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Articles

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Anatomy curriculum

The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists. General anatomy Neuroanatomy Head and neck anatomy Thoracic anatomy Abdominal and pelvic anatomy Spinal anat...

Anomalous systemic arterial supply to normal lung

Anomalous systemic arterial supply to normal lung is an anatomical variant where a portion of the lung (usually a basal segment) gets supplied by a systemic vessel without a distinct pulmonary sequestration. Terminology It was traditionally (perhaps inappropriately since not a true sequestrati...

Antegrade ureteric stent

Antegrade ureteric stents are performed under fluoroscopic guidance, typically by an interventional radiologist or urologist. It is performed via percutaneous access from the kidney. It is usually performed using the access from a prior percutaneous nephrostomy, a so-called two-step procedure, a...

Antonio Egas Moniz

Antonio Egas Moniz (1874-1955) 1 was a pioneering Portuguese neurologist that is notable in radiology history for his development of cerebral angiography in 1927. He is also known as the developer of prefrontal leucotomy (now better known as a lobotomy) for which he received a Nobel Prize in 1...

Aortic pseudoaneurysm versus ductus diverticulum

Differentiation of aortic pseudoaneurysm from ductus diverticulum is critical, particularly in the trauma setting. A traumatic aortic pseudoaneurysm is a surgical emergency whereas a ductus diverticulum is a normal anatomic variant. The following are differentiating features: Aortic pseudoaneu...

Avascular plane of Brodel

The avascular plane of Brodel is the section of renal parenchyma between 2/3 anterior and 1/3 posterior kidney on the cross-section that is relatively avascular. The reason for its relative avascularity is that it represents the plane where the anterior and posterior segmental renal artery branc...

Bähren classification of left varicoceles

Bähren classification of left varicoceles: type 0: no evidence of venous reflux in internal spermatic vein (ISV) type I: single ISV with insufficient or absent valve type II: single ISV with ≥ 2 ostia to renal vein; may be branches to ascending lumbar/retroperitoneal veins IIa: insufficient ...

Biffl scale for blunt cerebrovascular injury

The Biffl scale or grade illustrates the spectrum of blunt cerebrovascular injury (BCVI) seen on angiography (both CTA and DSA). Some authors refer to the grading scale as the Denver scale, which is not to be confused with the Denver criteria, a series of clinical indications and risk factors fo...

Blood blister-like aneurysm

Blood blister-like aneurysm is a broad-based bulge at a non-branch point of a vessel, which is unlike saccular (or 'berry') aneurysms which usually occur at branch points. Clinical presentation Middle-aged patients with subarachnoid hemorrhage. Pathology A focal defect in the arterial wall c...

Breast core biopsy

The percutaneous breast biopsy is one of the current choices for focal histopathological assessment of breast lesions. In contrast to fine needle aspiration, during a core needle biopsy, a hollow needle is used to withdraw small cores of tissue from the area of interest in the breast. This pro...

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 ...

Buried bumper syndrome

Buried bumper syndrome (BBS) is a rare but important complication in patients with a percutaneous gastrostomy tube, occurring by migration of the internal bumper along its track. The tube may get lodged anywhere between the gastric wall and the skin and lead to life-threatening complications inc...

Carbon dioxide angiography

Carbon dioxide is an excellent low-density contrast material which has been used for a variety of vascular interventions since the introduction of digital subtraction angiography. Due to high solubility rate and rapid diffusibility via lung CO2 is safe for intravascular usage. Physical and chem...

Caroticocavernous fistula

Caroticocavernous fistulas (CCF) represent abnormal communication between the carotid circulation and the cavernous sinus. They can be classified as direct or indirect which are separate conditions with different etiologies. Epidemiology Direct CCFs are often secondary to trauma, and as such...

Carotid arterial stenting

Carotid arterial stenting (CAS) is a minimally invasive endovascular interventional procedure that can potentially offer the same advantage as surgery (carotid endarterectomy). Indications Indications for carotid stenting are evolving with endarterectomy trials that evaluate the carotid stenos...

Carotid web

Carotid webs, also known as carotid intimal variant fibromuscular dysplasia, are rare vascular pathologies of the internal carotid artery that are an important cause of cryptogenic and recurrent ischemic stroke. Terminology Carotid webs have had many different names in the literature, includin...

