Monash Imaging, Monash Health, Clayton, Victoria, Australia.
School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Respirology. 2022 Aug;27(8):581-599. doi: 10.1111/resp.14315. Epub 2022 Jun 27.
Interventional radiology (IR) is a rapidly expanding medical subspecialty and refers to a range of image-guided procedural techniques. The image guidance allows real-time visualization and precision placement of a needle, catheter, wire and device to deep body structures through small incisions. Advantages include reduced risks, faster recovery and shorter hospital stays, lower costs and less patient discomfort. The range of chest interventional procedures keeps on expanding due to improved imaging facilities, better percutaneous assess devices and advancing ablation and embolization techniques. These advances permit procedures to be undertaken safely, simultaneously and effectively, hence escalating the role of IR in the treatment of chest disorders. This review article aims to cover the latest developments in some image-guided techniques of the chest, including thermal ablation therapy of lung malignancy, targeted therapy of pulmonary embolism, angioplasty and stenting of mediastinal venous/superior vena cava occlusion, pulmonary arteriovenous malformation treatment and bronchial artery embolization for haemoptysis.
介入放射学（IR）是一个快速发展的医学亚专科，指一系列影像引导的介入技术。该技术通过小切口，利用影像引导实时可视化并精准地将针、导管、导丝和器械放置到身体深部结构。其优点包括降低风险、更快的康复和更短的住院时间、更低的成本和更少的患者不适。由于成像设备的改进、更好的经皮评估设备以及消融和栓塞技术的进步，胸部介入手术的范围不断扩大。这些进步使手术能够安全、同时和有效地进行，从而提升了 IR 在胸部疾病治疗中的作用。本文旨在综述胸部影像引导技术的最新进展，包括肺部恶性肿瘤的热消融治疗、肺栓塞的靶向治疗、纵隔静脉/上腔静脉闭塞的血管成形术和支架置入、肺动静脉畸形的治疗以及咯血的支气管动脉栓塞。
