دورية أكاديمية
أعرض في EDS

Image guidance in osteoplasty and fixation.

التفاصيل البيبلوغرافية
العنوان: Image guidance in osteoplasty and fixation.
المؤلفون: Key BM; Department of Radiology, Medical College of Wisconsin, Milwaukee, WI., Scheidt MJ; Department of Radiology, Medical College of Wisconsin, Milwaukee, WI., Wooldridge AN; Department of Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, WI., Sag AA; Department of Radiology, Duke University School of Medicine, Durham, NC., Tutton SM; Department of Radiology, Orthopedic Surgery, and Palliative Medicine, Medical College of Wisconsin, Milwaukee, WI; Department of Radiology, UCSD Health, La Jolla, CA. Electronic address: stutton@health.ucsd.edu.
المصدر: Techniques in vascular and interventional radiology [Tech Vasc Interv Radiol] 2022 Mar; Vol. 25 (1), pp. 100798. Date of Electronic Publication: 2022 Jan 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9806675 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9808 (Electronic) Linking ISSN: 15579808 NLM ISO Abbreviation: Tech Vasc Interv Radiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : W.B. Saunders, c1998-
مواضيع طبية MeSH: Bone Neoplasms*/diagnostic imaging , Bone Neoplasms*/secondary, Neoplasms/*pathology, Cone-Beam Computed Tomography/methods ; Humans ; Pain Management ; Treatment Outcome
مستخلص: Oncology patients, particularly those with breast, colorectal, prostate, renal and pancreatic cancers, are living longer due to advances in detection, and treatment. Unfortunately, this has come with a commensurate increase in the prevalence of osseous metastases and skeletal related events approaching 100,000 new patients each year. Patients are now experiencing serious morbidity and mortality due to pathologic fractures, altered structural mechanics, and cancer related bone pain. This patient population poses challenges for conventional open surgical and/or medical management often due to disease extent, location, and, in general, poor surgical candidacy. Percutaneous techniques may also be challenging under image guidance due to limited ability to use traditional orthopedic corridors, loss of cortical landmarks with destructive lesions, and need for live image guidance. Modern angiography suites with cone beam computed tomography (CBCT) and advanced imaging applications including needle guidance, 3D fusion, tumor segmentation, and angio-CT have facilitated the development of novel minimally invasive techniques for pain palliation and stabilization. The interventional radiologist is uniquely positioned to harness these advanced imaging applications and offer effective, safe, minimally invasive treatment options to patients with neoplastic disease within the axial, and appendicular skeletons. The focus of this article is to address the technical aspects of patient preparation, positioning, advanced imaging system capabilities, guidance strategies, and pitfalls during osteoplasty and fixation procedures.
(Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Fixation; ablation osteoplasty; bone metastases; safer option
تواريخ الأحداث: Date Created: 20220306 Date Completed: 20220308 Latest Revision: 20220531
رمز التحديث: 20240628
DOI: 10.1016/j.tvir.2022.100798
PMID: 35248325
قاعدة البيانات: MEDLINE
الوصف
تدمد:1557-9808
DOI:10.1016/j.tvir.2022.100798