Image-guided peripheral nerve interventions- applications and techniques

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Techniques in Vascular and Interventional Radiology Pub Date : 2024-09-01 DOI:10.1016/j.tvir.2024.100982
Junman Kim MD, Ricardo Martinez Garcia MD, MPH, John David Prologo MD
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Abstract

Interventional radiology continues to be at the forefront of acute and chronic pain management. Our unique imaging expertise and ability to target difficult to reach structures allows for the continuous development of new ways to treat a variety of pain generators. In addition, the advent of thermal ablation techniques and technologies has provided a unique opportunity to offer patients more durable and predictable options to treat their pain. This is particularly important during the opioid epidemic, as multiple local and international governmental bodies push for physicians to create ways to manage pain while reducing the need for long-term opioid dependence. This article aims to review various image-guided techniques and tools for the treatment of pain related to peripheral pain generators, with a focus on the extremities, lumbosacral and pelvic region, and the chest wall. For each target and pathology, we will discuss general etiology, anatomy, procedural approach, and briefly evaluate the supporting literature in each clinical situation.
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图像引导下的周围神经干预--应用与技术
介入放射学一直处于急性和慢性疼痛治疗的前沿。我们独特的成像技术和针对难以触及结构的能力,使我们能够不断开发出治疗各种疼痛发生器的新方法。此外,热消融技术的出现提供了一个独特的机会,为患者提供更持久、更可预测的疼痛治疗方案。在阿片类药物流行期间,这一点尤为重要,因为多个地方和国际政府机构都在推动医生想方设法控制疼痛,同时减少对阿片类药物的长期依赖。本文旨在综述用于治疗外周痛源相关疼痛的各种图像引导技术和工具,重点关注四肢、腰骶部和骨盆区域以及胸壁。针对每个目标和病理,我们将讨论一般病因学、解剖学、手术方法,并简要评估每种临床情况下的辅助文献。
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来源期刊
Techniques in Vascular and Interventional Radiology
Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.70
自引率
0.00%
发文量
47
期刊介绍: Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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