Prostate artery embolization: State of the evidence and societal guidelines.
Medically refractory benign prostatic hyperplasia (BPH) induced lower urinary tract symptoms (LUTS) is an extremely prevalent issue in older men. The current gold standard therapy transurethral resection of the prostate (TURP) does produce urologic improvements but is also associated with higher than desired morbidity. This has led to the need to develop new minimally invasive means to treat this disease; prostate artery embolization (PAE) has emerged as one minimally invasive treatment option for these patients. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Shamar Young, Jafar Golzarian Source Type: research

Vertebral Metastases: Minimally Invasive Percutaneous Thermal Ablation
This article provides a step-by-step guide for minimally invasive percutaneous image-guided thermal ablation for treatment of vertebral metastases. Such interventions have proved safe and effective in management of selected patients with spinal metastases primarily to achieve pain palliation and local tumor control. Particular attention to patient selection guidelines, details of procedure techniques, thermal protection, adequacy of treatment, recognition and management of potential complications, and post-ablation imaging are essential for improved patient outcomes. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Anderanik Tomasian, Jack W. Jennings Source Type: research

Minimally invasive treatment for degenerative lumbar spine
Degenerative Lumbar Spine Disorder (DLSD) is a ubiquitously occurring event that may be induced or accelerated by multiple factors such as from overuse, trauma, genetic predisposition, nutrition deficiency, and others. While our understanding of this degenerative disorder is limited, in terms of prevention, the symptoms from DLSD can be significant and may lead to the reduction in the patient's quality of life and loss of work time. In the Global Burden of Disease Study, low back pain was ranked the highest of 291 different conditions, due to the number of years lost to disability, amounting to 83 million disability-adjust...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Kayla M.L. Nguyen, Dan T.D. Nguyen Source Type: research

Treating Vertebral Compression Fractures: Establishing the Appropriate Diagnosis, Pre-operative Considerations, Treatment Techniques, Postoperative Follow-up and General Guidelines for the Treatment of Patients with Symptomatic Vertebral Compression Fractures
Vertebral compression fractures (VCFs) result from either trauma or a pathologic process that weakens the bone by conditions such as osteoporosis or tumor. The incidence of VCFs has been rising over the last few decades in accordance with the aging population. These fractures can result in severe pain, physical limitation and disability, as well as increased morbidity and mortality. Patients with VCFs are optimally treated by accurate and early diagnosis and treatment. An effective method to treat these fractures is percutaneous vertebral augmentation, which is a set of minimally invasive procedures that stabilizes osseous...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Alvaro E. Bravo, Jordan E. Brasuell, Andrew W. Favre, Brooks M. Koenig, Ali A. Khan, Douglas P. Beall Source Type: research

Advanced Interventional Pain Management Approach to Neoplastic Disease Outside the Spine
Neoplastic disease of the musculoskeletal system may result in serious morbidity and mortality secondary to cancer related bone pain, pathologic fracture, altered structural mechanics and involvement of adjacent structures.1 Recent advances in cancer detection and treatment have allowed more patients to live longer. The prevalence of osseous metastatic disease has increased to 100,000 new patients developing bone metastases each year.2 These patients are seeing long-term exposure to chemotherapy and radiation leading to increased skeletal events, morbidity, and a negative impact on quality of life. (Source: Techniques in V...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Brandon M. Key, Matthew J. Scheidt, Sean M. Tutton Source Type: research

Cooled Radiofrequency Genicular Neurotomy
Chronic degenerative conditions such as knee arthritis can be a debilitating and limiting process for patients presenting with symptoms such as pain, restrictive range of motion and swelling. This condition commonly afflicts millions of people with a higher incidence among the elderly as a result of chronic mechanical repetitive loading. The treatment of pain generating conditions such as arthritis in large joints is complex requiring interventions of varying focuses such as weight loss, anti-inflammatory medications, corticosteroid, hyaluronic and viscosupplementation injections, and prescription opioids. (Source: Techniq...
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Felix M. Gonzalez Source Type: research

Intro
Lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) occur in 50% of men over the age of 50 years, and prevalence increases with age. Patients traditionally have been managed with a combination of medical and surgical treatments. Transurethral resection of the prostate (TURP) is the gold standard for surgical treatment of BPH. Within the past decade, prostate artery embolization (PAE) has emerged as a minimally invasive alternative for the treatment of BPH, urinary retention, and hematuria of prostatic origin. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Dr. Shivank Bhatia Source Type: research

