Interventional radiologic procedures with CT guidance in cancer pain management.

作者: A Gangi , J L Dietemann , A Schultz , R Mortazavi , M Y Jeung

DOI: 10.1148/RADIOGRAPHICS.16.6.8946536

关键词: Cancer painMetastasisBone metastasisMedicineNeurolysisReduction (orthopedic surgery)SurgeryPercutaneousCancerRadiologyNeurolytic Block

摘要: Reduction of pain without systematic side effects can be achieved in advanced stages cancer with precise percutaneous techniques guided computed tomography (CT). CT guidance allows exact needle positioning, reducing complications and improving the results. Regional analgesia neurolytic block (neurolysis) is by injection alcohol or phenol involves intentional destruction a nerve nerves to interrupt nociceptive pathways for weeks months. Percutaneous alcoholization bone metastasis indicated patients painful, severe, osteolytic if conventional anticancer therapy ineffective high doses opiates are necessary control when rapid relief necessary. Bone packing acrylic glue (methyl methacrylate) used prevent pathologic fractures vertebral body tumors acetabular metastasis. With these techniques, radiologist able play an active role management ...

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