Статті в журналах: "Guidage interventionnel"

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Pichot, O., and C. Seinturier. "Guidage des actes interventionnels par ultrasons." Journal des Maladies Vasculaires 40, no. 5 (September 2015): 286. http://dx.doi.org/10.1016/j.jmv.2015.07.030.

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KACHURA, JOHN R. "THE ROLE OF INTERVENTIONAL RADIOLOGY IN OBSTETRICS." Fetal and Maternal Medicine Review 15, no. 2 (May 2004): 145–80. http://dx.doi.org/10.1017/s0965539504001251.

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Vascular and Interventional Radiology, more succinctly known as Interventional Radiology (IR), is the subspecialty of Medical Imaging or Radiology that deals with diagnosis and treatment using minimally invasive procedures under imaging guidance. Initially, fluoroscopy was the only imaging modality available, but ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) are also currently being used for guidance. One of the basic skills used by interventional radiologists is the Seldinger technique: the introduction of a needle into a body cavity or lumen allowing passage of a wire guide, which in turn facilitates the insertion of a tube or catheter. Many IR procedures have supplanted more invasive surgical techniques, with the resultant benefits of lower morbidity and mortality, shorter hospital stays and recovery times, and lower costs. Traditionally, obstetricians and interventional radiologists seldom interacted with one another, but their collaboration in patient care and research is increasing as obstetricians realise the value of IR, and as the myriad techniques and tools in the interventionalist's armamentarium expand and evolve.

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Riaz, Ahsun, and Riad Salem. "Future Directions of Percutaneous Biliary Interventions." Seminars in Interventional Radiology 38, no. 03 (August 2021): 373–76. http://dx.doi.org/10.1055/s-0041-1731376.

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AbstractWe are at an exciting cross-road in biliary interventions. While other services such as surgery and gastroenterology have learned to use imaging guidance to improve the safety and efficacy of their procedures, it is time for interventional radiologist to learn endoscopic interventions to achieve the same. The future of interventional radiologists in managing patients with biliary disease depends on (1) increasing comfort of our procedures, (2) publishing our data on biliary interventions, and (3) increasing collaboration with other services to manage biliary disease. We need to appropriately understand the limitations of interventional radiology to help guide the future directions of our specialty in this very interesting space.

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Allen, David W., Paul S. Brady, and Terence A. S. Matalon. "Ultrasound Guidance in Interventional Radiology." Contemporary Diagnostic Radiology 29, no. 3 (January 2006): 1–5. http://dx.doi.org/10.1097/00219246-200601310-00001.

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&NA;. "Ultrasound Guidance in Interventional Radiology." Contemporary Diagnostic Radiology 29, no. 3 (January 2006): 6. http://dx.doi.org/10.1097/00219246-200601310-00002.

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Matalon, T. A., and B. Silver. "US guidance of interventional procedures." Radiology 174, no. 1 (January 1990): 43–47. http://dx.doi.org/10.1148/radiology.174.1.2403684.

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Yeung, Eugene Y., Wendy Thurston, Mark J. Quigley, and Chia-Sing Ho. "US Guidance of Interventional Procedures." Radiology 176, no. 1 (July 1990): 289–90. http://dx.doi.org/10.1148/radiology.176.1.289-b.

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Linden, Belinda. "Interventional guidance for treating resistant hypertension." British Journal of Cardiac Nursing 8, no. 7 (July 2013): 311–12. http://dx.doi.org/10.12968/bjca.2013.8.7.311.

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Laredo, Jean-Denis. "Colonne vertébrale thoraco-lombaire et vieillissement. Traitements interventionnels sous guidage radiologique." Bulletin de l'Académie Nationale de Médecine 205, no. 5 (May 2021): 474–83. http://dx.doi.org/10.1016/j.banm.2021.02.024.