Catheter-directed thrombolysis

Catheter-directed thrombolysis (CDT) is an endovascular approach to the treatment of acute iliofemoral deep vein thrombosis. It involves the administration of a lytic agent directly into a thrombus. Indications precise diagnosis of iliofemoral deep vein thrombosis first episode of acute ili...

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 ...

Central venous catheter

Central venous catheters (CVC) or lines (CVL) refer to a wide range of central venous access devices but can broadly be divided into four categories. They may be inserted by medical, surgical, anesthetic/ITU, or radiology specialists. Classification peripherally inserted central catheters (PIC...

Cervical interlaminar epidural injection

Cervical interlaminar epidural injections are one of some possible spinal epidural injections. For an alternative approach for the same region, please refer to the article on cervical transforaminal epidural injections. Indications Typically epidural injections are performed in patients with ...

Charles T Dotter

Charles T Dotter (1920-1985) is often considered the father of interventional radiology who in 1964 performed the very first peripheral angioplasty, and made many other major contributions in this field. Early life Charles Theodore Dotter was born in Boston on 14th June 1920. He graduated with...

Classification of endoleaks

Endoleaks occur when an aneurysmal sac continues to be pressurised despite endoluminal stent placement. See the full article on endoleaks here. Classification There are five types: type I: leak at graft ends (inadequate seal) - most common after repair of thoracic aortic aneurysms 4 Ia: prox...

Celiac plexus block

Celiac plexus block under image guidance is an easy and safe percutaneous procedure with good outcomes for pain palliation in patients who have chronic abdominal pain related to the celiac ganglia. This usually includes patients with advanced cancers, especially from upper abdominal viscera, s...

Coil herniation

A coil herniation refers to the part of a detachable coil prolapsing out of the aneurysm and into the parent artery. It is an uncommon complication and is typically seen at the end of the embolization procedure. Contributing factors include 1: wide aneurysm neck instability of the coil in the ...

Cordocentesis

Cordocentesis is a method of fetal blood sampling which is usually carried out under ultrasound guidance. Indications It may be performed for various reasons which include: establish the degree of a fetal anemia further investigation of an underlying chromosomal anomaly further investigatio...

CT cisternography

Computed tomography (CT) cisternography is an imaging technique used to diagnose CSF rhinorrhea or CSF otorrhea (CSF leaks), as CT allows the assessment of the bones of the base of skull. Procedure pre-contrast CT is performed with thin slices 3-10 mL of an iodinated non-ionic low-osmolar co...

CT guided adrenal biopsy

CT guided adrenal biopsy is usually performed for the diagnosis of indeterminate adrenal nodules or tumors. This procedure has declined in recent years due to improvements in, and validation of, non-invasive CT and MR techniques that can now diagnose benign adrenal lesions with a high degree of ...

CT guided biopsy

CT guided biopsy is a type of image guided biopsy. It is generally less commonly used than ultrasound guided biopsy, however, in some anatomical areas it has greater precedence, such as lung and bone biopsies. CT guided biopsy requires good teamwork with radiographic staff as it is not truly dy...

CT guided percutaneous drainage

CT guided percutaneous drainage is one form of image-guided drainage, allowing minimally invasive treatment of collections, potentially anywhere in the body. Although less commonly used than ultrasound guidance, it is particularly valuable in gaining access to deeper or more posterior parts of t...

CT guided thoracic biopsy

CT guided thoracic biopsy is usually performed for the diagnosis of suspicious lung, pleural or mediastinal lesions. It can be performed as an outpatient procedure where patient monitoring and complications support are available. A small percentage of lung and pleural biopsies may be performed ...

Denver criteria for blunt cerebrovascular injury

The Denver criteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) in trauma used to reduce the need for CT angiography and its associated radiation exposure. Screening criteria The screening protocol criteria 1,3 for BCVI are divided into signs and symptoms of BCVI a...

Denver shunt

A Denver shunt, or peritoneovenous shunt, is a device used to shunt ascites to the superior vena cava in patients with refractory ascites. The proximal end is located in the peritoneal cavity and the distal end in the superior vena cava, with a subcutaneous course in the anterior chest wall. It...

