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.
248 results found
Article
Arthrogram (MRI)
An MR arthrogram is an MRI performed after a joint is injected with a solution containing gadolinium. Sometimes abbreviated to MRA, which can be confused with MR angiography. MRI can also be performed after an injection is not directly administered into the joint, via an indirect arthrogram. An ...
Article
Arthrogram
An arthrogram (or arthrography) is a commonly performed procedure in musculoskeletal radiology, which can refer to both an injection into a joint, and cross-sectional imaging after a joint is injected.
Indications
Arthrograms are performed for a variety of indications including:
labral te...
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
Percutaneous nephrolithotomy
Percutaneous nephrolithotomy (PCNL) is a surgical procedure for the extraction of large renal calculi. It is usually performed in the operating theater either by a urologist or combined urologist-radiologist team.
Indication
PCNL is used to destroy and remove renal calculi, typically over 2 cm...
Article
Transjugular intrahepatic portosystemic shunt
Transjugular intrahepatic portosystemic shunt (TIPS or TIPSS) 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...
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
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.
Vascular Interventions:
transjugular intrahepatic portosystemic shunt (TIPS)
transjugular liver biopsy (TJLB)
Percutaneous...
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...
Article
Stereotactic breast biopsy
Stereotactic breast biopsy refers to percutaneous sampling of breast tissue using mammographic guidance for targeting.
Indications
It is the biopsy method of choice when the finding of interest is best seen on mammography, such as microcalcifications (most common), architectural distortion, or...
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
Cell block cytology
Cell block cytology is a technique used in cytopathology (in addition to smears) for evaluation of tissue from fine needle aspirations (FNA) or fluid aspirations.
Multiple different protocols exist for processing a cell block, but the fundamental principles are the same:
fragmentary bits of...
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
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
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 l...
Article
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 visualized or palpated without ultrasound. In trained individuals ...
Article
Caudal epidural injection
Caudal epidural injections, or sacral hiatus epidural injections, are one of several possible spinal epidural injections.
Indications
Typically, epidural injections are performed in patients who are currently not surgical candidates. The caudal injection can be performed when patients are on ...
Article
Spinal epidural injection
Epidural spinal injections are one of the more frequently performed spinal interventional procedures. Three approaches to the epidural space exist:
caudal epidural injection (via the sacral hiatus)
interlaminar epidural injection
cervical interlaminar epidural injection
lumbar in...
Article
Sacroiliac joint injection
Sacroiliac joint injections can be performed using a posterior approach into the sacroiliac (SI) joint under fluoroscopic or CT guidance. It is often performed bilaterally.
Indications
diagnostic: relief of pain after injection of local anesthetic
therapeutic: to relieve pain from degene...
Article
Breast ductography
Breast ductography (a.k.a. galactography) is an imaging technique which is used to evaluate lesions causing nipple discharge. It helps in precisely locating the mass within breast tissue and gives useful information for surgical approach and planning.
Technique
A blunt-tipped sialogram needle ...
Article
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...
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