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Aljediea, I., M. Alshehri, K. Alenazi, A. Memesh, and M. Fleet. "Experience of Radiology Technologists Performing Peripherally Inserted Central Catheters (PICC)." Arab Journal of Interventional Radiology 05, no. 02 (July 2021): 088–92. http://dx.doi.org/10.1055/s-0041-1739303.

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Abstract Purpose We conducted this study to review our local experience of performing peripherally inserted central catheters by interventional radiology technologists. Materials and Methods This is a retrospective study of peripherally inserted central catheters performed by interventional radiology technologists. These procedures were performed using ultrasound guidance for venous puncture and fluoroscopy or electrocardiography guidance followed by chest X-ray to confirm tip location. Results We reviewed all peripherally inserted central catheters performed in interventional radiology between May 2017 and July 2020. The review process included the success rate, number of venous puncture attempts, method of guidance, procedure time, fluoroscopy time, catheter duration to removal, and complications. Conclusion Interventional radiology technologists can perform peripherally inserted central catheters safely with high success rate. Extending interventional radiology technologists' role to perform peripherally inserted central catheters allow interventional radiologists to do more complex procedures. This enhances the workflow, increases the interventional radiology team efficiency, and improves the waiting time.

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Gross, Kathleen. "Interventional radiology: a survival guide." Journal of Radiology Nursing 23, no. 1 (March 2004): 32. http://dx.doi.org/10.1016/j.jradnu.2004.01.008.

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Pollock, John G., and Donald B. Reid. "Interventional Radiology: A Survival Guide." Journal of Endovascular Therapy 9, no. 2 (April 2002): 250. http://dx.doi.org/10.1583/1545-1550(2002)009<0250:irasg>2.0.co;2.

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Lee, W. Anthony. "Interventional radiology, a survival guide." Journal of Vascular Surgery 43, no. 2 (February 2006): 431. http://dx.doi.org/10.1016/j.jvs.2005.10.027.

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Winchester, Priscilla. "Interventional Radiology: A Survival Guide." Clinical Imaging 26, no. 1 (January 2002): 76. http://dx.doi.org/10.1016/s0899-7071(01)00310-2.

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Dean, Michael R. E. "Interventional radiology—A practical guide." Cardiovascular and Interventional Radiology 19, no. 6 (November 1996): 449. http://dx.doi.org/10.1007/bf02577638.

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Zhang, Qiang, Qi Sun, Yiqi Zhang, Hao Zhang, Tonghui Shan, Jingfeng Han, Wenlong Pan, Chuanqi Gu, and Ruxiang Xu. "Three-dimensional image fusion of CTA and angiography for real-time guidance during neurointerventional procedures." Journal of NeuroInterventional Surgery 9, no. 3 (April 5, 2016): 302–6. http://dx.doi.org/10.1136/neurintsurg-2015-012216.

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AimTo evaluate the accuracy of three-dimensional (3D) images from two modalities—CT angiography (CTA) and digital subtraction angiography (DSA). Additionally, to explore the value of using preprocedural CTA for real-time guidance during neurointerventional procedures.Materials and methods25 patients with CTA-confirmed cerebral arterial lesions were enrolled. For 12 of these patients, 3D DSA images of the contrast medium-enhanced target vessel were acquired during the intervention and registered with the preprocedurally acquired CTA images for evaluation of the accuracy of image fusion, focusing on the target vessel and the lesion. For the other 13 patients, a low-dose non-contrast 3D angiographic scan was performed. The preprocedurally acquired CTA image was then registered with the coordinate of angiography and overlaid onto the live fluoroscopic image to provide interventional guidance.ResultsBased on visual inspection by two experienced physicians and quantitative evaluation, excellent accuracy in the 3D registration of the CTA and DSA was achieved for all 12 patients examined. Additionally, CTA could be used successfully to guide the interventional procedures, including both diagnostic DSA and stent treatment. The radiation dose and contrast medium use were compared with those used by conventional interventional procedures and both were found to be significantly reduced.Conclusions3D CTA and angiographic image fusion was approved as highly accurate for neurovasculature. Additionally, using the fusion technique to guide interventional procedures enhanced the workflow, and required much less radiation exposure and contrast medium use, thus helping to reduce potential risks and increase treatment safety.