Digital subtraction angiography

Digital subtraction angiography is a fluoroscopic technique used extensively in interventional radiology for visualizing blood vessels. Radiopaque structures such as bones are eliminated ("subtracted") digitally from the image, thus allowing for accurate depiction of the blood vessels. History ...

DM interventional radiology

DM interventional radiology superspecialty course is a 3-year postgraduate subspecialty training in interventional radiology with the pre-requisites being a primary medical degree and MD radiodiagnosis or DNB radiodiagnosis. Successful completion of the course requires submission of a thesis at ...

DNB in endovascular and interventional radiology

DNB in endovascular and interventional radiology is a post doctoral DNB super specialty programme in India. eligibility: should be post graduate degree in MD/DNB radiology national eligibility cum entrance test (NEETSS)/CET(SS) duration of course: 3 year full time residency program

Double density sign (berry aneurysm)

Double density sign of berry aneurysms refers to the angiographic appearance of a small intracranial aneurysm projecting in front or behind a vessel of similar caliber. As such, the border of the aneurysm cannot easily be seen, but the extra contrast within it can be seen as a rounded area of in...

Endocrine venous sampling

Endocrine venous sampling is a set of similar interventional techniques proposed for the specific diagnosis of some endocrine disorders such as: inferior petrosal sinus sampling evaluates for ACTH-secreting pituitary adenoma as etiology for endogenous Cushing syndrome selective venous sampli...

Endoleak

Endoleaks are characterized by persistent blood flow within the aneurysm sac following endovascular aneurysm repair (EVAR). Normally the aortic stent-graft used for EVAR excludes the aneurysm from the circulation by providing a conduit for blood to bypass the sac. Epidemiology An endoleak is a...

Endoscopic retrograde cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and interventional procedure technique using both endoscopy and fluoroscopy for examination and intervention of the biliary tree and pancreatic ducts. It is typically performed by doctors with endoscopic qualifications (e.g. g...

Endovascular aneurysm repair

Endovascular aneurysm repair (EVAR) was first pioneered in the early 1990s. Since then technology of the devices has rapidly progressed and EVAR is now widely used as treatment of thoracic and abdominal aortic aneurysms (AAA). The advantages of endovascular repair over open repair are that they...

Endovascular aneurysm sealing system (EVAS)

Endovascular aneurysm sealing system (EVAS) was developed with the intention to expand beyond the anatomic limitations of endovascular aneurysm repair (EVAR) devices, as well as to decrease the rates of re-intervention secondary to graft migration and type II endoleaks. EVAS was designed by End...

Epidural blood patch

Epidural blood patch is a treatment option for patients with craniospinal hypotension or post lumbar puncture headaches. The procedure can be done blind or under fluoroscopic or CT guidance, and is performed predominantly by radiologists and anesthesiologists. Indications craniospinal hypoten...

Femoral artery pseudoaneurysm

Femoral artery pseudoaneurysms are usually iatrogenic, as the femoral artery is the vessel of choice for most endovascular arterial interventions. Pathology Etiology iatrogenic anticoagulation therapy inadequate compression following endovascular intervention improper arterial puncture tec...

Fibromuscular dysplasia

Fibromuscular dysplasia (FMD) is a heterogeneous group of vascular lesions characterized by an idiopathic, non-inflammatory, and non-atherosclerotic angiopathy of small and medium-sized arteries. Epidemiology The prevalence is unknown 7. It is most common in young women with a female to male r...

Flow-diverter stent

Flow-diverter stents are relatively new and important devices in the management of intracranial aneurysms, especially ones that are large, broad-necked or fusiform. Complications In a multi-center study in Italy, Briganti et al. reported an overall morbidity rate of 3.7% and a mortality rate ...

Fluoroscopic nasojejunal tube insertion

Fluoroscopic nasojejunal (NJT) or nasogastric tube (NGT) insertion is a valuable procedure offered by radiologists in patient care. The majority of nasogastric tubes are inserted on the ward level and nasojejunal tubes may be placed in theater at the time of surgery. In difficult cases, inserti...

Fluoroscopy guided lumbar puncture

Fluoroscopy-guided lumbar puncture (LP) is a minimally invasive, image-guided diagnostic and therapeutic procedure that involves the removal of a small volume of cerebrospinal fluid (CSF) from, or an injection of medication or other substance (e.g. radiotracer, chemotherapy agents) into the lumb...

