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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.

163 results found
Article

Endovascular clot retrieval (ECR)

Endovascular clot retrieval (ECR), also known as mechanical thrombectomy (MT) or endovascular thrombectomy (EVT), is increasingly performed in patients presenting with large vessel occlusion (LVO), especially those with a large ischemic penumbra that is likely to progress to ischemic stroke. To ...
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

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

Endovascular arteriovenous fistula creation

Endovascular arteriovenous fistula creation is a minimally invasive alternative for the creation of arteriovenous fistulae for haemodialysis access. Technique Catheter-based technology and image guidance in the form of ultrasound and fluoroscopy is utilized create a side-to-side anastomosis be...
Article

Splenic artery embolization

Splenic artery embolization is an endovascular technique for treatment of splenic and splenic artery pathology as an alternative to splenic artery ligation or splenectomy. It often results in successfully treating the underlying pathology, while maintaining at least partial splenic function.  I...
Article

Hip joint injection (technique)

Hip joint injections can be performed with a variety of image guidance, including fluoroscopy and ultrasound, which are used to administer MRI arthrogram injectate, or a steroid containing anesthetic arthrogram injectate.   Indications MRI: labral injury anesthetic pain/arthropathy, e.g. ost...
Article

MR arthrogram solution

MR arthrogram solution is a gadolinium-containing mixture injected into a joint for MR arthrography.  Terminology Fluoroscopy, ultrasound or CT guidance can be used to cannulate a joint, which is then injected with the MR arthrogram solution.  MR arthrogram solutions differ in different instit...
Article

Flow-diverter stent

Flow-diverter stents are important devices in the management of intracranial aneurysms in both acute and elective settings, especially ones that are large, broad-necked, or fusiform. Complications Understanding the complication rates is important in obtaining informed consent from patients. In...
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

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

Percutaneous cholecystostomy

Percutaneous cholecystostomy is the image-guided placement of a drainage catheter into the gallbladder lumen. This minimally invasive procedure can aid in patient stabilization in order to enable a more measured surgical approach with time for therapeutic planning. A 2018 study demonstrated no ...
Article

Thoracic duct embolization

Thoracic duct embolization (TDE) is a safe, efficacious treatment for chylothorax 1. Chylothoraces with a low drain output (<1L/day) are traditionally managed conservatively with dietary change, whilst high output (>1L/d) are managed with surgical thoracic duct (TD) ligation 2. Thoracic duct em...
Article

CT myelography

CT myelography (CTM) is a myelography technique used mainly to assess for potential spinal canal stenosis when MRI is contraindicated or when dynamic imaging is required. History CT myelography was first performed in 1976 2 and became the gold standard for imaging the spinal canal and cord unt...
Article

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

Quadratus femoris injection (technique)

Quadratus femoris injections under image guidance ensure precise delivery of an injectate into the quadratus femoris muscle and ensure the sciatic nerve is avoided during the procedure.  CT and ultrasound can be used, with ultrasound becoming more challenging in those with larger body habitus. ...
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 14 June 1920. He graduated with a...
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

Rotator cuff calcific tendinitis barbotage

Rotator cuff calcific tendonitis can be treated with various techniques including ultrasound-guided barbotage, which is also known as ultrasound-guided needling and lavage. It is often performed in conjunction with a subacromial bursal injection. Alternative treatments include extracorporeal sho...
Article

Polyvinyl alcohol (PVA)

Polyvinyl alcohol (PVA) particles are type of permanent embolization agent used in interventional radiological procedures. Mechanism of action When injected, PVA particles adhere ot the vessel wall, activating the coagulation cascade and leading to vessel occlusion by provoking thrombus format...

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