A képalkotó vezérelte mintavételektől a lokoregionális tumorterápiáig

2015 ◽  
Vol 156 (17) ◽  
pp. 698-705
Author(s):  
Zoltán Bánsághi

Infiltrating many traditional discipline, interventional radiology achieved a dynamic progress during the last 50 years. Collaboration with the modern, personalised, quality-sensitive oncology opened a blooming new horizon of oncointervention in the early 1980s. This complex field needs pluripotent skills and broadened view from the interventional radiologist. The aim of this paper is to summarize the „menu” of present and near-future therapeutic tools of oncointerventional radiology. Orv. Hetil., 2015, 156(17), 698–705.

2021 ◽  
Vol 38 (03) ◽  
pp. 373-376
Author(s):  
Ahsun Riaz ◽  
Riad Salem

AbstractWe are at an exciting cross-road in biliary interventions. While other services such as surgery and gastroenterology have learned to use imaging guidance to improve the safety and efficacy of their procedures, it is time for interventional radiologist to learn endoscopic interventions to achieve the same. The future of interventional radiologists in managing patients with biliary disease depends on (1) increasing comfort of our procedures, (2) publishing our data on biliary interventions, and (3) increasing collaboration with other services to manage biliary disease. We need to appropriately understand the limitations of interventional radiology to help guide the future directions of our specialty in this very interesting space.


2015 ◽  
Vol 87 (2 suppl) ◽  
pp. 1293-1309 ◽  
Author(s):  
ANA CAROLINE COLOMBO ◽  
MARCIO L. RODRIGUES

Brain infection by the fungus Cryptococcus neoformans results in an estimated 500,000 human deaths per annum. Colonization of the central nervous system (CNS) by C. neoformans causes different clinical syndromes that involve interaction of a number of fungal components with distinct brain cells. In this manuscript, our literature review confirmed the notion that the Cryptococcus field is expanding rapidly, but also suggested that studies on neuropathogenesis still represent a small fraction of basic research activity in the field. We therefore discussed anatomical and physiological aspects of the brain during infection by C. neoformans, in addition to mechanisms by which brain resident cells interact with the fungus. This review suggests that multiple efforts are necessary to improve the knowledge on how C. neoformans affects brain cells, in order to enable the generation of new therapeutic tools in a near future.


2018 ◽  
pp. 64-74
Author(s):  
Alan Kotin ◽  
Jennifer Mascarenhas ◽  
Mary Fischer

The interventional radiology (IR) suite has created an increasing demand for anesthesia services. Also, technological advancements and a movement toward minimally invasive surgery have moved procedures once performed in the operating room (OR) to IR suites, often in remote locations. Historically, patient sedation in the IR suite has been administered under the supervision of the interventional radiologist, utilizing conscious sedation. The updated Joint Commission regulations have fostered a closer relationship between anesthesia services and IR programs. Despite the apparent simplicity of this relationship, providing anesthesia services in remote locations can be challenging. This relationship requires that the specialties become familiar with each other. The increased need for anesthesia has also created a demand for expertise in non-OR anesthesia (NORA). This chapter discusses the principles of sedation and analgesia, as well as the role and challenges that the anesthesia team faces while providing service in the IR suite.


2019 ◽  
Vol 36 (01) ◽  
pp. 029-031
Author(s):  
Sonali Mehandru

AbstractInterventional radiology (IR) has undergone a paradigm shift, and has become more clinically directed. This is particularly true with the new training programs, which are all required to have outpatient clinics, admitting services, and consult services within their hospitals. Despite these changes in education, however, many jobs still require a significant amount of diagnostic imaging work, and many established groups are reticent to allow the time and resources needed to pursue this clinical model of IR practice. This lack of support can lead to frustration for the early career interventional radiologist. This article describes the experience of one early career interventional radiologist, including some of the challenges and opportunities that have arisen from the recent changes in training.


Blood ◽  
2013 ◽  
Vol 122 (23) ◽  
pp. 3723-3734 ◽  
Author(s):  
Michael Hallek

AbstractThe management of chronic lymphocytic leukemia (CLL) is undergoing profound changes. Several new drugs have been approved for CLL treatment (fludarabine, bendamustine, and the monoclonal antibodies alemtuzumab, rituximab, and ofatumumab) and many more drugs are in advanced clinical development to be approved for this disease. In addition, the extreme heterogeneity of the clinical course and our improved ability to foresee the prognosis of this leukemia by the use of clinical, biological, and genetic parameters now allow us to characterize patients with a very mild onset and course, an intermediate prognosis, or a very aggressive course with high-risk leukemia. Therefore, it becomes increasingly challenging to select the right treatment strategy for each condition. This article summarizes the currently available diagnostic and therapeutic tools and gives an integrated recommendation of how to manage CLL in 2013. Moreover, I propose a strategy how we might integrate the novel agents for CLL therapy into sequential treatment approaches in the near future.


2019 ◽  
Vol 36 (01) ◽  
pp. 032-034
Author(s):  
Raj Pyne

AbstractThe new interventional radiology (IR) residency training pathways seek to graduate physicians who are not only experts at imaging and technically savvy but clinically oriented doctors capable of preprocedural workup and postprocedural care. The goal is for compassionate IRs who are holistic in their treatment of the patient and their disease, not just an expert at the procedure. However, much of this new envisioned approach for the modern IR is contradicted by the stark reality that most IRs in practice today (and most of the job market) are in private practice, where resources for clinical care in reality may not be prioritized as much in this idealistic scenario. The Society of Interventional Radiology (SIR) has recently made it a priority to represent the unique needs and frustrations of IRs in private practice and hopefully find a solution to the imminent reality that is facing most practicing IRs and future graduates.


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