RESUMO
La radiología intervencionista pediátrica es una subespecialidad dinámica y en crecimiento. Las nuevas vías de formación en radiología intervencionista, el mantenimiento de las competencias con un pequeño volumen de casos o procedimientos complejos, la disponibilidad limitada de equipos y material pediátrico específico, los efectos de la sedación o de la anestesia sobre el neurodesarrollo y la protección radiológica suponen importantes retos y oportunidades.(AU)
Pediatric interventional radiology is a dynamic and growing subspecialty. The new training pathways in interventional radiology, the maintenance of skills with a small volume of cases or complex procedures, the limited availability of specific pediatric equipment and materials, the effects of sedation or anesthesia on neurodevelopment or radiological on neurodevelopment or radiation protection pose significant challenges and opportunities.(AU)
Assuntos
Humanos , Masculino , Feminino , Criança , Radiologia Intervencionista/normas , Pediatria , Competência Clínica , Sociedades Médicas , Capacitação Profissional , Radiologia , Radiologia Intervencionista/história , Radiologia IntervencionistaRESUMO
During the last 100 years, musculoskeletal radiology has developed from bone-only radiography performed by everyone to a dedicated subspecialty, still secure in its origins in radiography but having expanded into all modalities of imaging. Like other subspecialties in radiology, it has become heavily dependent on cross-sectional and functional imaging, and musculoskeletal interventions play an important role in tumor diagnosis and treatment and in joint diseases. All these developments are reflected in the pages in Acta Radiologica, as shown in this review.
Assuntos
Sistema Musculoesquelético/diagnóstico por imagem , Publicações Periódicas como Assunto/história , Radiologia/história , Angiografia/história , Artrografia/história , Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/história , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/história , História do Século XX , História do Século XXI , Imageamento por Ressonância Magnética/história , Neoplasias Musculares/diagnóstico por imagem , Neoplasias Musculares/história , Medicina Nuclear/história , Radiologia Intervencionista/história , Tomografia Computadorizada por Raios X/história , Tuberculose Osteoarticular/diagnóstico por imagem , Tuberculose Osteoarticular/história , Ultrassonografia/históriaAssuntos
Cooperação Internacional , Radiografia Intervencionista , Radiologia Intervencionista/organização & administração , Sociedades Médicas/organização & administração , Congressos como Assunto , Comportamento Cooperativo , História do Século XX , História do Século XXI , Humanos , Radiografia Intervencionista/história , Radiologia Intervencionista/história , Sociedades Médicas/históriaRESUMO
Medical imaging has transformed the ease and speed of patient care with provision of detailed evaluation of anatomic structures and disease processes. Interventional radiology uses imaging guided techniques to further diagnose or treat diseases with minimally invasive methods. These techniques are particularly helpful in treating pediatric patients.
Assuntos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Pediatria , Radiologia Intervencionista , Criança , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Medicina , Pediatria/história , Radiologia Intervencionista/história , Radiologia Intervencionista/tendênciasAssuntos
Angiografia/história , Pesquisa Biomédica/história , Radiografia Intervencionista/história , Radiologia Intervencionista/história , Tchecoslováquia , Educação Médica/história , História do Século XX , História do Século XXI , Humanos , Mentores/história , Radiologia Intervencionista/educação , Estados UnidosAssuntos
Radiografia Intervencionista , Radiologia Intervencionista , Doenças Cardiovasculares/diagnóstico por imagem , Doenças Cardiovasculares/radioterapia , Tomada de Decisões , História do Século XX , História do Século XXI , Humanos , Hungria , Cooperação Internacional , Radiografia Intervencionista/história , Radiografia Intervencionista/métodos , Radiografia Intervencionista/tendências , Radiologia Intervencionista/história , Radiologia Intervencionista/métodos , Radiologia Intervencionista/tendênciasRESUMO
The evolution of modern interventional radiology began over half century ago with a simple question. Was it possible to use the same diagnostic imaging tools that had revolutionized the practice of medicine to guide the real-time treatment of disease? This disruptive concept led to rapid treatment advances in every organ system of the body. It became clear that by utilizing imaging some patients could undergo targeted procedures, eliminating the need for major surgery, while others could undergo procedures for previously unsolvable problems. The breadth of these changes now encompasses all of medicine and has forever changed the way we think about disease. In this brief review article, major advances in the field, as chronicled in the pages of Radiology, will be described.
Assuntos
Gastroenteropatias/diagnóstico , Imageamento por Ressonância Magnética , Radiologia Intervencionista , Tomografia Computadorizada por Raios X , Ultrassonografia , Angiografia , Angioplastia , Colangiografia , História do Século XX , História do Século XXI , Humanos , Imageamento por Ressonância Magnética/história , Imageamento por Ressonância Magnética/tendências , Nefrostomia Percutânea , Guias de Prática Clínica como Assunto , Radiologia Intervencionista/história , Radiologia Intervencionista/instrumentação , Radiologia Intervencionista/tendências , Stents , Tomografia Computadorizada por Raios X/história , Tomografia Computadorizada por Raios X/tendências , Ultrassonografia/história , Ultrassonografia/tendênciasRESUMO
In 1923, angiography was first successively used for the human body. In 1953, a Swedish doctor Sven-Ivar Seldinger pioneered the Seldinger technique, which laid down the foundation of interventional radiology. In 1963, Charles Dotter first proposed the idea of interventional radiology. In 1964, Charles Dotter opened a new era of percutaneous angioplasty through accidental operation, marking the formation of interventional radiology. On this basis, the techniques of balloon catheter dilation and metal stent implantation was developed. Endovascular stent was proposed in 1969. In 1973, the percutaneous angioplasty has been a breakthrough with the emergence of soft double-lumen balloon catheter. Percutaneous coronary angioplasty is applied in 1977. Since the 1990s, balloon angioplasty relegated to secondary status with the emergence of metal stent. Currently, endovascular stent have entered a new stage with the emergence of temporary stent and stent grafts and biological stent. Transcatheter arterial embolization had been one of the most important basic techniques for interventional radiology since 1965, it had also been a corresponding development with the improvement of embolic agents and catheter technology for the treatment of diseases now. Transjugular intrahepatic portosystemic stent-shunt is a comprehensive interventional radiology technology since 1967, in which the biliary system can be reached through a jugular vein, and the improvement appeared with balloon expandable stent in 1986.Since 1972, non-vascular interventional techniques was another important branch of interventional radiology. Currently, it is applied in the diagnosis and treatment of many diseases of the internal organs like the pancreas, liver, kidney, spinal cord, Fallopian tubes, esophagus and other organs. In 1973, Chinese radiologist first conducted the angiography test. Interventional radiology was introduced into China in the 1980s, it was readily developed through the sponsoring of training class (1981) and academic conferences (1986). Along with the return of the overseas scholars, the gap in the interventional diagnosis and treatment technology between China and the world has been narrowing since the 1990s.
