Biopsies and Treatment Procedures
Minimally Invasive Procedures Performed by Interventional Radiologists
Did you know that radiologists can treat disease as well as diagnose it? Advanced Radiology offers a variety of interventional radiology procedures (minimally invasive procedures to diagnose or treat disease) in hospitals and selected outpatient imaging centers. These procedures are performed by specially trained interventional radiologists.
Who are Interventional Radiologists?
Interventional radiologists are radiologists who receive additional medical training in using X-rays, MRI or other imaging tools to diagnose and treat a variety of diseases without major surgery. Using minimally invasive techniques that involve tiny incisions, small catheters and/or needles, they target and treat the problem area. Procedures involve less pain, less risk and shorter recovery times.
Our experienced interventional radiology team offers advanced technology and precise techniques to help you get the best possible diagnosis and treatment without surgery.
Common Interventional Procedures
Our interventional radiologists perform such a wide range of procedures, some of which treat blood vessels (vascular procedures), that it is difficult to list them all. Some common interventional procedures are:
1. Biopsies – using CT, ultrasound, MRI or fluoroscopy to precisely locate and evaluate masses or suspicious areas throughout much of the body. Radiologists use tiny instruments to take small tissue samples that are evaluated for cancer. During a surgical biopsy, radiologists help surgeons locate the mass using a guide wire.
2. Breast biopsies – our breast imaging specialists perform a range of breast biopsies in several of our outpatient centers, to provide state-of-the-art evaluation of suspicious breast masses. More
3. Vertebroplasty and Kyphoplasty – treatments for spinal fractures that involve injecting special bone cement to alleviate pain and improve function. Kyphoplasty also uses a device that helps to regain some of the vertebral body height lost due to the compression fracture.
4. Uterine Fibroid Embolization (UFE) – a procedure that decreases the pain and bleeding of uterine fibroids by cutting off their blood supply.
5. Pelvic Venography with Embolization – a procedure to treat women whose pelvic pain is caused by swelling of pelvic veins.
6. Central Venous Access
This procedure allows doctors and nurses to easily access the venous system to repeatedly draw blood from or to inject substances into it. This procedure is useful when you need ongoing:
· antibiotic therapy
· parenteral (not by mouth) nutrition
· kidney dialysis
In these procedures, the radiologist uses ultrasound to guide the placement of a thin catheter or other device into your chest, neck or arm. Some common vein access procedures include:
· Kidney dialysis access management – central venous access is increasingly used in kidney dialysis.
· Mediports (also called port-a-caths) – devices usually implanted in the upper chest that act as an I.V. into the bloodstream to deliver chemotherapy, medications, fluids, or to withdraw blood.
· PICCs (peripherally inserted central catheters) - catheters inserted into the arm vein that are threaded carefully to the superior vena cava, the large vein that connects to the heart. PICCs are used for long-term intravenous antibiotics, chemotherapy, etc. and prevent repeat needle sticks.
7. Treatment of abscesses – using CT or other imaging tools to guide the insertion of needles to drain abscesses
8. Angiography (also called arteriography)
Angiography is a common interventional radiology procedure that can help doctors diagnose blockages, bleeding or other disorders in blood vessels throughout the body. During an angiogram, the radiologist inserts a tiny catheter into a blood vessel using a minute puncture in your skin, then injects a dye to make the blood vessels visible during a special type of X-ray called fluoroscopy.
9. Embolization – a procedure used to stop bleeding in an artery or vein
10. Venous ablation –minimally invasive treatment of varicose veins in one or more outpatient procedures
11. Percutaneous Ablations - using heat or cold to destroy cancer tissue in the kidney, liver, prostate and lungs.
12. Genital and Urinary Diagnosis and Treatment
Interventional procedures often provide invaluable assistance to your urologist or other physician for problems of the genitals and urinary tract. A few of the common procedures we perform include:
· Nephrostomy – placing a tube into the kidney to allow urine to drain directly out of the body
· Kidney stone treatment - we also manipulate kidney stones and help manage them with minimally invasive techniques.
· Biliary procedures – viewing and/or treating problems of the bile ducts, liver and gallbladder, including bile stones. These include:
1. Percutaneous cholangiogram – a special x-ray involving dye that examines the bile ducts to find obstructions or other problems
2. Biliary stone removal – a variety of different procedures that can help remove bile stones when they can’t be removed surgically
3. Biliary stent placement – a stent that provides temporary relief from bile stone obstructions
For more information on interventional procedures, call us at 888-972-9700 or visit www.sirweb.org, the website of the Society for Interventional Radiology, an excellent non-profit organization.
Advanced Radiology’s Affiliated Hospitals
Advanced Radiology provides interventional radiology procedures at the following hospitals:
- Greater Baltimore Medical Center (GBMC)
- St. Joseph Medical Center
- Carroll Hospital Center
- Franklin Square Hospital Center
- Baltimore Washington Medical Center
Our breast specialists also perform a range of breast biopsy procedures in many of our outpatient imaging centers.
Call us at 1-888-972-9700 for more information or to make an appointment.