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Powell, Michael F. "C-arm Fluoroscopic Cone Beam CT for Guidance of Minimally Invasive Spine Interventions." Pain Physician 1;13, no. 1;1 (January 14, 2010): 51–59. http://dx.doi.org/10.36076/ppj.2010/13/51.

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Background: Isocentric C-arm fluoroscopic cone beam CT (CBCT) is a new technique for near real time 3-D volume imaging guidance of percutaneous interventional procedures. In combination with digital flat panel detectors, CBCT has high spatial resolution with isotropic voxel size, allowing for high resolution image reconstruction in any plane, including 3D rotational reconstructions. CBCT combines the advantages of conventional CT imaging guidance with the improved spatial resolution, patient positioning, and access of fluoroscopy. Objective: The aim of this study is to demonstrate the advantages of CBCT over conventional CT and biplane fluoroscopy for imaging guidance of minimally invasive spinal and paraspinal interventional procedures. Methods: Five patients referred to the department of interventional neuroradiology for percutaneous spinal or paraspinal interventional procedures were intraoperatively evaluated with CBCT to assist in guidance of instrumentation placement. Procedures included transoral cervical vertebral biopsy, percutaneous thoracic vertebral biopsy, vertebroplasty, pelvic paraspinal/epidural abscess drainage, and paraspinal fiducial marker placement for treatment of osteoid osteoma. Results: All procedures were successfully performed with satisfactory diagnostic yield or therapeutic effect without procedure-related complications. Conclusion: Isocentric C-arm fluoroscopic cone beam CT (CBCT) is a new technique for 3D volume imaging guidance of interventional procedures of the spine with the capability to produce near real time high resolution image reconstructions in any plane. Compared to conventional CT and biplane fluoroscopy, CBCT offers improved anatomic visualization allowing high accuracy instrumentation placement, improving procedure results and minimizing risk of complications. Key words: Vertebroplasty, kyphoplasty, biopsy, computed tomography, CT, fluoroscopy, Carm, percutaneous, interventional radiology, imaging guidance

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Harvey, Hugh, and Luke Oakden-Rayner. "Guidance for Interventional Trials Involving Artificial Intelligence." Radiology: Artificial Intelligence 2, no. 6 (November 1, 2020): e200228. http://dx.doi.org/10.1148/ryai.2020200228.

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Kessner, Rivka, Dean A. Nakamoto, Victor Kondray, Sasan Partovi, Yasmine Ahmed, and Nami Azar. "Contrast-Enhanced Ultrasound Guidance for Interventional Procedures." Journal of Ultrasound in Medicine 38, no. 10 (February 4, 2019): 2541–57. http://dx.doi.org/10.1002/jum.14955.

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Tong, Alan D., Abraham Rothman, Daniel G. Blanchard, William Hellenbrand, and David J. Sahn. "Interventional cardiac catheterization under transesophageal echocardiographic guidance." American Heart Journal 129, no. 4 (April 1995): 827–31. http://dx.doi.org/10.1016/0002-8703(95)90338-0.

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Blanco Sequeiros, R., R. Ojala, J. Kariniemi, J. Perälä, J. Niinimäki, H. Reinikainen, and O. Tervonen. "MR-guided interventional procedures: a review." Acta Radiologica 46, no. 6 (October 2005): 576–86. http://dx.doi.org/10.1080/02841850510021742.