French gauge

The French gauge (Fr) (also known as the French scale or system) is used to size catheters, and other instruments, in interventional radiology and surgery. In some parts of the world, the Charrière (Ch) is used as the name of the unit, in honor of its inventor. French sizing The French system...

Glenohumeral joint injection (technique)

Glenohumeral joint injections (often referred to as shoulder injections ) are performed as part of a number of therapeutic and imaging procedures using a variety of approaches and modalities. The underlying principles shared by all techniques are to avoid damage to the glenoid labrum, long head ...

Glenohumeral joint hydrodilatation

Glenohumeral joint (shoulder) hydrodilatation or tension arthrography is an established treatment for adhesive capsulitis of the shoulder (frozen shoulder) and can be performed using a variety of modalities. Indications adhesive capsulitis of the shoulder Contraindications anticoagulation/c...

Haemodialysis arteriovenous fistula

An acquired arm arteriovenous fistula (AVF) creation is a procedure performed for haemodialysis access in those with end stage renal failure. It connects and artery to a vein in the vein. This can either be a native connection or a connection using a PTFE (polytetrafluoroethylene) graft. There ...

Hemoptysis

Hemoptysis refers to coughing out blood. Generally, it appears bright red in color as opposed to blood from the gastrointestinal tract which appears dark red. It is considered an alarming sign of a serious underlying etiology. Terminology Massive hemoptysis is referred to as expectoration of >...

Heimlich valve

The Heimlich valve, also known as the flutter valve, is a unidirectional valve to ensure that gas/fluid drained from the pleural space cannot flow back in. The Heimlich valve is cheap, easy to use, and does not require clamping unlike 'traditional' thoracostomy drainage tubes. Suction can stil...

Hepatic chemosaturation

Hepatic chemosaturation is a percutaneous technique used to locally treat unresectable hepatic metastases in patients without systemic disease. Technique The key to this technique is isolating the blood supply to the liver. This is achieved by: closure of the gastro-duodenal artery by coiling...

Hickman catheter

Hickman catheters (or Hickman lines) are a type of tunnelled central venous access device. Indications chemotherapy administration 2 parenteral nutrition 2 long-term parenteral antibiotic administration 2 Complications Insertion arrhythmia (most common) 1 arterial injury kinking pneumo...

High-intensity focused ultrasound

High-intensity focused ultrasound (HIFU) is a promising non-invasive thermal ablation technique. Unlike diagnostic ultrasound, HIFU focuses the ultrasound waves precisely upon a target. In a similar way to how light can be focused to a burning point by a magnifying glass, ultrasound passes thro...

Iliac artery aneurysm

Iliac arterial aneurysms are focal dilatations of the iliac artery. Although the dimensions that define the aneurysm are dependent on the sex of the patient and the portion of the artery involved, a common iliac artery (CIA) with a diameter ≥1.7 cm in males or ≥1.5 cm in females is considered ...

Iliac vein occlusion

Iliac vein occlusion can be due to the variety of causes including: iatrogenic neonatal catheters catheter dissection injuries IVC filter insertion dialysis catheters malignancy-related direct tumor invasion radiotherapy enlarged lymph nodes hypercoagulable state prior DVTs May-Thr...

Iliofemoral deep vein thrombosis

Iliofemoral deep vein thrombosis (iliofemoral DVT) occurs when a thrombus in the iliac vein (common, external or internal) or common femoral vein obstructs the venous outflow from the lower limb leading to marked edema; DVT of the IVC or the more distal lower limb veins may be present. Terminol...

Image plate artifact

Image plate artifact is caused by backscatter radiation. Backscatter radiation is transmitted through the back of the cassette to the cassette hinge where the lead coating gets weakened or cracked. To reduce backscatter, the radiographer should collimate where possible.

Implantable port

Implantable ports, also known as chemoports, totally implantable central venous access ports or Port-A-Caths®, are a type of central venous catheter for patients requiring long-term venous access. They offer the ability to have long-term central venous access with some of the advantages over per...

