Asunto(s)
Embolización Terapéutica , Hepatoblastoma , Neoplasias Hepáticas , Hemorragia/diagnóstico por imagen , Hemorragia/etiología , Hemorragia/terapia , Arteria Hepática/diagnóstico por imagen , Hepatoblastoma/complicaciones , Hepatoblastoma/diagnóstico por imagen , Hepatoblastoma/terapia , Humanos , Lactante , Neoplasias Hepáticas/complicaciones , Neoplasias Hepáticas/diagnóstico por imagen , Neoplasias Hepáticas/terapiaRESUMEN
Interventional radiology procedures are increasingly in demand in both the adult and pediatric populations. Pediatric procedures mirror many of the adult procedures but with increased complexity due to many considerations, notably patient size. This article reviews the various vascular pediatric interventional procedures. The aim is to provide a greater exposure to the possible treatment options for pediatric patients and to facilitate understanding of the success and complications rates related to various interventions.
Asunto(s)
Pediatría/métodos , Radiografía Intervencional/métodos , Angiografía/métodos , Cateterismo Venoso Central/métodos , Catéteres de Permanencia , Niño , Embolización Terapéutica/métodos , Humanos , Derivación Portosistémica Intrahepática Transyugular/métodos , Escleroterapia/métodos , Filtros de Vena CavaRESUMEN
Interventional radiology procedures are increasingly in demand in both the adult and pediatric populations. Pediatric procedures mirror many of the adult procedures but with increased complexity due to considerations related to patient size and the requirements for sedation and radiation protection. This article reviews the various nonvascular pediatric interventional procedures and provides information on sedation and radiation protection. The aim is to provide a greater exposure to the possible treatment options for pediatric patients and to facilitate understanding of imaging after various interventions.
Asunto(s)
Pediatría/métodos , Radiografía Intervencional/métodos , Anestesia/métodos , Biopsia , Niño , Drenaje , Humanos , Guías de Práctica Clínica como Asunto , Dosis de Radiación , Protección RadiológicaAsunto(s)
Adenocarcinoma Bronquioloalveolar/complicaciones , Aneurisma/diagnóstico por imagen , Aneurisma/terapia , Tomografía Computarizada de Haz Cónico/métodos , Embolización Terapéutica/instrumentación , Neoplasias Pulmonares/complicaciones , Arteria Esplénica/diagnóstico por imagen , Anciano , Aneurisma/etiología , Angiografía de Substracción Digital/métodos , Medios de Contraste , Embolización Terapéutica/métodos , Humanos , Hallazgos Incidentales , Intensificación de Imagen Radiográfica/métodos , Ácidos TriyodobenzoicosRESUMEN
Interventional radiology is a relatively new speciality and may be referred to as "image-guided surgery without a scalpel". Training and accreditation bodies regard interventional radiology training as being "different" from general radiology because of the additional need for dexterity and clinical acumen. Due to the multidimensional role of an interventional radiologist, a practitioner in this discipline must have a number of the competencies of anesthetists, surgeons, and radiologists. The attributes required of an interventional radiologist are akin to those required of a surgeon. This paper gives an overview of the skills required to be a competent interventional radiologist along with a succinct introduction to methods of assessment of technical and non-technical skills.
Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Radiología Intervencionista/educación , Radiología Intervencionista/normas , Acreditación , Adaptación Psicológica , Competencia Clínica , Comunicación , Curriculum , Educación Médica Continua , Educación de Postgrado en Medicina , Evaluación Educacional , Internado y Residencia , Cuerpo Médico de Hospitales , Grupo de Atención al Paciente , Relaciones Médico-Paciente , Desempeño Psicomotor , Análisis y Desempeño de Tareas , Terminología como Asunto , Transferencia de Experiencia en PsicologíaRESUMEN
The introduction of multidetector computed tomography (MDCT) is considered a dramatic development in CT imaging that has direct implication in the imaging of various systems, in particular the cardiovascular system. The advantages of MDCT are an enormous increase in imaging acquisition speed, more coverage of the patient, and high spatial resolution. This article reviews the recent developments in CT angiography and discusses the clinical application relevant to diagnosis and endovascular treatment of cardiovascular diseases.
Asunto(s)
Enfermedades Cardiovasculares/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Angiografía/métodos , Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Humanos , Enfermedades Vasculares Periféricas/diagnóstico por imagen , Arteria Pulmonar/diagnóstico por imagen , Dosis de RadiaciónRESUMEN
Tuberculosis has shown a resurgence in nonendemic populations in recent years, a phenomenon that has been attributed to factors such as increased migration and the human immunodeficiency virus epidemic. Although the thorax is most frequently involved, tuberculosis may involve any of a number of organ systems (eg, the respiratory, cardiac, central nervous, musculoskeletal, gastrointestinal, and genitourinary systems), and timely diagnosis of the disease is paramount, since delayed treatment is associated with severe morbidity. Unfortunately, a history of infection with or exposure to tuberculosis may or may not be present, and evidence of active tuberculosis is present in less than 50% of cases. A negative tuberculin skin test does not in itself exclude infection. Furthermore, the clinical and radiologic features of tuberculosis may mimic those of many other diseases. Therefore, although in many cases biopsy or culture specimens are required to make the definitive diagnosis, it is imperative that radiologists and clinicians understand the typical distribution, patterns, and imaging manifestations of tuberculosis.