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Magnetic resonance imaging (MRI) has emerged as a potential guidance tool for a variety of procedures. Diagnostic and therapeutic procedures using either open surgical or percutaneous access are performed. They span from simple lesion targeting and biopsy to complex applications requiring multiple tasks performed simultaneously or in rapid succession. These tasks include instrument guidance and therapy monitoring as well as procedural follow-up. The interventional use of MRI (IMRI) is increasing steadily. This article reviews the prerequisites, systems, and clinical interventional procedures of IMRI.

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Vivas, David, Leopoldo Pérez de Isla, and Jose Zamorano. "Using echocardiography to guide interventional procedures." Current Cardiovascular Imaging Reports 1, no. 1 (October 2008): 9–15. http://dx.doi.org/10.1007/s12410-008-0004-3.

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Timpone, Dr Vincent. "Computed Tomography Guidance for Spinal Intervention: Basics of Technique, Pearls, and Avoiding Pitfalls." Pain Physician 4;16, no. 4;7 (July 14, 2013): 369–77. http://dx.doi.org/10.36076/ppj.2013/16/369.

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The utilization of spinal interventional pain techniques has grown rapidly over the last decade. However, practitioners use widely different techniques in these procedures, particularly in the use of image guidance. The importance of image guidance was highlighted by the fact that in recent systematic reviews on therapeutic effectiveness of epidural steroid injections and facet joint interventions, only studies that used image guidance were included. The choice of image guidance remains a matter of physician preference with conventional fluoroscopic or Computed Tomography (CT) guidance most common. There are many advantages to CT guidance for certain spinal interventional pain procedures, mainly due to increased needle tip positioning accuracy. CT guidance provides greater anatomical detail that facilitates accurate needle trajectory planning, monitoring and final placement. Unlike conventional fluoroscopy that may be hindered by tissue overlap and lack of surrounding anatomical detail CT guidance offers direct visualization of the entire needle trajectory and the surrounding soft tissue and bone structures. Large osteophytes and adjacent vascular structures can be identified and safely avoided. The goals of this narrative review are to provide a basic overview of CT techniques available for spinal interventional pain procedures, to discuss the potential advantages and disadvantages of CT guidance, to provide a simple step-by-step approach to use of CT guidance, to share technical pearls, and to discuss methods to avoid potential pitfalls. This review will provide interventional pain physicians with knowledge of relevant CT image acquisition techniques and appropriate radiation dose reduction strategies. This will contribute to increased technical success rates while reducing radiation dose to the patient and staff. Key words: Computed tomography, fluoroscopy, analgesia, epidural injection, spinal injection, back pain, safety

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Carubbi, F., P. Bosch, P. M. Machado, C. A. Scirè, A. Alunno, X. Baraliakos, and C. Dejaco. "AB1083 CURRENT PRACTICE AND OPINIONS ON IMAGING-GUIDED INTERVENTIONAL PROCEDURES IN RHEUMATIC AND MUSCULOSKELETAL DISEASES: INTERIM RESULTS OF A MULTINATIONAL MULTIDISCIPLINARY SURVEY TO INFORM EULAR POINTS TO CONSIDER." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1830.2–1831. http://dx.doi.org/10.1136/annrheumdis-2020-eular.6070.

