Articles

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More than 200 results
Article

CT guided adrenal biopsy

CT guided adrenal biopsy is usually performed for the diagnosis of indeterminate adrenal nodules or tumors. This procedure has steadily declined in use since 1990s due to improvements in, and validation of, non-invasive CT and MR techniques that can now diagnose benign adrenal lesions with a hig...
Article

Pinch off syndrome

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

Basilar artery aneurysms are less common than anterior circulation aneurysms, and rupture less frequently, but their critical location necessitates careful evaluation.  Unruptured basilar artery aneurysms occurs in 3% of all intracranial aneurysms 4. Radiographic features CT may present as a...
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Symphyseal cleft injection

Symphyseal cleft injections (symphysography) are performed as both diagnostic and therapeutic measures for patients with (suspected) osteitis pubis, usually under CT or fluoroscopy.  Indications suspected or confirmed osteitis pubis Contraindications factors to be considered as per any muscu...
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Hepatic chemosaturation

Hepatic chemosaturation is a percutaneous technique used to locally treat unresectable hepatic metastases in patients without systemic disease. Technique The key to this technique is isolating the blood supply to the liver. This is achieved by: closure of the gastro-duodenal artery by coiling...
Article

Radiologist

What is a radiologist? A radiologist is a specialist doctor who uses medical imaging such as x-ray, MRI, CT, ultrasound and angiography, to diagnose and treat human disease or injury. Radiologists undergo lengthy training and assessment in order to be accredited by relevant governing boards and...
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Multiphase CT angiography in acute ischemic stroke

Multiphase CT angiography is an evolving imaging technique in acute ischemic stroke. The technique aims to quickly and reliably identify brain which is potentially salvageable with intervention. Brain tissue viability depends on many factors, with this technique assessing collateral leptomeninge...
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

Periprocedural anticoagulation

Periprocedural anticoagulation planning is essential when planning an interventional procedure so that the best balance between the risk of bleeding and thrombosis can be achieved. The following must be considered in the assessment of periprocedural anticoagulation: bleeding risks associated w...
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Subtalar joint injection (technique)

Subtalar joint injections are most often performed for osteoarthritis with injection into the posterior subtalar joint.  Ultrasound, fluoroscopy and CT guidance can be used. Indications osteoarthritis diagnostic Contraindications Absolute anaphylaxis to contrast/injectates active local/sy...
Article

Preoperative pulmonary nodule localization

Preoperative pulmonary nodule localization is a CT-guided procedure where a marker is applied to a usually small lung lesion to assist in its surgical identification and resection. The widespread use of video-assisted thoracic surgery (VATS) and the advance in robotically assisted surgical inter...
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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 and CT can be also be used. An alternative to direct arthrogr...
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Carbon dioxide angiography

Carbon dioxide (CO2) is an excellent negative contrast agent which has been used for a variety of vascular interventions since the introduction of digital subtraction angiography. Small volumes can be rapidly eliminated by the lungs in a single pass, facilitating safe usage for certain vascular ...
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

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

Seldinger technique

The Seldinger technique is the mainstay of vascular and other luminal access in interventional radiology.  Uses digital subtraction angiography insertion of central venous catheters insertion of chest drains insertion of pacemaker leads or implantable cardioverter-defibrillators insertion ...
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Arteriovenous access

Arteriovenous access is required for haemodialysis in renal failure patients. The upper limb is generally preferred as a site, however, lower limb access can also be obtained. Ultrasound is the preferred modality for evaluation of the vessels prior to creating an access. Types arteriovenous fi...
Article

Percutaneous renal biopsy

Percutaneous renal biopsy, utilizing 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

Abdominal paracentesis

An abdominal paracentesis (plural: paracenteses), 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 etiology of a...
Article

Greater trochanteric bursa injection (technique)

Greater femoral trochanteric bursa injections under ultrasound guidance ensure the injectate is accurately given into the bursa. The greater trochanteric bursa is the largest of the bursae surrounding the proximal femur, with the others including the subgluteus minimus and subgluteus medius burs...

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