life Sven-Ivar Seldinger was born in Mora, Dalarna, Sweden on 19th April 1921 5. He attended medical school at the Karolinska Institute in Stockholm graduating in 1948. His training...
Article

O'Kelly-Marotta grading scale

The O'Kelly-Marotta (OKM) grading scale is a proposed method of assessing the degree of angiographic filling and contrast stasis in the setting of intracranial aneurysms treated by endovascular flow diversion. Taking into account the dynamic nature of the contrast stasis, it is designed for use ...
Article

Transcatheter arterial chemoembolisation

Transarterial chemoembolisation therapy (TACE) is a localised method of administrating chemotherapy directly to a liver tumour via a catheter study. Transarterial embolisation (TAE) (i.e. without a chemotherapy agent added) is also used, and there is evidence that this may be just as effective ...
Article

Mechanical thrombectomy for acute ischaemic stroke

Mechanical thrombectomy for acute ischaemic stroke is the endovascular retrieval of clots obstructing large intracranial vessels in acute ischaemic stroke patients. History In 2015, multiple randomized controlled trials showed improved clinical outcome in patients with acute stroke due to larg...
Article

Double lumen cannula for VV ECMO

The double lumen cannula enables veno-venous extracorporeal membrane oxygenation (VV ECMO) to patients with severe respiratory failure. It is often used as a bridge to lung transplant.  The cannulation is usually performed via the right jugular vein. This position allows the patients to stay aw...
Article

Endovascular aneurysm repair

Endovascular aneurysm repair (EVAR) was first pioneered in the early 1990s. Since then technology of the devices has rapidly progressed and EVAR is now widely used as treatment of thoracic and abdominal aortic aneurysms (AAA). The advantages of endovascular repair over open repair are that they...
Article

Buried bumper syndrome

Buried bumper syndrome (BBS) is a rare but important complication in patients with percutaneous endoscopic gastrostomy (PEG) tube, occurring by migration of the internal bumper along its track. The tube may get lodged anywhere between the gastric wall and the skin and lead to life-threatening co...
Article

Prostatic artery embolisation

Prostatic artery embolisation (PAE) is a minimally invasive procedure option utilised to treat the benign prostatic hyperplasia (BPH).  Indications PAE has been used for controlling prostatic haemorrhage (such as those associated prostate cancer) since 1970. However, its use in the treatment o...
Article

Flow-diverter stent

Flow-diverter stents are relatively new and important devices in the management of intracranial aneurysms, especially ones that are large, broad-necked or fusiform.  Complications In a multi-centre study in Italy, Briganti et al. reported an overall morbidity rate of 3.7% and a mortality rate ...
Article

Sialography

Sialography is the imaging of the salivary glands, most commonly the parotid gland. The salivary ducts are conventionally examined fluoroscopically with high sensitivity, though cross-sectional imaging with CT or MR sialography has also been described. Indications suspected sialolithiasis or s...
Article

Central venous catheter

Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by medical, surgical, anaesthetic/ITU, or radiology specialists. Classification peripherally inserted central catheters (PI...
Article

Patient safety checklist (interventional radiology)

Patient safety has been defined as the absence of preventable harm to a patient during the process of healthcare. Patient safety checklists have been developed by interventional radiologists to govern patient safety and they are useful for the practitioner to keep in mind to ensure every patient...
Article

Liver and biliary interventional procedures

There is a wide range of liver and biliary interventional procedures, both diagnostic and therapeutic, most commonly using CT-guidance or ultrasound-guidance.   Percutaneous transhepatic biliary interventions percutaneous transhepatic cholangiography (PTC) percutaneous transhepatic biliary dr...
Article

Type III endoleak

A type III endoleak is a type of endoleak which usually occurs through a defect in the graft. It may be divided into two components.  IIIa: junctional separation of the modular components IIIb: fractures or holes involving the endograft Epidemiology It is relatively uncommon and only occurs ...
Article

Endoleak

Endoleaks are characterised by persistent blood flow within the aneurysm sac following endovascular aneurysm repair (EVAR). Normally the aortic stent-graft used for EVAR excludes the aneurysm from the circulation by providing a conduit for blood to bypass the sac. Epidemiology An endoleak is a...
Article

Endovascular aneurysm sealing system (EVAS)

Endovascular aneurysm sealing system (EVAS) was developed with the intention to expand beyond the anatomic limitations of endovascular aneurysm repair (EVAR) devices, as well as to decrease the rates of re-intervention secondary to graft migration and type II endoleaks. EVAS was designed by End...
Article

Intra-aortic balloon pump

Intra-aortic balloon pumps (IABP) are used in the intensive care setting to provide haemodynamic assistance to patients in cardiogenic shock. Function and physiology The device is comprised of a catheter introduced via the femoral artery, which extends retrogradely to the proximal descending t...
Article

TIPS evaluation

TIPS evaluation is useful to ensure that the shunt is working properly and that no stenosis has occurred within the stent. Ultrasound is often used as a first-line modality. Radiographic features Ultrasound The normal TIPS should show colour Doppler flow throughout its length. The in-stent ve...
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 strengthening of the bone of vertebrae weakened by disease. Indications It can be used as ...
Article

Sniff test

The fluoroscopic sniff test, also known as diaphragm fluoroscopy, is a quick and easy real time fluoroscopic assessment of diaphragmatic motor function (excursion). It is used most often to confirm absence of muscular contraction of the diaphragm during inspiration in patients with phrenic nerve...
Article

Breast core biopsy

The percutaneous breast biopsy is one of the current choices for focal histopathological assessment of breast lesions. In contrast to fine needle aspiration, during a core needle biopsy, a hollow needle is used to withdraw small cores of tissue from the area of interest in the breast.  This pro...
Article

Ultrasound guided percutaneous drainage

Ultrasound guided percutaneous drainage is one form of image guided procedure, allowing minimally invasive treatment of collections that are accessible by ultrasound study. It has several advantages and disadvantages over CT, which include: Advantages is a dynamic study, allowing greater prec...
Article

Urethral clamps

Various radiological and surgical instruments, including urethral clamps, have been developed to try to improve retrograde/ascending urethrogram (RUG/ASU) and voiding cystourethrogram (VCUG) technique in males. These are very rarely (if ever) used anymore. Brodny clamp This device has a metall...
Article

Adrenal vein sampling

Adrenal vein sampling (AVS) is a procedure where blood is collected from the adrenal veins via catheter to confirm autonomous hormone production, if it is unilateral or bilateral, and to guide further treatment. Indication AVS is commonly performed in primary aldosteronism, being indicated to ...
Article

Fluoroscopic nasojejunal tube insertion

Fluoroscopic nasojejunal (NJT) or nasogastric tube (NGT) insertion is a valuable procedure offered by radiologists in patient care. The majority of nasogastric tubes are inserted on the ward level and nasojejunal tubes may be placed in theatre at the time of surgery. In difficult cases, inserti...
Article

Watchman device

Watchman device is a permanent left atrial appendage closure device, which is percutaneously implanted to prevent embolisation of thrombus from the appendage into the systemic circulation in cases atrial fibrillation. It is used when there is contraindication to anticoagulation or high risk of l...

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