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Background:maging is widely used for diagnostic purposes in patients with rheumatic and musculoskeletal diseases (RMDs). In recent years, it is increasingly used also to guide interventional procedures. However, the extent of imaging application for this purpose as well as the different technical standards employed across Europe are not known.Objectives:To learn how much imaging is used for interventional procedures in RMDs. To explore the technical standards employed in different settings and how important they are rated by users.Methods:As part of the work of a multidisciplinary EULAR Task Force to develop recommendations for the use of imaging to guide interventional procedures in patients with RMDs, a survey was developed. The survey explored aspects of different interventional procedures (e.g. joint aspiration/injection) such as the use of imaging guide and the technical standards. Respondents provided also a 0-10 rating of how important they considered the same conditions/items with regard to each procedure. The survey was distributed to: rheumatologists across Europe, USA, Central America, South America, Asia and Pacific Area, HPs across Europe, European and American associations of other specialities (e.g. radiology, anaesthesiology). The survey was launched in December 2019. Interim results after 4 weeks are presented.Results:200 responses from 36 countries were collected. The respondents were mainly rheumatologists (90%) (Figure 1). 90% of respondents performed interventional procedures related to RMDs and of these, 76% use imaging guide. Ultrasonography (US) is the most commonly used technique (96%) followed by X-ray/fluoroscopy (13%). Among respondents using imaging guide, 60% received training on both imaging and imaging-guided procedures, 20% only on imaging and 16% no training. 49% of respondents perform the whole procedure using direct image guidance, 21% use imaging to find the appropriate anatomical landmark and then perform the procedure blindly. Air and contrast agent to control needle placement are rarely used (≤20%). Respondents provided also a rating (0-10) of how important they considered different technical conditions/items for each procedure and an estimate on a Likert scale of how often they used them for each of the procedures (Figure 1 shows an example). In most cases respondents use always/most of the times the conditions/items that they considered important. Discrepancies were mainly due to barriers at their own center.Conclusion:Imaging, mainly US, is widely used to guide interventional procedures. However, training is not homogeneous and the use of imaging guide as well as technical conditions are based on the operator’s opinion/experience. This survey will inform the EULAR points to consider for the use of imaging to guide interventional procedures in patients with RMDs.Table 1.Characteristics of respondents (n=200) NN%Age≤ 30381931 –35562836 – 39502540 - 493316.5≥ 502311.5GenderFemale8944.5Male11155.5Specialty/PositionRheumatology18090Radiology115Physical medicine and rehabilitation31.5Pediatrics42Non-clinical researcher31.5Health professionals31.5Other31.5Disclosure of Interests:Francesco Carubbi Speakers bureau: Francesco Carubbi received speaker honoraria from Abbvie and Celgene outside this work., Philipp Bosch: None declared, Pedro M Machado Consultant of: PMM: Abbvie, Celgene, Janssen, Lilly, MSD, Novartis, Pfizer, Roche and UCB, Speakers bureau: PMM: Abbvie, BMS, Lilly, MSD, Novartis, Pfizer, Roche and UCB, Carlo Alberto Scirè: None declared, Alessia Alunno: None declared, Xenofon Baraliakos Grant/research support from: Grant/research support from: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen, Consultant of: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen, Speakers bureau: AbbVie, BMS, Celgene, Chugai, Merck, Novartis, Pfizer, UCB and Werfen, Christian Dejaco: None declared

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Maher, Michael M., Susan Kealey, Ann McNamara, Risteard O’Laoide, Robert G. Gibney, and Dermot E. Malone. "Management of Visceral Interventional Radiology Catheters: A Troubleshooting Guide for Interventional Radiologists." RadioGraphics 22, no. 2 (March 2002): 305–22. http://dx.doi.org/10.1148/radiographics.22.2.g02mr20305.

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Racadio, John M., Drazenko Babic, Robert Homan, John W. Rampton, Manish N. Patel, Judy M. Racadio, and Neil D. Johnson. "Live 3D Guidance in the Interventional Radiology Suite." American Journal of Roentgenology 189, no. 6 (December 2007): W357—W364. http://dx.doi.org/10.2214/ajr.07.2469.

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Kane, David, and Juhani Koski. "Musculoskeletal interventional procedures: With or without imaging guidance?" Best Practice & Research Clinical Rheumatology 30, no. 4 (August 2016): 736–50. http://dx.doi.org/10.1016/j.berh.2016.09.012.

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Sheth, Rahul A., Pedram Heidari, Shadi A. Esfahani, Bradford J. Wood, and Umar Mahmood. "Interventional Optical Molecular Imaging Guidance during Percutaneous Biopsy." Radiology 271, no. 3 (June 2014): 770–77. http://dx.doi.org/10.1148/radiol.14131880.

