Performing thoracic transforaminal injections: a new technique.

Abstract:

PURPOSE:To evaluate a technique to perform fluoroscopically directed thoracic transforaminal epidural injections. MATERIALS AND METHODS:Institutional review board approval and a waiver of consent were obtained for this retrospective HIPAA-compliant study. Findings from 198 consecutively performed foraminal nerve blocks and foraminal epidural injections in the thoracic spine from June 27, 1997 to December 29, 2007 were retrospectively reviewed. This study was designed to evaluate a current technique and the experience with an approach that improves safety by decreasing the chance of inadvertent injury to nontargeted structures. Fluoroscopic spot views retained as part of a quality assurance program were available in all patients for review. RESULTS:By utilizing this technique, there was a single delayed pneumothorax that occurred because of deviation from the accepted technique. No other major complications occurred (which the authors defined as death, neurovascular injury, pneumothorax, and infection). Inadvertent puncture of the dura did not occur. Minor complications included vasovagal response and transient pain during the administration of injectate, which were resolved by the termination of the procedure. The ease of identifying the ribs fluoroscopically and utilizing the rib as a conduit into the foramen provided an advantage in patients with osteopenia, severe osteoarthritis, and scoliosis compared with previously described techniques. CONCLUSION:This study evaluated an innovative technique to perform fluoroscopically directed thoracic intraforaminal nerve blocks that showed few complications and anatomically avoided transgression of structures in the posterior mediastinum.

journal_name

Radiology

journal_title

Radiology

authors

Rosas HG,Gilula LA

doi

10.1148/radiol.09082085

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

595-600

issue

2

eissn

0033-8419

issn

1527-1315

pii

254/2/595

journal_volume

254

pub_type

杂志文章
  • Symmetrical extracranial fenestrations of the vertebral artery. Two cases revealed by angiography.

    abstract::Extracranial duplication of the vertebral artery was demonstrated angiographically on both sides in a patient with postmeningitis hydrocephalus and in another with hemangioblastoma. Forty-six cases of this anomaly are reviewed. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/131.2.408

    authors: Kowada M,Kikuchi K

    更新日期:1979-05-01 00:00:00

  • Cerebral Microhemorrhage at MRI in Mild Cognitive Impairment and Early Alzheimer Disease: Association with Tau and Amyloid β at PET Imaging.

    abstract::Background Growing evidence indicates an association between cerebral microhemorrhages (MHs) and amyloid β accumulation in Alzheimer disease (AD), but to the knowledge of the authors the association with tau burden is unknown. Purpose To investigate the association between cerebral MH load and tau pathologic structure...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2020191904

    authors: Rauchmann BS,Ghaseminejad F,Mekala S,Perneczky R,Alzheimer’s Disease Neuroimaging Initiative.

    更新日期:2020-07-01 00:00:00

  • Clearance of Gadolinium from the Brain with No Pathologic Effect after Repeated Administration of Gadodiamide in Healthy Rats: An Analytical and Histologic Study.

    abstract::Purpose To measure the levels of gadolinium present in the rat brain 1 and 20 weeks after dosing with contrast agent and to determine if there are any histopathologic sequelae. Materials and Methods The study was approved by the GE Global Research Center Institutional Animal Care and Use Committee. Absolute gadolinium...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2016160905

    authors: Smith AP,Marino M,Roberts J,Crowder JM,Castle J,Lowery L,Morton C,Hibberd MG,Evans PM

    更新日期:2017-03-01 00:00:00

  • Radiation-induced decrease in nitric oxide synthase--containing nerves in the rat penis.

    abstract:PURPOSE:Evaluate effect of prostatic irradiation on erectile function. MATERIALS AND METHODS:Forty-seven male adult rats were divided into three groups according to a single radiation dose to the prostate: control (no irradiation) (n = 15), 1,000 cGy (n = 15), and 2,000 cGy (n = 17). Five months after irradiation, rat...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.195.1.7534430

    authors: Carrier S,Hricak H,Lee SS,Baba K,Morgan DM,Nunes L,Ross GY,Phillips TL,Lue TF

    更新日期:1995-04-01 00:00:00

  • Kimray-Greenfield vena cava filter: percutaneous introduction.

    abstract::A percutaneous technique is described for the introduction of Kimray-Greenfield filters into the vena cava through either the internal jugular or femoral approach. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.151.2.6709930

    authors: Tadavarthy SM,Castaneda-Zuniga W,Salomonowitz E,Lund G,Cragg A,Hunter D,Coleman C,Amplatz K

    更新日期:1984-05-01 00:00:00

  • Dermal deposits mistaken for breast calcifications.

