Early experience with X-ray magnetic resonance fusion for low-flow vascular malformations in the pediatric interventional radiology suite

2015 ◽  
Vol 46 (3) ◽  
pp. 413-421 ◽  
Author(s):  
Tiffany J. Hwang ◽  
Erin Girard ◽  
Sphoorti Shellikeri ◽  
Randolph Setser ◽  
Arastoo Vossough ◽  
...  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Brent E. Burbridge

This 55-year-old female had a chest X-ray during a follow-up visit for the management of her breast cancer. The chest X-ray demonstrated an embolized venous catheter superimposed upon the mediastinum. It was determined that the catheter of the patient's arm port had fractured and embolized to the pulmonary circulation. The catheter was retrieved, in the interventional radiology suite, under fluoroscopic guidance. The patient suffered no ill effects. Subsequently, one day later, the old vein port was removed and a new arm port and associated catheter were implanted to facilitate the delivery of the patient's ongoing chemotherapy.


Author(s):  
Florentine Höhn ◽  
Simone Hammer ◽  
Claudia Fellner ◽  
Florian Zeman ◽  
Wibke Uller ◽  
...  

Purpose To assess morphological and hemodynamic characteristics of peripheral vascular malformations on 3 T magnetic resonance imaging (MRI) including qualitative comparison of two fat-saturated sequences: short tau inversion recovery (STIR) and three-dimensional high-resolution volume interpolated gradient recalled echo (GRE). Materials and Methods During 9 months, 100 patients with suspected or known vascular malformations were prospectively assessed on a 3 T scanner using T2-weighted STIR and turbo spin echo (TSE), T1-weighted TSE, time-resolved contrast-enhanced magnetic resonance angiography (MRA) with interleaved stochastic trajectories (TWIST) and T1-weighted volume interpolated breath-hold examination (VIBE) after contrast enhancement. The analysis included signal behavior and morphologic and hemodynamic characteristics. Additionally, the image quality of the fat-saturated sequences was evaluated by 2 radiologists. Results 86 patients (14 dropouts; 57 female, 29 male; mean age 26.8 years, age range 1–56) were analyzed. 22 had high-flow and 64 low-flow malformations, including 14 with a lymphatic component. In 21 of 22 patients with high-flow malformations, typical characteristics (flow voids, hyperdynamic arteriovenous fistula, dilated main/feeder-arteries and draining veins) were documented. Patients with low-flow malformations had phleboliths in 35 cases, fluid-fluid levels in 47 and dilated draining veins in 23. Lymphatic malformations showed peripheral contrast enhancement of cyst walls in the volume interpolated GRE. The comparison of fat-saturated sequences showed significantly better results of the volume interpolated GRE in all categories except the presence of artifacts which were significantly reduced in the STIR (p < 0.05). Conclusion 3 T MRI with MRA provides detailed morphological and hemodynamic information of different types of peripheral vascular malformations. Contrast-enhanced high-resolution volume interpolated GRE proved superior to STIR in differentiating morphologic features and to be diagnostic in the differentiation of lymphatic parts and joint involvement. Key Points:  Citation Format


2010 ◽  
Vol 21 (11) ◽  
pp. 1703-1707 ◽  
Author(s):  
Raymond H. Thornton ◽  
Lawrence T. Dauer ◽  
Joaquin P. Altamirano ◽  
Keith J. Alvarado ◽  
Jean St. Germain ◽  
...  

2019 ◽  
Vol 8 (9) ◽  
pp. 1347
Author(s):  
Bedros Taslakian ◽  
Ross Ingber ◽  
Eric Aaltonen ◽  
Jeremy Horn ◽  
Ryan Hickey

Familiarity with different instruments and understanding the basics of image guidance techniques are essential for interventional radiology trainees. However, there are no structured references in the literature, and trainees are left to “pick it up as they go”. Puncture needles, guidewires, sheath systems, and catheters represent some of the most commonly used daily instruments by interventional radiologists. There is a large variety of instruments, and understanding the properties of each tool will allow trainees to better assess which type is needed for each specific procedure. Along with understanding the tools required to perform various interventional radiology procedures, it is important for trainees to learn how to organize the room, procedural table, and various equipment that is used during the procedure. Minimizing clutter and improving organization leads to improved efficiency and decreased errors. In addition, having a fundamental knowledge of fluoroscopy, the most commonly used imaging modality, is an integral part of beginning training in interventional radiology.


2016 ◽  
Vol 27 (5) ◽  
pp. 618-622 ◽  
Author(s):  
Mark O. Baerlocher ◽  
Sean A. Kennedy ◽  
Thomas J. Ward ◽  
Boris Nikolic ◽  
Curtis W. Bakal ◽  
...  

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