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Interventional
Radiology
Interventional radiology
(abbreviated IR or sometimes IVR or VIR) is a subspecialty of radiology that
performs minimally invasive procedures using image guidance. Certain
procedures are done for purely diagnostic purposes like for e.g., angiogram,
while others are done for treatment like- angioplasty. Images are used to
direct these procedures, which are usually done with needles or tiny
instruments like small tubes called catheters. The images provide road maps
that allow the Interventional Radiologist to guide these instruments through
the body to the areas of interest.
Interventional Imaging
methods
Common interventional imaging methods include X-ray fluoroscopy, computed
tomography (CT), ultrasound (US), and magnetic resonance imaging (MRI). Both
these methods are fast and geometrically accurate. Ultrasound suffers from
image quality and tissue contrast problems, but is also fast and
inexpensive. Magnetic resonance imaging provides superior tissue contrast,
at the cost of being expensive and requiring specialized instruments that
will not interact with the magnetic fields present in the imaging volume.
Interventional
Radiology Procedures
Common IR procedures are:
-
Catheter angiography
-
CT angiography (CTA)
-
Magnetic Resonance (MR)-Guided
Breast Biopsy
-
Needle Biopsy of Lung (Chest)
Nodules
-
Stereotactic Breast Biopsy
-
Ultrasound-Guided Breast
Biopsy
-
Endovenous Ablation of
Varicose Veins
-
Radiofrequency Ablation of
Liver Tumors
-
Radio Frequency Ablation of
Lung Tumors
-
Cryotherapy
-
Venous access
-
IVC filters
-
Vertebroplasty
-
Nephrostomy/NUS placement
-
Gastrostomy/gastrojejunostomy
tube placement
-
Dialysis access/intervention
-
Transjugular Intrahepatic
Portosystemic Shunt (TIPS)
-
Biliary interventions
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