Minimally Invasive Image Guided Interventions

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nuclear Medicine & Radiology".

Deadline for manuscript submissions: closed (30 September 2022) | Viewed by 4447

Special Issue Editor


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Guest Editor
Division of Interventional Radiology, Mayo Clinic, 5777 E. Mayo Blvd, Phoenix, AZ 85054, USA
Interests: interventional radiology; venous thrombosis; oncologic interventions, image guided intervention; bioengineering; medical devices; minimally invasive therapeutics; embolization; 3D printing
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Special Issue Information

Dear Colleagues,

In the past decade, significant strides have been made in the development of image-guided interventions, pushing interventional radiology (IR) to the forefront of medicine. Conventional diagnostic imaging technologies such as ultrasound, CT, fluoroscopy, and MRI are evolving to have new applications that can better assist clinicians in the surgical suite. These advancements in image-guided interventions have led to increased success in practices such as the ablation of tumors; the treatment of joint pain, hemorrhoids, venous thrombosis, aneurysms, and arterial stenosis; among other things. This Special Issue aims to summarize the practical uses of established image-guided interventions and provide readers with a deeper understanding of emerging technologies in IR. Authors are welcome to submit original research and review papers. 

Prof. Dr. Rahmi Oklu
Guest Editor

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Keywords

  • interventional radiology
  • endovascular surgery
  • embolization
  • ablation
  • imaging
  • percutaneous interventions
  • medical devices
  • image-guided interventions

Published Papers (2 papers)

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Research

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11 pages, 2414 KiB  
Article
Comparison of a Robotic and Patient-Mounted Device for CT-Guided Needle Placement: A Phantom Study
by Yannick Scharll, Alexander Mitteregger, Gregor Laimer, Christoph Schwabl, Peter Schullian and Reto Bale
J. Clin. Med. 2022, 11(13), 3746; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11133746 - 28 Jun 2022
Cited by 2 | Viewed by 1562
Abstract
Background: Robotic-based guidance systems are becoming increasingly capable of assisting in needle placement during interventional procedures. Despite these technical advances, less sophisticated low-cost guidance devices promise to enhance puncture accuracy compared with the traditional freehand technique. Purpose: To compare the in vitro accuracy [...] Read more.
Background: Robotic-based guidance systems are becoming increasingly capable of assisting in needle placement during interventional procedures. Despite these technical advances, less sophisticated low-cost guidance devices promise to enhance puncture accuracy compared with the traditional freehand technique. Purpose: To compare the in vitro accuracy and feasibility of two different aiming devices for computed-tomography (CT)-guided punctures. Methods: A total of 560 CT-guided punctures were performed by using either a robotic (Perfint Healthcare: Maxio) or a novel low-cost patient-mounted system (Medical Templates AG: Puncture Cube System [PCS]) for the placement of Kirschner wires in a plexiglass phantom with different slice thicknesses. Needle placement accuracy as well as procedural time were assessed. The Euclidean (ED) and normal distances (ND) were calculated at the entry and target point. Results: Using the robotic device, the ND at the target for 1.25 mm, 2.5 mm, 3.75 mm and 5 mm slice thickness were 1.28 mm (SD ± 0.79), 1.25 mm (SD ± 0.81), 1.35 mm (SD ± 1.00) and 1.35 mm (SD ± 1.03). Using the PCS, the ND at the target for 1 mm, 3 mm and 5 mm slices were 3.84 mm (SD ± 1.75), 4.41 mm (SD ± 2.31) and 4.41 mm (SD ± 2.11), respectively. With all comparable slice thicknesses, the robotic device was significantly more accurate compared to the low-cost device (p < 0.001). Needle placement with the PCS resulted in lower intervention time (mean, 158.83 s [SD ± 23.38] vs. 225.67 s [SD ± 17.2]). Conclusion: Although the robotic device provided more accurate results, both guidance systems showed acceptable results and may be helpful for interventions in difficult anatomical regions and for those requiring complex multi-angle trajectories. Full article
(This article belongs to the Special Issue Minimally Invasive Image Guided Interventions)
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Review

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8 pages, 1497 KiB  
Review
The Role of Interventional Radiology in the Diagnosis and Treatment of Pulmonary Arteriovenous Malformations
by Chee Woei Yap, Bernard B. K. Wee, Sze Ying Yee, Vincent Tiong, Yi Xiu Chua, Lycia Teo, Rahul Lohan, Amos Tan, Pavel Singh, Prapul Chander Rajendran, Cunli Yang, Yong Chen Yee, Gopinathan Anil and Shao Jin Ong
J. Clin. Med. 2022, 11(21), 6282; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11216282 - 25 Oct 2022
Cited by 3 | Viewed by 2442
Abstract
Pulmonary arteriovenous malformations (PAVMs) are uncommon, predominantly congenital direct fistulous connections between the pulmonary arteries and pulmonary veins, resulting in a right to left shunt. Patients with PAVMs are usually asymptomatic with lesions detected incidentally when radiological imaging is performed for other indications. [...] Read more.
Pulmonary arteriovenous malformations (PAVMs) are uncommon, predominantly congenital direct fistulous connections between the pulmonary arteries and pulmonary veins, resulting in a right to left shunt. Patients with PAVMs are usually asymptomatic with lesions detected incidentally when radiological imaging is performed for other indications. In this review, we discuss the classification and radiological features of PAVMs as well as their treatment and follow-up options, with a particular focus on percutaneous endovascular techniques and the evolution of the available equipment for treatment. Full article
(This article belongs to the Special Issue Minimally Invasive Image Guided Interventions)
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