Ahmad Monzer Maaliki
Al Hamidy Medical Charitable Center, Lebanon
Posters & Accepted Abstracts: J Pharmacogenomics Pharmacoproteomics
Radiology is a rapidly growing and updating field of medicine with increasing potentials. Many diseases could be monitored, diagnosed and sometimes treated in radiology departments. Accurate surgical access could be planned easier using medical imaging and now even non-surgical intervention and impossible surgically access became possible. In this article we discuss non vascular intervention using medical imaging. Some cases might be diagnosed from their typical radiographic appearance. Many cases can be diagnosed accurately by conjunction of different imaging modalities as in breast imaging when using mammography in conjunction with ultrasound and if then necessary might use also breast MRI and MRI spectroscopy if needed to reduce unnecessary surgery or unnecessary further intervention. Many cases could be also diagnosed using imaging guided intervention and are minimally invasive , lower risk and faster recovery for the patients using percutaneous biopsy or fine needle aspiration or even fine needle non aspiration. Many diseases are now treated using interventional imaging guidance such as alcohol ablation, phenol injection for nerves, cysts and tumors. Radiofrequency ablation can be used for tumors, congenital lesions, intradiscal or nerve ablation in patients with chronic pain. Microwave or cryoablation may be used for tumor treatment and are also widely used now. Imaging guided injections with autologous blood, PRP (platelet rich plasma), lidocaine and corticosteroids, prolotherapy. Relieve signs of serious problems such as nephrostomy and ureteric stenting for hydronephrosis due to stones, tumors or pelvi ureteric stenosis, biliary drainage and stenting for biliary stones, strictures or tumors. There is also a very huge branch in diagnosis and treatment using vascular intervention that is not discussed here.
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