Kido C
Aichi Cancer Center Hospital, Dept. of Diagnostic Radiology.
Gan To Kagaku Ryoho. 1989 Jun;16(6):2305-10.
Since last about 20 years, invasive diagnostic procedures have gradually changed the conception to interventional radiology (IVR). Non vascular IVR has been developing steadily by suitable instruments and excellent techniques as well as vascular IVR. The fields of non-vascular IVR is becoming wider and wider in various regions in the body. Non-vascular IVR contains many kinds of drainage and forming inner fistula in the biliary and urinary tracts, for example, occlusive jaundice or hydronephrosis. Drainage for abscess in the thoracic or abdominal cavity is a good indication except peri-pancreatic abscess. In addition, IVR means time saving and cost saving in the aspiration biopsy for malignant neoplasms this is fast decision for reasonable therapies. In the earlier period, aspiration biopsy was considered as dangerous method because of bleeding and dissemination of malignant seeds along the route of aspiration needles. By using fluoroscopic image amplifier and ultrasonic unit, non-vascular IVR has many indications that radiologist's specialty demonstrated. Therefore, radiologist should have heavy responsibility based on understanding of right knowledge and good management for non-vascular IVR.
在过去约20年里，侵入性诊断程序已逐渐改变了对介入放射学（IVR）的概念。非血管介入放射学通过合适的器械、精湛的技术以及血管介入放射学一样稳步发展。非血管介入放射学在身体各部位的应用领域正变得越来越广泛。非血管介入放射学包括多种在胆道和泌尿道进行引流及形成内瘘的操作，例如阻塞性黄疸或肾积水。胸腔或腹腔脓肿的引流是一个很好的适应证，但胰腺周围脓肿除外。此外，在恶性肿瘤的穿刺活检中，介入放射学意味着节省时间和成本，这有助于快速做出合理治疗的决策。在早期，穿刺活检被认为是一种危险的方法，因为会出血以及恶性肿瘤细胞沿穿刺针路径播散。通过使用荧光图像增强器和超声设备，非血管介入放射学有许多放射科医生专长所展示的适应证。因此，基于对正确知识的理解和对非血管介入放射学的良好管理，放射科医生应承担重大责任。
