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.

247 results found
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

Sternoclavicular joint injection (technique)

Sternoclavicular joint (SCJ) injections under image guidance ensure precise delivery of an injectate into the joint and importantly that needle depth is under direct visualization.   Indications pain arthropathy, e.g. osteoarthritis diagnostic injection Contraindications Absolute anaphyla...
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

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...
Article

Adrenal vein sampling

Adrenal vein sampling (AVS) is a procedure where blood is collected from the adrenal veins via catheter to confirm autonomous hormone production, if it is unilateral or bilateral, and to guide further treatment 1. If unilateral, the adrenal gland can be removed by surgery; thus curing secondary ...
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 ...
Article

Large vessel occlusion

Large vessel occlusion (LVO), also termed proximal large vessel occlusion (PLVO), describes occlusion of a proximal and large-sized intracranial artery resulting in impending acute ischemic stroke. The definition of large vessel occlusion varies significantly among clinical trials of endovascula...
Article

Medium vessel occlusion

Medium vessel occlusion (MeVO), also termed distal medium vessel occlusion (DMVO), describes occlusion of a medium-sized intracranial artery resulting in impending acute ischemic stroke. Definition One consensus definition of ‘medium vessel’ suggests intracranial arteries with a luminal diamet...
Article

Resuscitative endovascular balloon occlusion of the aorta

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a treatment for hemorrhagic shock used in major trauma patients with life-threatening abdominal or lower limb bleeding.  The aortic balloon is delivered on a catheter via the femoral artery in order to reduce any distal bleedi...
Article

Gluteus minimus/medius calcific tendinopathy barbotage (technique)

Gluteus minimus/medius calcific tendinopathy barbotage is a procedure performed under ultrasound guidance with the aim of reducing the bulk of tendon calcification, in a similar fashion to that performed for rotator cuff calcific tendinopathy.  Indications gluteus minimus/medius tendon calcifi...
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...
Article

CT dose index

CT dose index (CTDI) (measured in mGy) is a standardized measure of radiation dose output of a CT scanner which allows the user to compare radiation output of different CT scanners. In the past CTDI100 (measured over a 100 mm long ionization chamber) and CTDIw (weighted average of dose across a ...
Article

MRI targeted prostate biopsy

MRI targeted prostate biopsy refers to an imaging targeted technique rather than the traditional systematic approach of a prostate biopsy after respective imaging with multiparametric MRI (mpMRI) of the prostate. As a consequence of advances with multiparametric MRI (mpMRI) of the prostate in t...
Article

Percutaneous lung tumor ablation

Percutaneous lung tumor ablation techniques are an alternative to surgery or stereotactic body radiotherapy (SBRT) for the treatment of certain malignancies. They have specific indications and contraindications, but are mostly limited to small oligonodular and favourably located lesions.  They ...
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

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 assessment of periprocedural anticoagulation: bleeding risks associated with ...
Article

Angioplasty

Angioplasty, also called balloon angioplasty or percutaneous transluminal angioplasty (PTA), is a minimally invasive interventional procedure in which an inflatable balloon-tipped catheter is introduced through the skin into the vascular lumen to open a stenotic segment of the vessel. Angioplast...
Article

Modified treatment in cerebral infarction (mTICI) score

The modified treatment in cerebral infarction (mTICI) score was developed from the original thrombolysis in cerebral infarction (TICI) scale by a consensus group in 2013 1. The recommendations included a name change to better reflect the increasing use of endovascular clot retrieval for ischemic...

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