Weisse Chick
Animal Medical Center, New York City, NY, USA.
Vet J. 2015 Aug;205(2):198-203. doi: 10.1016/j.tvjl.2015.03.027. Epub 2015 Mar 26.
Interventional radiology (IR) involves the use of contemporary imaging modalities to gain access to different structures in order to deliver materials for therapeutic purposes. Veterinarians have been expanding the use of these minimally invasive techniques in animals with a variety of conditions involving all of the major body systems. Interventional oncology (IO) is a growing subspecialty of IR in human medicine used (1) to restore patency to malignant obstructions through endoluminal stenting, (2) to provide dose escalations to tumors without increasing systemic chemotherapy toxicities via superselective transarterial chemotherapy delivery, (3) to stop hemorrhage or reduce blood flow to tumors via transarterial embolization or chemoembolization, and (4) to provide therapies for those cancers with no safe or effective alternative options. This review provides a brief introduction to a few of the techniques currently available to veterinarians for cancer treatment. For each technique, the concept for improved palliation, patient quality of life, or tumor control is presented, followed by the most current veterinary clinical information available. Although promising, more studies will be necessary to determine if veterinary IO will provide the same benefits as has already been demonstrated in oncology care in humans.
介入放射学(IR)涉及使用现代成像方式来进入不同结构,以便输送用于治疗目的的材料。兽医们一直在扩大这些微创技术在患有涉及所有主要身体系统的各种病症的动物中的应用。介入肿瘤学(IO)是人类医学中IR不断发展的一个亚专业,用于(1)通过腔内支架置入术恢复恶性梗阻的通畅性,(2)通过超选择性经动脉化疗给药在不增加全身化疗毒性的情况下提高肿瘤剂量,(3)通过经动脉栓塞或化疗栓塞来止血或减少肿瘤血流,以及(4)为那些没有安全或有效替代选择的癌症提供治疗。本综述简要介绍了目前兽医可用于癌症治疗的一些技术。对于每种技术,都介绍了改善姑息治疗、患者生活质量或肿瘤控制的概念,随后是现有的最新兽医临床信息。尽管前景广阔,但仍需要更多研究来确定兽医介入肿瘤学是否能提供与人类肿瘤护理中已证明的相同益处。