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Guttman, Michael A., Robert J. Lederman, Jonathan M. Sorger, and Elliot R. McVeigh. "Real-Time Volume Rendered MRI for Interventional Guidance." Journal of Cardiovascular Magnetic Resonance 4, no. 4 (December 2, 2002): 431–42. http://dx.doi.org/10.1081/jcmr-120016382.

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Kastler, B., and B. Fergane. "Interventional Procedures under CT Guidance in Pain Management." Interventional Neuroradiology 9, no. 2_suppl (October 2003): 67–73. http://dx.doi.org/10.1177/15910199030090s210.

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Kewlani, Laveena, Alfredo Illanes, Björn Menze, and Michael Friebe. "Integration of Acoustic Emission and Ultrasound for Needle Guidance in Interventional Procedures." International Journal of Biomedical and Clinical Engineering 9, no. 2 (July 2020): 45–55. http://dx.doi.org/10.4018/ijbce.2020070104.

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Challenges like interrupted visualization and artifacts are common during interventional surgery while guiding medical interventional devices (MIDs) such as needles, catheters, etc. This proclaims the need of efficient accessories for improving simultaneous targeting and visualization of MIDs during interventional surgeries. Diagnostic devices are often used, but only visual perception is not enough due to image-related shortcomings. This article proposes a novel approach that reads audio signals via microphone attached to the proximal end of a biopsy needle to support verification and tracking during a surgery. A needle tracking algorithm was also integrated for visual support of intervention. The algorithm acquires the audio signal due to tissue-needle interaction and simultaneously detects the needle in the ultrasound frames using progressive regional properties. The proposed combination has ability to solve problems related to MID localization during interventional procedures, where it is crucial to maintain information flow for verification and target location.

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Loghin, Catalin, and Andrei Loghin. "Interventional imaging – a modern Telemacheia." Romanian Journal of Cardiology 30, no. 3 (October 1, 2020): 365–81. http://dx.doi.org/10.47803/rjc.2020.30.3.365.

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Interventional imaging is maturing into a complex field, which addresses an extremely diverse pathology and integrates the findings of multimodality imaging. The interventional imager is an essential member of a multidisciplinary team focused on the transcatheter treatment of structural heart disease. Advanced echocardiography and cardiac computed tomography techniques and interpretation skills are required in order to provide instrumental information in all stages of patient care, from diagnosis through intraprocedural guidance and follow-up.

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Kumar, Abhijit, Parul Tripathi, Suman Tiwari, Malvika Gupta, Amit Kohli, and Deepak Kumar. "Covid-19 and a lost guidewire: A misty tale of misery!" Indian Journal of Clinical Anaesthesia 8, no. 4 (October 15, 2021): 54–57. http://dx.doi.org/10.18231/j.ijca.2021.105.

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Central venous catheterization (CVC) is a routine procedure in patients admitted in Intensive Care Units (ICU) worldwide. Most commonly, seldinger technique is being practiced irrespective of the site of insertion. Though considered very safe, guide wire related complications have been reported in the literature and incidence has increased in the COVID era where intensivists have to work in personal protective equipment (PPE). We are reporting about a patient of severe COVID-19, admitted in ICU. His right femoral venous catheterization was done to start vasopressors. The guide wire accidentally slipped inside the femoral vein during the procedure. It was immediately detected and managed with the assistance of interventional radiologist under fluoroscopic guidance. Complications like misplacement of guide wire can be catastrophic during CVC. We have discussed the measures that can prevent or reduce such complications while working in PPE in COVID ICUs.

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Plantade, Ronan, Martine Boisserie-Lacroix, and Maryam Asad-Syed. "Guide des bons usages en sénologie interventionnelle." Imagerie de la Femme 23, no. 3 (September 2013): 138–42. http://dx.doi.org/10.1016/j.femme.2013.07.003.