Inferior petrosal sinus sampling

Inferior petrosal sinus sampling is an infrequently used method of confirming the presence of a hormonally active pituitary microadenoma, when imaging alone has been insufficient. This technique is able to confirm that excess hormone (e.g. ACTH) is being produced by the pituitary and may also he...

Inferior vena cava filter

Inferior vena cava filter, or just IVC filter, is an endovascular device which is typically placed in the infrarenal inferior vena cava (IVC) to prevent pulmonary embolism in selected patients. This procedure is most often performed by interventional radiologists under fluoroscopic guidance. In...

Infusothorax

Infusothorax is a complication of central venous catheter malposition where the catheter tip is located in the pleural space and the infusion of the fluid collects inadvertantly in the pleural space in the form of a pleural effusion. Longer term complications depend on the fluid being infused.

Interventional procedure article structure

Interventional articles necessarily require a different structure to other articles. It is important for them to have a consistent structure to maintain uniformity across the site. The suggested structure and headings (and heading size) are as follows: ==========================================...

Intervention curriculum

The interventional radiology curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core interventional knowledge. As the different procedures are intrinsically linked to the various radiology subspecialties, its content is mixed with some of the ...

Intra-aortic balloon pump

Intra-aortic balloon pumps (IABP) are used in the intensive care setting to provide hemodynamic assistance to patients in cardiogenic shock. Function and physiology The device is comprised of a catheter introduced via a femoral artery sheath, which extends retrogradely to the proximal descendi...

Intracranial mycotic aneurysm

Intracranial mycotic aneurysms, or intracranial infectious aneurysms, describe aneurysms arising from infection of the arterial wall of intracranial vessels. See mycotic aneurysm for a general discussion on infectious aneurysms. Epidemiology The epidemiology of intracerebral mycotic aneurysms...

Iophendylate

Iophendylate (generic name is iodophenylundecylic acid) and sold under the tradename Myodil (except the USA where it was marketed as Pantopaque) was an oil-based contrast medium that was previously used for myelography. It was first used in 1944, but officially discontinued in 1988 6. The iodin...

Irreversible electroporation

Irreversible electroporation (IRE), also known as non-thermal irreversible electroporation (NTIRE), is a non-invasive soft-tissue ablation technique used for tumor ablation in regions that require very high precision and preservation of surrounding collagenous structures (vessels and ducts) and ...

Jugular venous catheters

The internal jugular vein is a preferred site for venous access for large lumen, long-term central venous catheters for chemotherapy, hemofiltration and plasma exchange. Typically, the right internal jugular is used as its vertical course straight down into the superior vena cava via the right...

Labeled imaging anatomy cases

This article lists a series of labeled imaging anatomy cases by system and modality. Brain CT head: non-contrast axial CT head: non-contrast coronal CT head: non-contrast sagittal CT head: angiogram axial CT head: angiogram coronal CT head: angiogram sagittal CT head: venogram axial CT ...

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 interven...

Liver biopsy (transjugular)

Transjugular liver biopsy (TJLB) is an alternative to a percutaneous liver biopsy in patients with diffuse liver disease, coagulopathy and ascites. It is sometimes done in combination with a transjugular intrahepatic portosystemic shunt (TIPSS) or venography. Indications massive ascites coag...

Lumbar interlaminar epidural injection

Lumbar interlaminar epidural injections are one of some possible spinal epidural injections. For an alternative approach for the same region, please refer to the article on lumbar transforaminal epidural injections. Indications Typically, epidural injections are performed in patients with rad...

Marginal artery of Drummond

The marginal artery of Drummond, also known as the marginal artery of the colon, is a continuous arterial circle or arcade along the inner border of the colon formed by the anastomoses of the terminal branches of the superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Gross a...

May-Thurner syndrome

May-Thurner syndrome refers to a chronic compression of the left common iliac vein (CIV) against the lumbar vertebrae by the overlying right common iliac artery (CIA), with or without deep venous thrombosis 2. Although both left and right CIVs lie deep to the right common iliac artery, the left...

Mechanical thrombectomy for acute ischemic stroke

Mechanical thrombectomy for acute ischemic stroke is the endovascular retrieval of clots obstructing large intracranial vessels in acute ischemic stroke patients. History In 2015, multiple randomized controlled trials showed improved clinical outcome in patients with acute stroke due to large ...