    abstract::Isolated skin calcifications can be mistaken for intramammary clustered microcalcifications. Confirmation of the dermal location of benign skin deposits will avoid unnecessary biopsy procedures. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.149.2.6622710

    authors: Kopans DB,Meyer JE,Homer MJ,Grabbe J

    更新日期:1983-11-01 00:00:00

  • Are two-dimensional CT measurements of small noncalcified pulmonary nodules reliable?

    abstract:PURPOSE:To evaluate the intra- and interreader agreement of two-dimensional computed tomographic (CT) measurements of pulmonary nodules less than 2 cm in diameter. MATERIALS AND METHODS:Three readers independently made three serial measurements of each of 54 pulmonary nodules measuring 3-18 mm that had been observed o...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2312030167

    authors: Revel MP,Bissery A,Bienvenu M,Aycard L,Lefort C,Frija G

    更新日期:2004-05-01 00:00:00

  • Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight.

    abstract:PURPOSE:To investigate the effect of duration and rate of contrast material injection on aortic peak time and peak enhancement in an injection protocol in which the contrast material dose is adjusted according to patient weight. MATERIALS AND METHODS:One hundred ninety-nine patients were randomly divided into three gr...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1148/radiol.2301021008

    authors: Awai K,Hiraishi K,Hori S

    更新日期:2004-01-01 00:00:00

  • Postmyelography headache rates with Whitacre versus Quincke 22-gauge spinal needles.

    abstract:PURPOSE:To compare the postdural puncture headache (PDPH) rates after myelography with use of 22-gauge Whitacre (blunt tip) versus standard 22-gauge Quincke (bevel-tip) spinal needles. MATERIALS AND METHODS:At myelography, 340 patients were randomly assigned to one of two groups in which either the Whitacre (167 patie...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1148/radiology.200.3.8756930

    authors: Peterman SB

    更新日期:1996-09-01 00:00:00

  • Prostatic carcinoma and benign prostatic hyperplasia: MR imaging with histopathologic correlation.

    abstract::Twenty-eight patients with prostatic carcinoma who underwent magnetic resonance (MR) imaging and subsequent radical prostatectomy were studied. The resected prostates were sectioned axially, and the whole-mount prostatic specimen was compared with the corresponding MR images. The carcinoma could be identified in 20 ca...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.173.3.2479050

    authors: Kahn T,Bürrig K,Schmitz-Dräger B,Lewin JS,Fürst G,Mödder U

    更新日期:1989-12-01 00:00:00

  • Diagnostic performance of gray-scale US and elastography in solid thyroid nodules.

    abstract:PURPOSE:To evaluate the diagnostic performance of gray-scale ultrasonography (US) and elastography in differentiating benign and malignant thyroid nodules. MATERIALS AND METHODS:This was an institutional review board-approved retrospective study with waiver of informed consent. A total of 703 solid thyroid nodules in ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.11110839

    authors: Moon HJ,Sung JM,Kim EK,Yoon JH,Youk JH,Kwak JY

    更新日期:2012-03-01 00:00:00

  • Science to practice: will contrast agents for molecular imaging of angiogenesis help overcome the limitations of functional vascular imaging?

    abstract::Schmieder and colleagues introduced a new molecular magnetic resonance (MR) probe with a promising lipophilic gadolinium chelate complex that provides high relaxivity. Results of in vivo experiments clearly demonstrate the excellence of the probe for longitudinally monitoring α(v)β(3) integrin expression in tumors. In...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.13131094

    authors: Kiessling F

    更新日期:2013-08-01 00:00:00

  • Nonenhanced MR angiography of the hand with flow-sensitive dephasing-prepared balanced SSFP sequence: initial experience with systemic sclerosis.

    abstract:PURPOSE:To compare the image quality and degree of vessel narrowing at flow-sensitive dephasing (FSD) magnetic resonance (MR) angiography of the hands with those at contrast material-enhanced MR angiography of the hands in patients with systemic sclerosis. MATERIALS AND METHODS:In a single-center study with institutio...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10100851

    authors: Sheehan JJ,Fan Z,Davarpanah AH,Hodnett PA,Varga J,Carr JC,Li D

    更新日期:2011-04-01 00:00:00

  • Interfacing a programmable desk calculator to a hard-wired data system.

    abstract::The primary disadvantage of hard-wired data systems for use in nuclear medicine is the fact that that the data contained in the memory bank are not accessible to the user and often must be processed mathematically before they can be employed in interpretation, particularly in dynamic studies. The authors describe a re...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/118.1.225

    authors: Shearer D,Rollins M

    更新日期:1976-01-01 00:00:00

  • Renal arterial rupture complicating transluminal angioplasty: successful conservative management.

