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Hepatocellular Carcinoma from a Hepatologist's Perspective
Semin intervent Radiol 2023; 40: 524-535 DOI: 10.1055/s-0043-1777846Hepatocellular carcinoma (HCC), the most common type of primary liver cancer, represents a growing health challenge worldwide. The incidence of HCC is rising, which, in turn, has led to a corresponding increase in the associated number of deaths. HCC will become the third leading cause of cancer-related deaths in the United States by 2030. HCC usually develops in the setting of chronic liver disease. Individuals at increased risk of HCC are recommended to undergo surveillance with ultrasound every 6 months along with serum α-fetoprotein testing. Computed ...
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: Roldan, Giovanni A. Blomker, Jacquelin Aby, Elizabeth S. Tags: Review Article Source Type: research

Liver-Directed Therapy Combined with Systemic Therapy: Current Status and Future Directions
This article reviews the available data on three commonly treated primary and secondary cancers of the liver, namely, hepatocellular carcinoma, cholangiocarcinoma, and metastatic colorectal cancer. Furthermore, strengths and weaknesses are reviewed and future directions are discussed. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: Young, Shamar Hannallah, Jack Goldberg, Dan Khreiss, Mohammad Shroff, Rachna Arshad, Junaid Scott, Aaron Woodhead, Gregory Tags: Review Article Source Type: research

Ablation versus Radiation Segmentectomy for Small Liver Tumors
Semin intervent Radiol 2023; 40: 511-514 DOI: 10.1055/s-0043-1777714Hepatocellular carcinoma (HCC) is a liver malignancy that affects more than a million people worldwide with a complex multifactorial etiology. After the diagnosis of HCC is made, physicians establish management using the Barcelona Clinic Liver Cancer (BCLC) guidelines revolving around tumor stage, liver function, performance status, and patient preferences. According to recent updates to these guidelines, thermal ablation is the second-best curative option apart from surgical resection for small HCC (< 2 cm). While thermal ablation is standard of care...
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: Ozen, Merve Patel, Ronak K. Tags: Review Article Source Type: research

Chemoembolization Plus Ablation: Current Status
Semin intervent Radiol 2023; 40: 505-510 DOI: 10.1055/s-0043-1777715Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death worldwide. The treatment landscape for HCC has evolved significantly over the past decade, with several modalities available to treat various stages of disease. The Barcelona Clinic Liver Cancer (BCLC) system provides a foundation for treatment guidance. However, given the complex nature of HCC, a more nuanced approach is often required, especially for lesions sized between 3 and 5 cm. This review aims to analyze the available treatments for early-stage HCC lesions between 3 and 5â...
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: Dadrass, Farnaz Acree, Pascal Kim, Edward Tags: Review Article Source Type: research

Non-Thermal Liver Ablation: Existing and New Technology
Semin intervent Radiol 2023; 40: 497-504 DOI: 10.1055/s-0043-1777844Cancer has and continues to be a complex health crisis plaguing millions around the world. Alcohol ablation was one of the initial methods used for the treatment of liver lesions. It was surpassed by thermal ablation which has played a big role in the therapeutic arsenal for primary and metastatic liver tumors. However, thermal ablation has several shortcomings and limitations that prompted the development of alternative technologies including electroporation and histotripsy. Percutaneous alcohol injection in the liver lesion leads to dehydration and coagu...
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: Nakla, Tiffany Chow, Jacqueline J. Pham, Kathleen Abi-Jaoudeh, Nadine Tags: Review Article Source Type: research

Thermal Ablation in the Liver: Heat versus Cold —What Is the Role of Cryoablation?
This article will review the current literature on cryoablation of primary and secondary liver tumors, with a focus on efficacy, safety, and immunogenic potential. Clinical scenarios when it may be more beneficial to use cryoablation over heat-based ablation in the liver, as well as directions for future research, will also be discussed. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - January 24, 2024 Category: Radiology Authors: D'Souza, Donna L. Ragulojan, Ranjan Guo, Chunxiao Dale, Connie M. Jones, Christopher J. Talaie, Reza Tags: Review Article Source Type: research

How I Do It: Endovascular Management of Acute Nonvariceal Gastrointestinal Bleeding
Semin intervent Radiol 2023; 40: 475-490 DOI: 10.1055/s-0043-1775850 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Garg, Tushar Khorshidi, Fereshteh Habibollahi, Peiman Shrigiriwar, Apurva Fang, Adam Sakiani, Sasan Harfouche, Melike Diaz, Jose J. Nezami, Nariman Tags: How I Do It Source Type: research

Trainee Ethics in Interventional Radiology
Semin intervent Radiol 2023; 40: 472-474 DOI: 10.1055/s-0043-1772816 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Cyphers, Eric D. Keller, Eric J. Makary, Mina S. Tags: Ethics Corner Source Type: research

Placenta Accreta Spectrum: An Overview
Semin intervent Radiol 2023; 40: 467-471 DOI: 10.1055/s-0043-1772815 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Ghosh, Abheek Lee, Sean Lim, Christina Vogelzang, Robert L. Chrisman, Howard B. Tags: Clinical Corner Source Type: research

Transarterial Radioembolization: Overview of Radioembolic Devices
Semin intervent Radiol 2023; 40: 461-466 DOI: 10.1055/s-0043-1772814 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Serhal, Muhamad Gordon, Andrew C. Brown, Daniel B. Toskich, Beau B. Lewandowski, Robert J. Tags: Back to Basics Source Type: research

Health Services Research: A Review for the Interventional Radiologist
Semin intervent Radiol 2023; 40: 452-460 DOI: 10.1055/s-0043-1775849Health services research (HSR) is a multidisciplinary field which studies access to drivers of health care service utilization, the quality and cost of services, and their outcomes on groups of patients. Since its foundations in the 1960s, there has been a large focus on HSR and using large data sets to study real-world care. Because interventional radiology (IR) is a dynamic field with foundations in innovation, research often focuses on small-scale projects. This review will discuss HSR including data sources, focus areas, methodologies, limitations, and...
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Marchak, Katherine Malavia, Mira Trivedi, Premal S. Tags: Review Article Source Type: research

Private Equity and Radiology: Productive Partnership or Inherently Misaligned?
This article will describe the role of private equity in the medical marketplace, with a focus on the role of private equity in radiology and interventional radiology specifically. Additionally, this article will explore this growing trend in the radiology marketplace and its anticipated effects upon patient care and professional satisfaction for radiologists. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Balesh, Elie Hund, Hannah Keller, Eric J. Tags: Review Article Source Type: research

Working with Hospital Administration: Strategies for Success
This article provides guidelines and suggestions specifically in communicating with health care system leadership. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Ray, Charles E. Tags: Review Article Source Type: research

How Medical Services Get Valued
This article describes the process and its implications for interventional radiology. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Krol, Katharine L. Tags: Review Article Source Type: research

A Review of Healthcare Disparities Relevant to Interventional Radiology
Semin intervent Radiol 2023; 40: 427-436 DOI: 10.1055/s-0043-1775878Racial, ethnic, and gender disparities have received focused attention recently, as they became more visible in the COVID era. We continue to learn more about how healthcare disparities manifest for our patients and, more broadly, the structural underpinnings that result in predictable outcomes gaps. This review summarizes what we know about disparities relevant to interventional radiologists. The prevalence and magnitude of disparities are quantified and discussed where relevant. Specific examples are provided to demonstrate how factors like gender, ethni...
Source: Seminars in Interventional Radiology - November 2, 2023 Category: Radiology Authors: Marchak, Katherine Singh, Davinder Malavia, Mira Trivedi, Premal Tags: Review Article Source Type: research