Interventional musculoskeletal radiology:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia, Pa.
Saunders
2008
|
| Series: | Radiologic clinics of North America
46,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XII S., S. 439 - 641 zahlr. Ill., graph. Darst. |
| ISBN: | 1416060731 9781416060734 |
Staff View
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| 650 | 4 | |a Musculoskeletal System |x radiography | |
| 650 | 4 | |a Musculoskeletal system |x Interventional radiology | |
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Contents
Preface xi
Peter L Munk and Wilfred C.G. Peh
Therapeutic and Diagnostic Joint Injections 439
David Malfair
Joint injections remain a valuable modality in the detection and treatment of intra-ar-
ticular pathology. Over the past several decades, various diagnostic and therapeutic
indications for joint injections have been developed. Imaging guidance for joint injec¬
tion generally increases accuracy in joint aspirations and diagnostic blocks. Con¬
firming intra-articular placement with steroid injections improves efficacy and
reduces local complications. Administering intra-articular contrast can improve
the diagnostic performance of CT and MR imaging in many circumstances. This ar¬
ticle focuses on the rationale for injections at different sites and describes different
fluoroscopic approaches for common joints.
Image-Guided Musculoskeletal Biopsy 455
Apoorva Gogna, Wilfred C.G. Peh, and Peter L. Munk
Image guidance allows safe passage of needles, often into small and otherwise in¬
accessible lesions, and into the portions of the lesion most likely to yield useful sam¬
ples, while avoiding damage to important structures. This article hopes to provide
a useful guide to image-guided musculoskeletal biopsy for radiologists in practice
and in training.
Positron EmissionTomography-CT Imaging in Guiding Musculoskeletal Biopsy 475
Paul J. O Sullivan, Eric M. Rohren, and John E. Madewell
Positron emission tomography (PET)-computed tomography (CT) is a useful device
in identifying musculoskeletal lesions that require biopsy. It can be used to localize
the primary lesion, identify a site to biopsy, and evaluate metastatic lesions that
require follow-up biopsies. Not all malignant tumors have hypermetabolic activity,
and there are many benign lesions and physiologic processes that do have in¬
creased F-18 fluorodeoxyglucose uptake. Knowledge of these issues is important
when reviewing PET-CT and directing subsequent musculoskeletal biopsies.
Spinal Injection Procedures: A Review of Concepts, Controversies, and Complications 487
Manraj K.S. Heran, Andrew D. Smith, and Gerald M. Legiehn
The field of spinal injection procedures is growing at a tremendous rate. Many dis¬
ciplines are involved, including radiology, anesthesiology, orthopedics, physiatry
and rehabilitation medicine, as well as other specialties. However, there remains tre¬
mendous variability in the assessment of patients receiving these therapies,
methods for evaluation of outcome, and in the understanding of where these
Contents
procedures belong in the triaging of those who require surgery. In this article, we at¬
tempt to highlight the biologic concepts on which these therapies are based, contro¬
versies that have arisen with their increasing use, and a description of complications
that have been reported.
Musculoskeletal Ultrasound Intervention: Principles and Advances 515
LuckJ. Louis
Ultrasound scan is an invaluable tool in the diagnosis and treatment of disorders of
the musculoskeletal system. Core concepts that are common to most ultrasound-
guided procedures are reviewed, including an in-depth discussion regarding the
use of injectable corticosteroids. Various aspects of intra-articular, intratendinous,
bursal, and ganglion cyst intervention are discussed and promising advances in
the treatment of chronic tendon disorders are presented.
Embolization of Musculoskeletal Tumors 535
RichardJ.T. Owen
Transarterial embolization should be considered in the treatment algorithm of pri¬
mary or secondary bone tumors. Specific benefit is present where there is a high
risk of bleeding at surgery, where there is spinal involvement and neural encroach¬
ment, where active bleeding is present, or in awkward surgical locations where pro¬
longed surgery is anticipated.
Venous Malformations: Classification, Development, Diagnosis, and Interventional
Radiologic Management 545
Gerald M. Legiehn and Manraj K.S. Heran
Venous malformations are categorized as low-flow vascular malformations within
the domain of vascular anomalies and are the most common vascular malformation
encountered clinically. Venous malformations are by definition present at birth, un¬
dergo pari passu growth, and present clinically because of symptoms related to
mass effect or stasis. Although diagnosis can usually be made by clinical history
and examination, differentiation from other vascular and nonvascular entities often
requires an imaging work-up that includes ultrasound, CT, MR imaging, and diag¬
nostic phlebography. All decisions regarding imaging work-up and decision to treat
must be coordinated though referral and discussions with a multidisciplinary team
and be based on clearly defined clinical indications. Percutaneous image-guided
sclerotherapy has become the mainstay of treatment for venous malformations
and involves the introduction of any one of a number of endothelial-cidal sclerosants
into the vascular spaces of the lesion, with each sclerosant possessing its own
unique spectrum of advantages and disadvantages.
