Alexander Zachary Copelan MD, Presenter: Nothing to Disclose

Anindya K. Roy MD, Abstract Co-Author: Nothing to Disclose

Hanh Vu Nghiem MD, Abstract Co-Author: Nothing to Disclose

Advantages of ultrasound in cross-sectional intervention have been previously described. Utilizing case-based illustrations, we will not only substantiate these traditional advantages, but will also demonstrate additional advantages, including the use of ultrasound as a diagnostic, intra-procedural problem solving tool to prevent unnecessary procedures and potential complications.

Illustrate and Depict: Traditional advantages of US as an image guidance tool: real-time nature, vessel visualization, portability, decreased procedure time and cost, and lack of ionizing radiation and use of iodinated contrast material Expanded advantages: i. Biopsy of small lesions, lesions not readily accessible by CT guidance, trans-rectal, trans-vaginal, and trans-perineal approaches, and pediatric intervention ii. Use of US-guided direct compression to displace bowel loops to facilitate biopsy of deep lesions, to treat pseudo-aneurysm with or without thrombin injection, and to help minimize potential post-procedural bleeding complications iii. Use of US imaging as an intra-procedural problem solving tool to help prevent unnecessary procedures and potential complications, and to urge the interventionist to recognize such instances and take the appropriate steps to ensure the safety and efficacy of image-guided intervention

http://abstract.rsna.org/uploads/2014/14003558/14003558_6jm6.pdf

Copelan, A, Roy, A, Nghiem, H, Ultrasound-Guided Intervention: Beyond the Guidance Tool.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003558.html