An Introduction to Advanced Interventional Pain Management
The interventional radiologist is armed with unparalleled percutaneous access to pain generators in the body. Integration of that skill set, sophisticated ablative technologies, and advanced image-guidance techniques to the management of pain has resulted in a distinct service line under the heading “Advanced Interventional Pain Management.” (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: J. David Prologo Source Type: research

Procedural Coding for Interventional Pain Management
Interventional radiologists ’ involvement in pain service lines continues to increase. While clinical and technical acumen is an obvious prerequisite, understanding the coding related to these procedures is also a must.The pain specialist's practice is largely outpatient based, therefore the coding and subsequent billing for outpatient clinic visits may be an important revenue generator. A brief review of the evaluation and management (E&M) coding, as well as review of procedural CPT coding for pain interventions is discussed herein. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - October 4, 2020 Category: Radiology Authors: Shantanu Warhadpande, Stephanie L. Dybul, Minhaj S. Khaja Source Type: research

Editorial Board
(Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - September 1, 2020 Category: Radiology Source Type: research

Spinal Tumor Ablation: Indications, Techniques, and Clinical Management
Percutaneous thermal ablation has proven to be safe and effective in the management of patients with spinal tumors. Such treatment is currently proposed following the decision of a multidisciplinary tumor board to patients with small painful benign tumors such as osteoid osteoma or osteoblastoma, as well as carefully selected patients presenting with spinal metastases. In both scenarios, in order to provide a clinically effective procedure, ablation is often tailored to the specific patients ’ clinical needs and features of the target tumor. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 7, 2020 Category: Radiology Authors: Roberto Luigi Cazzato, Pierre Auloge, Pierre De Marini, Emanuele Boatta, Guillaume Koch, Danoob Dalili, Pramod Prabhakar Rao, Julien Garnon, Afshin Gangi Source Type: research

Introduction
Interventional Oncology has evolved and grown into a distinct subspecialty of Interventional Radiology and ablation technologies are a critical component of this growth. From the early beginnings of alcohol ablation to latest addition of irreversible electroporation, ablation has changed cancer management in ways that could not have been imagined just a few decades ago. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2020 Category: Radiology Authors: Govindarajan Narayanan Source Type: research

Image-Guided Thermal Ablation for Colorectal Liver Metastases
Image-guided percutaneous thermal ablation is a widely acceptable local therapy for patients with colorectal liver metastases who are noneligible for surgery or present with recurrence after hepatectomy. The increasing knowledge of factors that affect oncologic outcomes has allowed selected patients with resectable small volume colorectal liver metastases to be treated by thermal ablation with curative intent. The continuous technological evolutions in imaging and image-guidance and the wide implementation of microwave ablation that overcomes most of the limitations of radiofrequency ablation have contributed to this parad...
Source: Techniques in Vascular and Interventional Radiology - June 5, 2020 Category: Radiology Authors: N. Vasiniotis Kamarinos, E.A. Kaye, C.T. Sofocleous Source Type: research

Trends in Musculoskeletal Ablation: Emerging Indications and Techniques
Image-guided percutaneous thermal ablation plays an increasingly important role in the multidisciplinary management of musculoskeletal lesions. Established indications for ablation in this setting include the treatment of osteoid osteomas, palliation of painful skeletal metastases, local control of oligometastatic disease, and consolidation of bone tumors at risk for fracture. Emerging indications include the treatment of symptomatic soft tissue masses such as extra-abdominal desmoid tumors and abdominal wall endometriosis. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2020 Category: Radiology Authors: Ahmad Parvinian, Brian T. Welch, Matthew R. Callstrom, Anil N. Kurup Source Type: research

Lung Ablation – How I Do It
Interventional oncology and the value of thermal ablation of small tumors is increasingly recognized by the oncological community. Primary lung cancers and lung metastases have been one of the most researched applications of percutaneous ablation and as interventional oncologists gain more experience and confidence, it is becoming a more effective treatment with expanding indications. Importantly, the current literature does not demonstrate major differences in survival between ablation, sublobar resection, and stereotactic body radiation. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 4, 2020 Category: Radiology Authors: Arash Najafi, Thierry De Baere, Khaled Madani, Marc Al-Ahmar, Charles Roux, Alexandre Delpla, Frederic Deschamps, Lambros Tselikas Source Type: research