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Ferdinand, Andrew. "Interventional Ultrasound: A Practical Guide and Atlas." Journal of Vascular and Interventional Radiology 26, no. 11 (November 2015): 1727. http://dx.doi.org/10.1016/j.jvir.2015.06.035.

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Rodgers, Peter M. "Interventional Ultrasound – A Practical Guide and Atlas." Ultrasound 23, no. 2 (April 28, 2015): 130. http://dx.doi.org/10.1177/1742271x15580537.

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Pollock, John G., and Donald B. Reid. "Book Review: Interventional Radiology: A Survival Guide." Journal of Endovascular Therapy 9, no. 2 (April 2002): 250. http://dx.doi.org/10.1177/152660280200900221.

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Kinnander, Christina. "Interventional Ultrasound: a Practical Guide and Atlas." Acta Radiologica 56, no. 5 (May 2015): NP32. http://dx.doi.org/10.1177/0284185115572286.

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Ristagno, Ross L. "Interventional Radiology—A Survival Guide, 2nd ED." Academic Radiology 13, no. 4 (April 2006): 533. http://dx.doi.org/10.1016/j.acra.2005.12.003.

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Aubry, S., A. Pousse, P. Sarliève, E. Delabrousse, E. Rodière, and B. Kastler. "Modelisation tridimensionnelle des vertebres types. Application en radiologie interventionnelle sous guidage tomodensitometrique (TDM)." Journal de Radiologie 85, no. 9 (September 2004): 1457. http://dx.doi.org/10.1016/s0221-0363(04)77497-1.

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Aubry, S., A. Pousse, P. Sarliève, E. Delabrousse, E. Rodière, and B. Kastler. "Modelisation tridimensionnelle des vertebres types. Application en radiologie interventionnelle sous guidage tomodensitometrique (TDM)." Journal de Radiologie 85, no. 9 (September 2004): 1591. http://dx.doi.org/10.1016/s0221-0363(04)77980-9.

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Anjum, Sharika, John Powell, and Kevin Harris. "VP22 Applying The IDEAL Framework To NICE Interventional Procedure Guidance." International Journal of Technology Assessment in Health Care 35, S1 (2019): 80–81. http://dx.doi.org/10.1017/s0266462319002976.

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IntroductionThe IDEAL (Idea, Development, Exploration, Assessment, Learning) Framework measures the maturity of evidence base behind surgical innovation. The NICE Interventional Procedures (IP) programme issues guidance for the United Kingdom National Health Service (NHS) on use of surgical innovation. One of four recommendations can be made: (a) standard arrangements, (b) special arrangements, (c) research only, and (d) do not use. This study aimed to investigate whether the recommendation of NICE IP guidance corresponded with the stage of innovation as determined by IDEAL, thus IDEAL's role in informing future guidance production.MethodsA retrospective sample of 103 pieces of guidance issued between 2015 and 2018 was analysed. One researcher examined the evidence base and determined the corresponding stage of the IDEAL framework, numbered 1, 2, 2a, 3 and 4. The primary outcome measure was the association between stage of evidence on IDEAL framework and the recommendation of published NICE IP guidance.ResultsThere were twenty-one (20 percent), thirty-three (32 percent), three (3 percent), forty (39 percent) and six (6 percent) procedures at IDEAL stages 1, 2, 2a, 3 and 4, respectively. Of those at stage 1 (idea), 48 percent were given research only arrangements, 43 percent special arrangements, and 10 percent standard. Many of the procedures at stages 2 (development) and 2a (exploration) were given standard arrangements (39 percent and 67 percent respectively). Forty-three percent of stage 3 (assessment) and 67 percent of stage 4 (learning) guidance were identified standard. At stage 4 none were given a ‘research only’ recommendation.ConclusionsProcedures given ‘standard’ arrangements guidance are more likely have a mature and robust evidence base as determined by IDEAL. Those with limited evidence are more likely to be given a more cautious ‘research only’ guidance. Routine use of this framework could help inform future guidance production however cannot replace the decision-making function of the NICE committee which also involves patient experiences, population characteristics, risk of serious safety events, and equity issues.