    abstract::Vessel rupture complicating transluminal angioplasty is an uncommon event, especially in the renal artery. The authors report such a case, which was treated with immediate balloon tamponade and did not require surgical intervention. Possible causes and appropriate management are discussed, as well as the need for repo...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.174.3.174-3-983

    authors: Ashenburg RJ,Blair RJ,Rivera FJ,Weigele JB

    更新日期:1990-03-01 00:00:00

  • Measurement of serum calcium concentration after administration of gadoversetamide in dogs.

    abstract:PURPOSE:To measure serum calcium concentration with three different analytic methods after administration of gadoversetamide and three other gadolinium chelates in dogs. MATERIALS AND METHODS:Six dogs were injected with 0.1-, 0.3-, 1.0-, and 3.0-mmol/kg doses of gadoversetamide; 1.0-mmol/kg doses of gadodiamide, gadop...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2331031689

    authors: Wible JH Jr,Hynes MR

    更新日期:2004-10-01 00:00:00

  • 7-T (35)Cl and (23)Na MR Imaging for Detection of Mutation-dependent Alterations in Muscular Edema and Fat Fraction with Sodium and Chloride Concentrations in Muscular Periodic Paralyses.

    abstract::Purpose To determine whether altered sodium (Na(+)) and chloride (Cl(-)) homeostasis can be visualized in periodic paralyses by using 7-T sodium 23 ((23)Na) and chlorine 35 ((35)Cl) magnetic resonance (MR) imaging. Materials and Methods Institutional review board approval and informed consent of all participants were ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2016151617

    authors: Weber MA,Nagel AM,Marschar AM,Glemser P,Jurkat-Rott K,Wolf MB,Ladd ME,Schlemmer HP,Kauczor HU,Lehmann-Horn F

    更新日期:2016-09-01 00:00:00

  • Scimitar syndrome: four new cases examined with CT.

    abstract::Four new cases of scimitar syndrome illustrate the complex derangement of the right lung architecture. Computed tomography (CT) helped in demonstrating the hyparterial relationship of the right bronchus to the pulmonary artery, the course and termination of the scimitar vein, the mediastinal shift, unusual fissures, a...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.159.1.3952300

    authors: Godwin JD,Tarver RD

    更新日期:1986-04-01 00:00:00

  • Aortobronchial fistula as a complication of surgery for correction of congenital aortic anomalies.

    abstract::An aortobronchial fistula is a rare condition that is invariably fatal if not diagnosed and surgically treated. Aortic aneurysms, both atherosclerotic and infective, were the main causes in the originally described cases. However, thoracic cardiovascular surgery has recently become the predominant cause. The authors d...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.175.2.2326460

    authors: Garniek A,Morag B,Schmahmann S,Rubinstein ZJ

    更新日期:1990-05-01 00:00:00

  • Endovascular treatment with coils of 149 middle cerebral artery berry aneurysms.

    abstract:PURPOSE:To retrospectively evaluate the immediate and long-term clinical results, as well as the angiographic results, of occlusion of middle cerebral artery (MCA) berry aneurysms with coils. MATERIALS AND METHODS:This retrospective study had institutional review board approval, and informed consent was obtained. One ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2372041015

    authors: Iijima A,Piotin M,Mounayer C,Spelle L,Weill A,Moret J

    更新日期:2005-11-01 00:00:00

  • Wavelet compression of low-dose chest CT data: effect on lung nodule detection.

    abstract:PURPOSE:To assess the effect of using a lossy Joint Photographic Experts Group standard for wavelet image compression, JPEG2000, on pulmonary nodule detection at low-dose computed tomography (CT). MATERIALS AND METHODS:One hundred sets of lung CT data ("cases") were compressed to 30:1, 20:1, and 10:1 levels by using a...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2281020254

    authors: Ko JP,Rusinek H,Naidich DP,McGuinness G,Rubinowitz AN,Leitman BS,Martino JM

    更新日期:2003-07-01 00:00:00

  • Normal modiolus: CT appearance in patients with a large vestibular aqueduct.

    abstract:PURPOSE:To determine the computed tomographic (CT) appearance of the normal modiolus and the pathologic alteration in patients with a large vestibular aqueduct and an otherwise normal-appearing cochlea. MATERIALS AND METHODS:Temporal bone CT studies obtained before and after a major upgrade of CT capability in 1992 we...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.204.1.9205250

    authors: Lemmerling MM,Mancuso AA,Antonelli PJ,Kubilis PS

    更新日期:1997-07-01 00:00:00

  • Deglutition after near-fatal choking episode: radiologic evaluation.