Musculoskeletal Interventional Radiology: RadiofrequencyAblation 599
Emily Ward, Peter L Munk, Faisal Rashid, andWilliam C.Torreggiani
Radiofrequency Ablation is the use of low-voltage high-frequency electrical energy
to heat and destroy abnormal tissues within the human body. It has gained increas¬
ing acceptance as both a primary and secondary form of treatment in the musculo¬
skeletal system because of its excellent safety profile, ease of use, and technical
success. In the musculoskeletal system, radiofrequency ablation may be used to
treat a wide range of lesions that include primary lesions such as osteoid osteomas
Contents
and a variety of metastases both within the osseous skeleton as well as those lying
within the muscles and soft tissues. In this chapter, a background to the principles,
physics, and indications of radiofrequency is presented as well as an in-depth de¬
scription of radiofrequency ablation techniques that may be utilized in the musculo-
skeletal system.
Percutaneous Vertebral Augmentation: Vertebroplasty, Kyphoplasty and Skyphoplasty 611
Wilfred C.G. Peh, Peter L. Munk, Faisal Rashid, and Louis A. Gilula
Percutaneous vertebroplasty is a safe, inexpensive, and effective interventional ver¬
tebral augmentation technique that provides pain relief and stabilization in carefully
selected patients with severe back pain due to vertebral compression. Complica¬
tions from percutaneous vertebroplasty can be devastating, but are rare and avoid¬
able with application of a meticulous technique. Percutaneous vertebroplasty has
a role in the management pathway of patients presenting with painful vertebral com¬
pression fractures. Kyphoplasty uses a balloon tamp with the aim of restoring verte¬
bral body height, improving kyphotic deformity, and creating a cavity into which
bone cement is injected. Kyphoplasty is as effective and safe as vertebroplasty in
treatment of painful vertebral compression fractures. Skyphoplasty, a modification
of kyphoplasty, is a promising new technique.
Index 637
|
| adam_txt |
Interventional Musculoskeletal Radiology
Contents
Preface xi
Peter L Munk and Wilfred C.G. Peh
Therapeutic and Diagnostic Joint Injections 439
David Malfair
Joint injections remain a valuable modality in the detection and treatment of intra-ar-
ticular pathology. Over the past several decades, various diagnostic and therapeutic
indications for joint injections have been developed. Imaging guidance for joint injec¬
tion generally increases accuracy in joint aspirations and diagnostic blocks. Con¬
firming intra-articular placement with steroid injections improves efficacy and
reduces local complications. Administering intra-articular contrast can improve
the diagnostic performance of CT and MR imaging in many circumstances. This ar¬
ticle focuses on the rationale for injections at different sites and describes different
fluoroscopic approaches for common joints.
Image-Guided Musculoskeletal Biopsy 455
Apoorva Gogna, Wilfred C.G. Peh, and Peter L. Munk
Image guidance allows safe passage of needles, often into small and otherwise in¬
accessible lesions, and into the portions of the lesion most likely to yield useful sam¬
ples, while avoiding damage to important structures. This article hopes to provide
a useful guide to image-guided musculoskeletal biopsy for radiologists in practice
and in training.
Positron EmissionTomography-CT Imaging in Guiding Musculoskeletal Biopsy 475
Paul J. O'Sullivan, Eric M. Rohren, and John E. Madewell
Positron emission tomography (PET)-computed tomography (CT) is a useful device
in identifying musculoskeletal lesions that require biopsy. It can be used to localize
the primary lesion, identify a site to biopsy, and evaluate metastatic lesions that
require follow-up biopsies. Not all malignant tumors have hypermetabolic activity,
and there are many benign lesions and physiologic processes that do have in¬
creased F-18 fluorodeoxyglucose uptake. Knowledge of these issues is important
when reviewing PET-CT and directing subsequent musculoskeletal biopsies.
Spinal Injection Procedures: A Review of Concepts, Controversies, and Complications 487
Manraj K.S. Heran, Andrew D. Smith, and Gerald M. Legiehn
The field of spinal injection procedures is growing at a tremendous rate. Many dis¬
ciplines are involved, including radiology, anesthesiology, orthopedics, physiatry
and rehabilitation medicine, as well as other specialties. However, there remains tre¬
mendous variability in the assessment of patients receiving these therapies,
methods for evaluation of outcome, and in the understanding of where these
Contents
procedures belong in the triaging of those who require surgery. In this article, we at¬
tempt to highlight the biologic concepts on which these therapies are based, contro¬
versies that have arisen with their increasing use, and a description of complications
that have been reported.
Musculoskeletal Ultrasound Intervention: Principles and Advances 515
LuckJ. Louis
Ultrasound scan is an invaluable tool in the diagnosis and treatment of disorders of
the musculoskeletal system. Core concepts that are common to most ultrasound-
guided procedures are reviewed, including an in-depth discussion regarding the
use of injectable corticosteroids. Various aspects of intra-articular, intratendinous,
bursal, and ganglion cyst intervention are discussed and promising advances in
the treatment of chronic tendon disorders are presented.
