Interventional Radiology Delivers High-Value Health Care and Is an Imaging 3.0 Vanguard

Charalel, Resmi A.; McGinty, Geraldine; Brant‐Zawadzki, Michael; Goodwin, Scott C.; Khilnani, Neil M.; Matsumoto, Alan H.; Min, Robert J.; Soares, Gregory M.; Cook, Philip S.

doi:10.1016/j.jacr.2014.10.024

Cited by 36 publications

(21 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interventional radiology (IR) has a critical role in the management of patients within the healthcare system, being involved in the treatment of both urgent and chronic diseases and having a pivotal role within the therapeutic pathway of many oncologic patients, also during a pandemic [14]. On the other hand, the risk of transmission is related to the degree of contact between patients and HCWs.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

et al. 2020

View full text Add to dashboard Cite

Objectives To retrospectively analyze interventional radiology (IR) activity changes in the COVID-19 era and to describe how to safely and effectively reorganize IR activity. Methods All IR procedures performed between January 30 and April 8, 2020 (COVID-era group) and the same 2019 period (non-COVID-era group) were retrospectively included and compared. A sub-analysis for the lockdown period (LDP: 11 March-8 April) was also conducted. Demographic, hospitalization, clinical, and procedural data were obtained for both groups and statistically compared with univariable analysis. Results A total of 1496 procedures (non-COVID era, 825; COVID era, 671) performed in 1226 patients (64.9 ± 15.1 years, 618 women) were included. The number of procedures decreased by 18.6% between 2019 and 2020 (825 vs 671, p < .001), with a reduction by 48.2% in LDP (188 vs 363, p < .0001). In the LDP COVID era, bedside procedures were preferred (p = .013), with an increase in procedures from the intensive care unit compared with the emergency department and outpatients (p = .048), and an increased activity for oncological patients (p = .003). No incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of healthcare workers in the IR service was registered. Conclusions Coronavirus disease outbreak changed the interventional radiology activity with an overall reduction in the number of procedures. However, this study confirms that interventional radiology continuum of care can be safely performed also during the pandemic, following defined measures and protocols, taking care of all patients. Key Points • Coronavirus disease pandemic determined a reduction of interventional radiology activity as compared to the same period of the previous year. • Interventional radiology procedures for life-threatening conditions and non-deferrable oncologic treatments were prioritized as opposed to elective procedures. • Strict adoption of safe procedures allowed us to have until now no incidents of cross-infection of non-infected from infected patients and no evidence of COVID-19 infection of HCWs in the IR service.

show abstract

Section: Introductionmentioning

confidence: 99%

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Patient-reported outcomes (PROs) are any report coming directly from patients about how they function or feel in relation to a health condition and its therapy without interpretation by physicians or others (1). Over the past 50 years, interventional radiology (IR) has pioneered minimally invasive, image-guided approaches that, in theory, lead to faster recovery and a better patient experience (2). However, the evidence base to support these benefits has not yet been firmly established.…”

Section: Introductionmentioning

confidence: 99%

Development of National Research and Clinical Agendas for Patient-Reported Outcomes in IR: Proceedings from a Multidisciplinary Consensus Panel

Kwan

Charalel

Stover

et al. 2018

Journal of Vascular and Interventional Radiology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Filling this gap is highly strategic, since the fast improvement of imaging technologies should result in their increasing use in operating rooms. Indeed, interventional radiology has contributed to some of the most significant medical improvements in recent years, including overall survival, quality of life improvement for patients and reduced healthcare costs. The current state of the art in the field mainly concerns image‐guided bone augmentation with injectable poly(methyl methacrylate) (PMMA) resins that are used for over two decades to treat fractures related to osteoporosis in different locations.…”

Section: Introductionmentioning

confidence: 99%

Design and properties of a novel radiopaque injectable apatitic calcium phosphate cement, suitable for image‐guided implantation

et al. 2017

View full text Add to dashboard Cite

An injectable purely apatitic calcium phosphate cement (CPC) was successfully combined to a water-soluble radiopaque agent (i.e., Xenetix ), to result in an optimized composition that was found to be as satisfactory as poly(methyl methacrylate) (PMMA) formulations used for vertebroplasty, in terms of radiopacity, texture and injectability. For that purpose, the Xenetix dosage in the cement paste was optimized by injection of the radiopaque CPC in human cadaveric vertebrae under classical PMMA vertebroplasty conditions, performed by interventional radiologists familiar with this surgical procedure. When present in the cement paste up to 70 mg I mL , Xenetix did not influence the injectability, cohesion, and setting time of the resulting composite. After hardening of the material, the same observation was made regarding the microstructure, mechanical strength and alpha-tricalcium phosphate to calcium deficient apatite transformation rate. Upon implantation in bone in a small animal model (rat), the biocompatibility of the Xenetix-containing CPC was evidenced. Moreover, an almost quantitative release of the contrast agent was found to occur rapidly, on the basis of in vitro static and dynamic quantitative studies simulating in vivo implantation. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2786-2795, 2018.

show abstract

Interventional Radiology Delivers High-Value Health Care and Is an Imaging 3.0 Vanguard

Cited by 36 publications

References 48 publications

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

Longitudinal study of interventional radiology activity in a large metropolitan Italian tertiary care hospital: how the COVID-19 pandemic emergency has changed our activity

Development of National Research and Clinical Agendas for Patient-Reported Outcomes in IR: Proceedings from a Multidisciplinary Consensus Panel

Design and properties of a novel radiopaque injectable apatitic calcium phosphate cement, suitable for image‐guided implantation

Contact Info

Product

Resources

About