Preamble: The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such they represent a valid broad expert constituency of the subject matter under consideration for standards production.
Kyphoplasty was subsequently introduced as an alternative approach for vertebral augmentation (47). It is quite similar to vertebroplasty, and has been referred to as “balloon-assisted vertebroplasty.” Kyphoplasty entails the inflation of a percutaneously delivered balloon in the vertebral body, followed by the injection of bone cement into the cavity created by the balloon. The balloon was originally intended to restore the vertebral body height in addition to creating the cavity (47).
Preamble: The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid broad expert constituency of the subject matter under consideration for standards production. Technical documents specifying the exact consensus and literature review methodologies as well as the institutional affiliations and professional credentials of the authors of this document are available upon request from SIR, 3975 Fair Ridge Dr., Suite 400 N., Fairfax, VA 22033.
Current evidence on the efficacy and safety of selective internal radiation therapy (SIRT) for primary hepatocellular carcinoma is adequate for use with normal arrangements for clinical governance, consent and audit. Uncertainties remain about its comparative effectiveness, and clinicians are encouraged to enter eligible patients into trials comparing the procedure against other forms of treatment.
Preamble: The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid broad expert constituency of the subject matter under consideration for standards production.
This document replaces previous guidance on selective internal radiation therapy for colorectal metastases in the liver (interventional procedure guidance 93)
Preamble: The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid expert constituency of the subject matter under consideration for standards production.
The rapid advancement and innovation of image-guided techniques, devices, procedures, and treatments has led to difficulty for individual interventional radiologists and interventionalists to keep pace with new developments. In part for this reason, numerous short industry-sponsored and weekend (1–2 d) training courses have been developed. These courses may last for a portion of a day or several days and have a device-oriented focus. Representatives from various groups and interests instruct physicians how to use novel devices directly or indirectly via physician proctors.
IMAGE-guided percutaneous methods of tumor destruction have proven effective for treatment of benign bone tumors as well as for palliation of metastases involving bone and soft tissue sites beyond the liver and lung. Treatment of primary bone tumors is largely restricted to benign tumors, most notably osteoid osteomas, as a single-modality treatment or as an adjunct to surgical resection (1, 2, 3, 4). More recently, image-guided ablation techniques have proven helpful for palliation of painful metastatic disease involving bone and soft tissue beyond the liver and lung for those patients im whom conventional therapies have failed, including external-beam radiation and narcotic analgesic agents. The purpose of this document from the Society of Interventional Radiology (SIR) is to provide a guideline for reporting clinical studies and research on the use of ablation methods for the treatment of benign bone tumors and metastases involving bone and soft tissues beyond the liver and lung. The use of these guidelines will allow more meaningful comparison of outcome data and clarify direction for future research.
PULMONARY embolism (PE) is a prevalent disease with significant morbidity and mortality. The estimated annual incidence is 1.45 per 1,000 person-years (1), which translates to 1,350,000 cases per year in the United States (2). The incidence of massive PE approached 11% in a postmortem evaluation of all deaths in one series (3). The 30-day mortality rate for massive PE approached 30% (4), and the presence of shock in these patients defines a three- to sevenfold increase in mortality, with a majority of deaths occurring within 1 hour of presentation (5).
EASL–EORTC Clinical Practice Guidelines (CPG) on the management of hepatocellular carcinoma (HCC) define the use of surveillance, diagnosis, and therapeutic strategies recommended for patients with this type of cancer. This is the first European joint effort by the European Association for the Study of the Liver (EASL) and the European Organization for Research and Treatment of Cancer (EORTC) to provide common guidelines for the management of hepatocellular carcinoma. These guidelines update the recommendations reported by the EASL panel of experts in HCC published in 2001 [1]. Several clinical and scientific advances have occurred during the past decade and, thus, a modern version of the document is urgently needed.
Preamble: The membership of the Society of Interventional Radiology (SIR) Standards of Practice Committee represents experts in a broad spectrum of interventional procedures from the private and academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid broad expert constituency of the subject matter under consideration for standards production.
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