Embolization of Musculoskeletal Tumors 535
RichardJ.T. Owen
Transarterial embolization should be considered in the treatment algorithm of pri¬
mary or secondary bone tumors. Specific benefit is present where there is a high
risk of bleeding at surgery, where there is spinal involvement and neural encroach¬
ment, where active bleeding is present, or in awkward surgical locations where pro¬
longed surgery is anticipated.
Venous Malformations: Classification, Development, Diagnosis, and Interventional
Radiologic Management 545
Gerald M. Legiehn and Manraj K.S. Heran
Venous malformations are categorized as low-flow vascular malformations within
the domain of vascular anomalies and are the most common vascular malformation
encountered clinically. Venous malformations are by definition present at birth, un¬
dergo pari passu growth, and present clinically because of symptoms related to
mass effect or stasis. Although diagnosis can usually be made by clinical history
and examination, differentiation from other vascular and nonvascular entities often
requires an imaging work-up that includes ultrasound, CT, MR imaging, and diag¬
nostic phlebography. All decisions regarding imaging work-up and decision to treat
must be coordinated though referral and discussions with a multidisciplinary team
and be based on clearly defined clinical indications. Percutaneous image-guided
sclerotherapy has become the mainstay of treatment for venous malformations
and involves the introduction of any one of a number of endothelial-cidal sclerosants
into the vascular spaces of the lesion, with each sclerosant possessing its own
unique spectrum of advantages and disadvantages.
Musculoskeletal Interventional Radiology: RadiofrequencyAblation 599
Emily Ward, Peter L Munk, Faisal Rashid, andWilliam C.Torreggiani
Radiofrequency Ablation is the use of low-voltage high-frequency electrical energy
to heat and destroy abnormal tissues within the human body. It has gained increas¬
ing acceptance as both a primary and secondary form of treatment in the musculo¬
skeletal system because of its excellent safety profile, ease of use, and technical
success. In the musculoskeletal system, radiofrequency ablation may be used to
treat a wide range of lesions that include primary lesions such as osteoid osteomas
Contents
and a variety of metastases both within the osseous skeleton as well as those lying
within the muscles and soft tissues. In this chapter, a background to the principles,
physics, and indications of radiofrequency is presented as well as an in-depth de¬
scription of radiofrequency ablation techniques that may be utilized in the musculo-
skeletal system.
Percutaneous Vertebral Augmentation: Vertebroplasty, Kyphoplasty and Skyphoplasty 611
Wilfred C.G. Peh, Peter L. Munk, Faisal Rashid, and Louis A. Gilula
Percutaneous vertebroplasty is a safe, inexpensive, and effective interventional ver¬
tebral augmentation technique that provides pain relief and stabilization in carefully
selected patients with severe back pain due to vertebral compression. Complica¬
tions from percutaneous vertebroplasty can be devastating, but are rare and avoid¬
able with application of a meticulous technique. Percutaneous vertebroplasty has
a role in the management pathway of patients presenting with painful vertebral com¬
pression fractures. Kyphoplasty uses a balloon tamp with the aim of restoring verte¬
bral body height, improving kyphotic deformity, and creating a cavity into which
bone cement is injected. Kyphoplasty is as effective and safe as vertebroplasty in
treatment of painful vertebral compression fractures. Skyphoplasty, a modification
of kyphoplasty, is a promising new technique.
Index 637 |
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| spelling | Interventional musculoskeletal radiology guest ed. Peter L. Munk ... Philadelphia, Pa. Saunders 2008 XII S., S. 439 - 641 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Radiologic clinics of North America 46,3 Musculoskeletal Diseases therapy Musculoskeletal System radiography Musculoskeletal system Interventional radiology Radiology, Interventional methods Munk, Peter L. Sonstige (DE-588)134254449 oth Radiologic clinics of North America 46,3 (DE-604)BV000003369 46,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016748289&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Interventional musculoskeletal radiology Radiologic clinics of North America Musculoskeletal Diseases therapy Musculoskeletal System radiography Musculoskeletal system Interventional radiology Radiology, Interventional methods |
| title | Interventional musculoskeletal radiology |
| title_auth | Interventional musculoskeletal radiology |
| title_exact_search | Interventional musculoskeletal radiology |
| title_exact_search_txtP | Interventional musculoskeletal radiology |
| title_full | Interventional musculoskeletal radiology guest ed. Peter L. Munk ... |
| title_fullStr | Interventional musculoskeletal radiology guest ed. Peter L. Munk ... |
| title_full_unstemmed | Interventional musculoskeletal radiology guest ed. Peter L. Munk ... |
| title_short | Interventional musculoskeletal radiology |
| title_sort | interventional musculoskeletal radiology |
| topic | Musculoskeletal Diseases therapy Musculoskeletal System radiography Musculoskeletal system Interventional radiology Radiology, Interventional methods |
| topic_facet | Musculoskeletal Diseases therapy Musculoskeletal System radiography Musculoskeletal system Interventional radiology Radiology, Interventional methods |
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