Medical devices in the abdomen and pelvis

Medical devices in the abdomen and pelvis are important to be recognized, just like medical devices of the chest. Often we ignore these devices, considering them to be incidental and non-pathological, however it is essential to be aware of potential complications. Gastrointestinal tubes stomac...

Mercedes-Benz sign (aorta)

The Mercedes-Benz sign can be seen in the aorta in the context of aortic dissection on CT 1. It is seen at three distinct intimal flaps that have a triradiate configuration similar to the Mercedes-Benz logo (Figure 1). Two of the three lumens outline by these intimal flaps belong to the false ...

Metallic ureteric stent

Metallic ureteric stents are a type of ureteric stent developed to offer improved symptomatic relief of obstruction when compared to polymeric (polyurethane) stents. They are often used in patients with chronic malignant ureteric obstructions who require placement of long-term ureteral stents to...

Modified Memphis criteria for blunt cerebrovascular injury

The modified Memphis criteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) in trauma. The presence of one or more of these criteria makes necessary a complementary CTA or DSA study to exclude a BCVI. The screening protocol criteria for BCVI are: base of skull fractur...

MR arthrogram solution

An MR arthrogram solution is a dilute solution of gadolinium that is used in MR arthrography for injection into the joint prior to imaging. The joint injection is performed under fluoroscopic guidance. In vitro studies suggest that the ideal gadolinium medium concentration is ~2-2.5 mmol/L, how...

Multiphase CT angiography in acute ischemic stroke

Multiphase CT angiography is an evolving imaging technique in acute ischemic stroke. The technique aims to quickly and reliably identify brain which is potentially salvageable with intervention. Brain tissue viability depends on many factors, with this technique assessing collateral leptomeninge...

Nasogastric tube positioning

Assessment of nasogastric (NG) tube positioning is a key competency of all doctors as unidentified malpositioning may have dire consequences, including death. Evaluation of NGT Plain radiograph The ideal position should be in the sub-diaphragmatic position in the stomach - identified on a pla...

Needle gauge system

The needle gauge system, often called just the Gauge or G, is an internationally-used scale for sizing needles. It was adopted from pre-existing gauges which were used in industry to size metal wire. In contradistinction to the French scale, the other well-known sizing system, which is a metric...

Esophageal intubation

Esophageal intubation refers to the incorrect placement of an endotracheal tube in the esophagus. Within minutes its consequences can be catastrophic with the seriousness of its outcome depending largely on the timeliness of its diagnosis. Epidemiology Accidental esophageal intubation can happ...

Esophageal stent

Esophageal stents are a treatment option in patients with esophageal strictures. It is most commonly used for symptomatic relief in those with dysphagia secondary to malignancy. The stent is typically covered in nature and inserted endoscopically or fluoroscopically. The distal esophagus is the ...

Onyx

OnyxTM is the trade name for a liquid embolic agent used in interventional radiology for the occlusion of blood vessels in embolization therapy. It is an elastic copolymer (ethylene vinyl alcohol copolymer (EVOH)), dissolved in dimethyl-sulfoxide (DMSO). Micronised tantalum powder is also added ...

Ovarian vein embolization

Ovarian vein embolization is an interventional technique primarily used towards the treatment of varicosities. Indications The main indications are: as part of management of pelvic congestion syndrome 1-4 to treat pelvic varicosities diagnosed by imaging to treat labial and/or perineal vari...

Patent track sign (ultrasound)

Patent track sign is a finding on color Doppler ultrasound, representing blood traveling along the course a biopsy needle track. It can occur after a biopsy of any organ, but is more often seen after liver or kidney biopsies. Radiographic findings linear color Doppler flow along the course of ...

Pelvic abscess

A pelvic abscess refers to a walled-off collection of pus in the pelvis. Pathology Etiology Some of the causes include: pelvic inflammatory disease (tubo-ovarian abscess) iatrogenic e.g. post surgical inflammatory bowel disease pelvic actinomycosis infection diverticulitis Clinical pre...

Percutaneous cholecystostomy

Percutaneous cholecystostomy is an image-guided placement of drainage catheter into gallbladder lumen. This minimally invasive procedure can aid the stabilization of a patient to enable a more measured surgical approach with time for therapeutic planning. A 2018 study 11 demonstrate no differen...

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