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Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
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Image-guided palliative care procedures.

Jay Requarth1

  • 1Department of Radiology, Wake Forest University Baptist Medical Center, Winston Salem, NC 27157, USA. jrequart@wfubmc.edu

The Surgical Clinics of North America
|March 23, 2011
PubMed
Summary

This review covers image-guided palliative procedures for patients with cancer and other serious illnesses. It offers a decision-making framework for surgeons discussing end-of-life care and pain management options.

Area of Science:

  • Interventional Radiology
  • Palliative Care
  • Oncology

Background:

  • Image-guided procedures are crucial for managing symptoms in patients with advanced malignancies and multiple comorbidities.
  • Palliative care aims to alleviate suffering and improve quality of life for patients facing life-limiting illnesses.

Purpose of the Study:

  • To review commonly performed image-guided palliative procedures.
  • To provide a decision-making framework for surgeons regarding end-of-life treatment and palliation.

Main Methods:

  • Review of selected image-guided palliative procedures including cholecystostomy, biliary decompression, neurolysis, cementoplasty, drainage catheter placement, pleurodesis, tube thoracostomy, tumor ablation, chemoembolization, and selective internal radiation therapy.
  • Inclusion of a decision tree for each procedure/disease to guide clinical application.

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Main Results:

  • Detailed descriptions of various image-guided palliative interventions.
  • A structured approach to selecting appropriate palliative procedures based on disease and patient condition.

Conclusions:

  • Image-guided interventions offer diverse options for palliation in complex patient populations.
  • The provided framework assists surgeons in end-of-life care discussions and procedural selection for optimal patient comfort and symptom management.