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Stroman, Patrick W., Patrice Roby, Nadir Alikacem, Louisette Martin, Mahmood Mayanloo, Maxime Formichi, and Robert G. Guidoin. "Will it Be Feasible to Insert Endoprostheses under Interventional MRI?" Journal of Endovascular Therapy 3, no. 4 (November 1996): 396–404. http://dx.doi.org/10.1177/152660289600300407.

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Purpose: Recent advances in magnetic resonance imaging (MRI) technology may provide a safer and more sensitive monitoring modality than X-ray imaging for endovascular surgical procedures. The purpose of this study was to investigate the feasibility of using MRI to monitor the insertion of endoprostheses. Methods: The endoprostheses we studied were composed of a nitinol stent encased in a polyester sheath. These were characterized with four different MRI techniques: the fast spin-echo; spin-echo; gradient-recalled echo; and the spoiled gradient-recalled echo. The deployment of the endoprosthesis into an artery was simulated in an in vitro model and viewed using a fast spin-echo MRI technique. Results: Image artifacts produced by the nitinol framework in these endoprostheses were minimal when fast spin-echo or spin-echo imaging techniques were used, improving the visibility of the device. In in vitro tests, the catheters and endoprostheses were visualized by MRI with sufficient clarity to guide the placement of a device in the model artery. Conclusions: Insertion of this type of endoprosthesis under interventional MRI guidance is feasible. The convenience and improved safety provided by interventional MR systems and “real-time” imaging capabilities are expected to make this technology an attractive alternative to X-ray imaging techniques.

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Campbell, Bruce. "Guidance has high priority in interventional procedures: Author's reply." BMJ 329, no. 7461 (August 5, 2004): 351.4. http://dx.doi.org/10.1136/bmj.329.7461.351-c.

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Campbell, Bruce. "NICE Guidance on Interventional Procedures: The First ten Years." Journal of Perioperative Practice 23, no. 4 (April 2013): 66–67. http://dx.doi.org/10.1177/175045891302300401.

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Ho, Christopher P. "Interventional Breast Imaging: Ultrasound, Mammography, and MR Guidance Techniques." Journal of Vascular and Interventional Radiology 22, no. 3 (March 2011): 421. http://dx.doi.org/10.1016/j.jvir.2010.11.003.

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Light, Edward D., John F. Angle, and Stephen W. Smith. "Real-time 3-D ultrasound guidance of interventional devices." IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control 55, no. 9 (September 2008): 2066–78. http://dx.doi.org/10.1109/tuffc.898.

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Herrera, Marcos, Flavio Castañeda, David Hunter, Imre Repa, Janis Letourneau, and Wilfrido Castañeda-Zúñiga. "Duplex Ultrasound as Guidance Modality for Intravascular Interventional Procedures." Seminars in Interventional Radiology 5, no. 04 (December 1988): 283–85. http://dx.doi.org/10.1055/s-2008-1075973.

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Sánchez, Yadiel, Arash Anvari, Anthony E. Samir, Ronald S. Arellano, Anand M. Prabhakar, and Raul N. Uppot. "Navigational Guidance and Ablation Planning Tools for Interventional Radiology." Current Problems in Diagnostic Radiology 46, no. 3 (May 2017): 225–33. http://dx.doi.org/10.1067/j.cpradiol.2016.11.002.

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Zhang, Qiang, Michael Wendt, Andrik J. Aschoff, Lan Zheng, Jonathan S. Lewin, and Jeffrey L. Duerk. "Active MR guidance of interventional devices with target-navigation." Magnetic Resonance in Medicine 44, no. 1 (2000): 56–65. http://dx.doi.org/10.1002/1522-2594(200007)44:1<56::aid-mrm10>3.0.co;2-5.

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