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 continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
21 results found
Article
Venous intravasation
Venous intravasation is the unintended introduction of radiographic contrast material into the local venous system. It is a well-recognized phenomenon during retrograde urethrograms 1,2 and hysterosalpingograms (HSG), although can occur with other invasive procedures in the vicinity of venous pl...
Article
Radiologically inserted gastrostomy (RIG)
A Radiologically inserted gastrostomy (RIG), or percutaneous radiological gastrostomy (RPG), is a procedure where a gastrostomy tube is inserted percutaneously into the stomach under fluoroscopic guidance, principally to provide nutritional support for patients with swallowing disorders 1. Gastr...
Article
Percutaneous endoscopic gastrostomy
Percutaneous endoscopic gastrostomy (PEG) is a procedure where a flexible feeding tube (commonly known as a PEG tube) is inserted through the abdominal wall and into the stomach via endoscopy. Alternatively a tube can be placed under radiological guidance, known as a radiologically inserted gast...
Article
Superior rectal artery embolization
Superior rectal artery embolization is a minimally invasive endovascular technique that has a role in the management of acute lower gastrointestinal bleeding and as a potential option for the treatment of symptomatic hemorrhoidal disease, this article will focus on the latter.
Procedure
Perfor...
Article
Balloon-occluded retrograde transvenous obliteration
Balloon-occluded retrograde transvenous obliteration (BRTO) is a technique used by interventional radiologists in the treatment of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts).
The technique is mor...
Article
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...
Article
Magnetic resonance cholangiopancreatography (MRCP)
Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive imaging technique to visualize the intra and extrahepatic biliary tree and pancreatic ductal system.
It can provide diagnostically-equivalent images to ERCP and is a useful technique in high risk patients to avoid significant ...
Article
Buried bumper syndrome
Buried bumper syndrome is a rare but important complication in patients with a percutaneous 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 complications tha...
Article
Celiac plexus block
Celiac 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 celiac plexus.
This usually includes patients with advanced cancers, especially from upper abdominal viscera, su...
Article
Splenic ultrasound
Splenic ultrasound is a non-invasive diagnostic imaging method that uses high-frequency sound waves to visualize and assess the size, shape, structure, and potential abnormalities of the spleen.
Indication
trauma: splenic injuries resulting from accidents, sports injuries, or any other form of...
Article
Barium swallow
Barium swallow is a dedicated test of the pharynx, esophagus, and proximal stomach, and may be performed as a single or double contrast study. The study is often "modified" to suit the history and symptoms of the individual patient, but it is often useful to evaluate the entire pathway from the ...
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 theater at the time of surgery. In difficult cases, inserti...
Article
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...
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 p...
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 u...
Article
Esophageal stent
Esophageal stents are a treatment option in patients with esophageal strictures. It is most commonly used for symptomatic relief in those with dysphagia secondary to malignancy. The stent is typically covered in nature and inserted endoscopically or fluoroscopically. The distal esophagus is the ...
Article
Esophageal varix
Esophageal varices describe dilated submucosal veins of the esophagus, and are an important portosystemic collateral pathway. They are considered distinct from gastric varices, which are less common.
Epidemiology
Esophageal varices are present in ~50% of patients with portal hypertension 1,2. ...
Article
Gastrointestinal stents
Gastrointestinal (GI) stents are increasingly used to treat obstruction of the GI tract, most commonly due to malignancy.
Types of stent
esophageal stent
gastric stent
duodenal stent
enteric stent
colorectal stent
History and etymology
Somewhat surprisingly the word 'stent' is actually a...
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
Z-track technique for paracentesis
The Z-track technique is used for paracentesis. It produces a non-linear track between the dermis and the peritoneum, and this serves to decrease the chance of ascitic fluid leakage through the track.
Procedure
Instead of directly sticking the access needle from the skin surface into the perit...
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