• Title/Summary/Keyword: 중재적 시술

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Reference levels for patient Radiation Dose in interventional radiological procedures (중재적 방사선 시술 시 환자선량에 대한 참고 준위 비교)

  • Park, Hyeok;Kim, Yong-Wan;Jeon, Ju-Seob
    • Journal of the Korean Society of Radiology
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    • v.6 no.1
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    • pp.11-17
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    • 2012
  • The purpose of this study is to measure and evaluate radiation dose on patients in interventional radiological(IVR) procedures classified by each procedure, and aid as data for safety management. Fluroscopy time(F-time), dose area product(DAP) and number of acquired images from each kind of procedure was checked. Non-vascular procedures showed low value, and vascular procedure showed high value in all procedures except in IVC filter. F-time was longest in EVAR, which showed also the highest DAP value of all procedures. DAP-rate showed high value in TACE. By this result, we attempt to establish standard guideline of radiation dose on patients in IVR procedure.

MRI-Guided Breast Intervention: Biopsy and Needle Localization (자기공명영상 유도하 유방의 중재적시술: 조직생검술 및 침위치결정술)

  • Ga Eun Park;Jeongmin Lee;Bong Joo Kang;Sung Hun Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.345-360
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    • 2023
  • In Korea, the number of institutions providing breast MRI, as well as the number of breast MRIs, has recently increased. However, MRI-guided procedures, including biopsy and needle localization, are rarely performed compared to ultrasound-guided or stereotactic biopsy. As breast MRI has high sensitivity but limited specificity, lesions detected only on MRI require pathologic confirmation through MRI-guided biopsy or surgical excision with MRI-guided needle localization. Thus, we aimed to review MRI-guided procedures, including their indications, techniques, procedural considerations, and limitations.

Recent Interventional Procedures for Spinal Discogenic Pain for Life Care : Technical and Ethical Issues (라이프케어를 위한 추간판성 통증 치료의 최신중재기법 기술적 윤리적 문제들에 관하여)

  • Hong, Young-Ki
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.311-320
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    • 2019
  • Discogenic pain which develops during the degenerative process of intervertebral disc is an intractable disease of musculoskeletal system. Unlike other diseases in modern medical science, it is not clinically confirmed through objective imaging and clinicopathologic index. Moreover, current technology has been facing difficulties finding fundamental treatment. This study examined through reviewing literature whether the therapeutic rationales of interventional procedures for the discogenic pain, such as nerve block, intradiscal electrothermal therapy and nucleoplasty, are valid and whether safety reviews such as preclinical tests are carried out faithfully during the technology development process. As a result, it is presumed that there is not yet an interventional treatment for discogenic pain, whose therapeutic rationale has been objectively verified. And there are some cases of interventional treatment that have not been adequately equipped with the preclinical test steps necessary to review the safety of the procedure during the technology development process. In conclusion, since there is still no interventional treatment for discogenic pain which has clear therapeutic rationale, it is necessary to recognize that a more careful approach is needed to judge whether the procedure is performed in clinical settings. And medical ethical issues may arise for some interventional treatment that are deemed to have been carried out without a thorough review of safety.

Effects of Dose Reduction Fiber Shielding Cloth on Scattering Rays in Off-target Site during Angiography (선량저감섬유(Dose Reduction Fiber) 차폐포의 혈관조영술(Angiography) 시술 시 비 시술 부위의 산란선 차폐 효과)

  • Kim, Yong-Jin;Han, Sang-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.393-400
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    • 2020
  • Unlike conventional radiographic examinations, angiointerventional procedures have a high risk of radiation exposure to patients or operators due to prolonged radiation exposure time. This study was undertaken to examine effects of reducing the radiation risk by applying dose reduction fiber (DRF) shielding cloth during angiography. To investigate the properties of DRF shielding cloth, we measured the scattered radiation below and above a human phantom using a glass dosimeter, at site distances 10 cm away from the irradiated field. The results obtained reveal a 15 ~ 31% reduction of scattered radiation in the irradiation field, and 53 ~ 70% reduced radiation measured after phantom transmission. Taken together, our data indicate that application of DRF shielding cloth for radiation reduction at non-procedural sites during interventional procedure results in reduction of scattered doses to patients and operators, without affecting the medical examinations. We propose the use of DRF shielding during angiointerventional procedures, in order to reduce the risk of radiation exposure of patients and operators.

CT Imaging for Mitral Valve Surgery and Intervention (승모판막수술 및 중재술을 위한 전산화단층영상)

  • Dong Hyun Yang
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.290-301
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    • 2020
  • The surgical technique of mitral valvuloplasty or transcatheter mitral valve (MV) replacement has been developed recently. Surgeons and interventionists require detailed anatomical information on the MV for the purpose of treatment planning. In this review, we discussed the anatomic features of the MV on CT and the method of evaluating the MV for treatment planning, as well as its preservation, for interventional procedures.

Ultrasound-Guided Injections in the Lumbar and Sacral Spine (요추 및 천추부에 대한 초음파 유도하 중재 시술)

  • Ko, Kwang Pyo;Song, Jae Hwang;Kim, Whoan Jeang;Kim, Sang Bum;Min, Young Ki
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.185-195
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    • 2018
  • Study Design: Literature review. Objective: Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine. Summary of Literature Review: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method. Materials and Methods: We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine. Results: In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance. Conclusions: Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.