Interventional radiology techniques to treat oncological disease have already shown value in adults. The adoption and development of interventional oncology (IO) in children have been more limited and challenging. This relates to the approval process for new devices and agents, oncology group protocol limitations and the inherent hesitation of trying new treatments in children. This paper will discuss how new procedures are developed and approved, and the new therapies that will become available to better treat pediatric malignancies. Bringing the benefits of IO to children will require initiative on the part of pediatric diagnostic and interventional radiologists as well as the cooperation of our clinical colleagues.Keywords Interventional oncology . Cancer . Children
The challengeUnfortunately, many pediatric interventional radiologists are frequently limited in introducing novel oncological interventions by their institutions' pediatric oncologists and surgeons. The future of pediatric interventional oncology (IO) depends on the initiative of pediatric radiologists, pediatric interventional radiologists, pediatric surgeons and pediatric radiation oncologists. We must either lead the adult experience as our pediatric oncologists now do, or follow the adult experience as commonly occurs in radiology.
The processNearly all therapeutic pediatric oncology is performed under prospective clinical trials and protocols associated with large cooperative oncology groups (often funded by individuals, special interest associations and government grants) after scrutiny by scientific committees and institutional review board (IRB) approval.