Interventional oncology

Johnston, Edward; Stempel, Conrad von; Singh, Saurabh; Bandula, Steven; Illing, Rowland

doi:10.12968/hmed.2016.77.8.c114

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…At our hospital, around 30 % of non-emergency surgical procedures were postponed and up to six operating rooms were closed. The reduced offer of surgical services might have caused a shift to therapeutic IOPs, which require fewer resources and allow for shorter hospital stays [29,30].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on therapeutic interventional oncology procedures and diagnostic CT/MRI examinations at a German university hospital

Nebelung

Radosa

Schön

et al. 2023

Rofo

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Purpose The COVID-19 pandemic led to the implementation of severe restrictions on public life in Germany and a reduction in the number of non-COVID patients presenting for care. The aim of this study was to measure the impact on the number of therapeutic interventional oncology procedures in relation to diagnostic imaging studies at a high-volume radiology department. Materials and Methods The numbers of therapeutic interventional oncology procedures and diagnostic CT/MRI examinations for the years 2010 to 2021 were extracted using the hospital information system. Monthly data from January 2010 to December 2019 were used to build forecasting models for the timeframe from January 2020 to December 2021. Real procedure numbers were compared with predicted numbers to calculate residual differences, which were considered statistically significant if the real number was outside the 95 % confidence interval (p < 0.05). Results During the first German lockdown (March/April 2020), the number of outpatient CT/MRI examinations decreased significantly, with a less pronounced decrease of overall CT/MRI numbers. The second German lockdown (January-May 2021) led to lower than predicted outpatient CT numbers, whereas outpatient MRI numbers in part even exceeded predicted numbers and overall CT/MRI numbers stayed within confidence limits. The lockdowns had a more pronounced negative effect on the number of oncological MRI examinations compared to CT examinations. The number of therapeutic interventional oncology procedures showed no significant decrease during both lockdowns. Conclusion Lockdown measures had minor impact on the number of therapeutic interventional oncology procedures, possibly due to a shift from more resource-intensive therapies like surgery towards interventional oncology. The overall numbers of diagnostic imaging decreased during the first lockdown, while the second lockdown had less negative impact. The number of oncological MRI examinations was affected most severely. To avoid adverse outcomes, specific protocols for patient management during future pandemic outbreaks should be implemented and continuously adapted. Key Points Citation Format

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on therapeutic interventional oncology procedures and diagnostic CT/MRI examinations at a German university hospital

Nebelung

Radosa

Schön

et al. 2023

Rofo

View full text Add to dashboard Cite

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“…These procedures are considered very safe, as, in addition to the optimal control in releasing energy, several systems to control sensitive structures are available: thermocouples to track the temperature reached near sensitive structures or the ability to transfer sensitive structures away from the ablation area using air, carbon dioxide, or sulfur dioxide injection [ 5 ].…”

Section: Vascular and Non-vascular Approachesmentioning

confidence: 99%

“…The continuous development of IR allows for optimal management of many malignancies, avoiding the need for open invasive surgical interventions, with a reduced number of complications, faster recoveries, cheaper costs, and clinical success [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Precision Imaging Guidance in the Era of Precision Oncology: An Update of Imaging Tools for Interventional Procedures

Floridi

Cellina

Irmici

et al. 2022

JCM

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Interventional oncology (IO) procedures have become extremely popular in interventional radiology (IR) and play an essential role in the diagnosis, treatment, and supportive care of oncologic patients through new and safe procedures. IR procedures can be divided into two main groups: vascular and non-vascular. Vascular approaches are mainly based on embolization and concomitant injection of chemotherapeutics directly into the tumor-feeding vessels. Percutaneous approaches are a type of non-vascular procedures and include percutaneous image-guided biopsies and different ablation techniques with radiofrequency, microwaves, cryoablation, and focused ultrasound. The use of these techniques requires precise imaging pretreatment planning and guidance that can be provided through different imaging techniques: ultrasound, computed tomography, cone-beam computed tomography, and magnetic resonance. These imaging modalities can be used alone or in combination, thanks to fusion imaging, to further improve the confidence of the operators and the efficacy and safety of the procedures. This article aims is to provide an overview of the available IO procedures based on clinical imaging guidance to develop a targeted and optimal approach to cancer patients.

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Interventional oncology

Cited by 2 publications

References 13 publications

Impact of the COVID-19 pandemic on therapeutic interventional oncology procedures and diagnostic CT/MRI examinations at a German university hospital

Impact of the COVID-19 pandemic on therapeutic interventional oncology procedures and diagnostic CT/MRI examinations at a German university hospital

Precision Imaging Guidance in the Era of Precision Oncology: An Update of Imaging Tools for Interventional Procedures

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