    abstract::Acute airway obstruction during oral intake is a relatively common event that may be fetal if not relieved immediately. Deglutition was studied in 75 individuals who had experienced a near-fatal choking episode (NFCE) or sudden inability to breathe during food intake that was promptly relieved by means of a Heimlich m...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.176.3.2389020

    authors: Feinberg MJ,Ekberg O

    更新日期:1990-09-01 00:00:00

  • Hepatocellular carcinoma in noncirrhotic liver: CT, clinical, and pathologic findings in 39 U.S. residents.

    abstract:PURPOSE:To review clinical, pathologic, and computed tomographic (CT) findings in patients with hepatocellular carcinoma (HCC) in noncirrhotic liver. MATERIALS AND METHODS:Clinical, pathologic, and imaging findings were retrospectively evaluated in 39 patients with HCC in noncirrhotic liver. Helical multiphasic CT sca...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2221010767

    authors: Brancatelli G,Federle MP,Grazioli L,Carr BI

    更新日期:2002-01-01 00:00:00

  • Adrenal and extra-adrenal retroperitoneal ganglioneuroma: imaging findings in 13 adults.

    abstract:PURPOSE:To determine the radiologic appearance of ganglioneuromas of the adrenal gland and extra-adrenal retroperitoneum. MATERIALS AND METHODS:A retrospective review was performed of imaging findings in nine patients with ganglioneuroma, two with ganglioneuroma-pheochromocytoma, and two with malignant peripheral nerv...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.202.3.9051020

    authors: Radin R,David CL,Goldfarb H,Francis IR

    更新日期:1997-03-01 00:00:00

  • Percutaneous gastrostomy in a child.

    abstract::A 2-year-old girl with cyanotic congenital heart disease needed to undergo gastrostomy. To avoid the use of general anesthesia, a percutaneous gastrostomy was performed as an interventional radiologic procedure with the patient under sedation and with the use of local anesthesia. The placement of a nasogastrocutaneous...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.160.1.3715040

    authors: Keller MS,Lai S,Wagner DK

    更新日期:1986-07-01 00:00:00

  • Hemodynamic changes after distal splenorenal shunt studied by sequential angiography.

    abstract::Distal splenorenal shunts were made in 25 patients with cirrhosis of the liver and portal hypertension. Angiograms were obtained in 16 patients at one week, three and six months, and at one year postoperatively. Portal vein flow had diminished in all patients compared with flow seen in preoperative angiograms. Hepatof...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/121.3.585

    authors: Tylén U,Simert G,Vang J

    更新日期:1976-12-01 00:00:00

  • Cerebral vasculopathy and neurologic sequelae in infants with cervicofacial hemangioma: report of eight patients.

    abstract:PURPOSE:To determine the association of cerebral arterial anomalies and progressive cerebral arterial occlusive disease in infants with facial hemangiomas. MATERIALS AND METHODS:The cases of eight infants (seven girls and one boy) with the diagnosis of cervicofacial hemangioma and intracranial arterial anomalies were ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.207.3.9609880

    authors: Burrows PE,Robertson RL,Mulliken JB,Beardsley DS,Chaloupka JC,Ezekowitz RA,Scott RM

    更新日期:1998-06-01 00:00:00

  • Endovascular Interventions for Acute and Chronic Lower Extremity Deep Venous Disease: State of the Art.

    abstract::The societal and individual burden caused by acute and chronic lower extremity venous disease is considerable. In the past several decades, minimally invasive endovascular interventions have been developed to reduce thrombus burden in the setting of acute deep venous thrombosis to prevent both short- and long-term mor...

    journal_title:Radiology

    pub_type: 杂志文章,评审

    doi:10.1148/radiol.2015132603

    authors: Sista AK,Vedantham S,Kaufman JA,Madoff DC

    更新日期:2015-07-01 00:00:00

  • Acalculous gallbladder disease: US evaluation after slow-infusion cholecystokinin stimulation in symptomatic and asymptomatic adults.

    abstract:PURPOSE:To evaluate the measurement with ultrasonography (US) of the gallbladder ejection fraction after slow-infusion cholecystokinin stimulation in patients with biliary symptoms and in individuals without symptoms. MATERIALS AND METHODS:Gallbladder volumes were calculated in 60 healthy volunteers after a 30-minute ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.204.1.9205230

    authors: Barr RG,Agnesi JN,Schaub CR

    更新日期:1997-07-01 00:00:00