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Paediatric interventional oncology.

Roebuck DJ - Cancer Imaging (2010)

Bottom Line: As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice.The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Great Ormond Street Hospital, London, UK. roebud@gosh.nhs.uk

ABSTRACT
As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice. The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

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Needle biopsy using cone beam CT in an angiography suite. (a) Sagittal contrast-enhanced T1-weighted MR image of a 10-month-old boy shows an enhancing lesion in the clivus. (b) A 15/16-gauge coaxial needle is advanced through the mouth. (c) Multiplanar reconstructions are used to confirm the position of the needle during biopsy.
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Figure 2: Needle biopsy using cone beam CT in an angiography suite. (a) Sagittal contrast-enhanced T1-weighted MR image of a 10-month-old boy shows an enhancing lesion in the clivus. (b) A 15/16-gauge coaxial needle is advanced through the mouth. (c) Multiplanar reconstructions are used to confirm the position of the needle during biopsy.

Mentions: Unlike in adults, biopsies of nearly all masses in children are best taken using ultrasound guidance (Fig. 1). In our centre, less than 5% of biopsies require the use of computed tomography (CT), or more recently cone beam CT in an angiography suite (Fig. 2). Where possible, we use a coaxial technique, in which the biopsy tract is occluded using gelatin foam plugs (Fig. 1). This may reduce the risk of haemorrhage and tumour seeding, although this has not been proved[1].Figure 1


Paediatric interventional oncology.

Roebuck DJ - Cancer Imaging (2010)

Needle biopsy using cone beam CT in an angiography suite. (a) Sagittal contrast-enhanced T1-weighted MR image of a 10-month-old boy shows an enhancing lesion in the clivus. (b) A 15/16-gauge coaxial needle is advanced through the mouth. (c) Multiplanar reconstructions are used to confirm the position of the needle during biopsy.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2967152&req=5

Figure 2: Needle biopsy using cone beam CT in an angiography suite. (a) Sagittal contrast-enhanced T1-weighted MR image of a 10-month-old boy shows an enhancing lesion in the clivus. (b) A 15/16-gauge coaxial needle is advanced through the mouth. (c) Multiplanar reconstructions are used to confirm the position of the needle during biopsy.
Mentions: Unlike in adults, biopsies of nearly all masses in children are best taken using ultrasound guidance (Fig. 1). In our centre, less than 5% of biopsies require the use of computed tomography (CT), or more recently cone beam CT in an angiography suite (Fig. 2). Where possible, we use a coaxial technique, in which the biopsy tract is occluded using gelatin foam plugs (Fig. 1). This may reduce the risk of haemorrhage and tumour seeding, although this has not been proved[1].Figure 1

Bottom Line: As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice.The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Great Ormond Street Hospital, London, UK. roebud@gosh.nhs.uk

ABSTRACT
As is often the case with developments in interventional radiology (IR), widespread adoption of the newer techniques of interventional oncology has taken longer in paediatric than in adult practice. The three main applications of IR techniques in children with cancer are biopsy, regional therapy and supportive care (including the treatment of complications), and these are considered separately.

Show MeSH
Related in: MedlinePlus