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Lipiodol in embolization therapy: Evolution from a diagnostic to a therapeutic agent
Areeb Siddiqui1, Yan Epelboym2, Bedros Taslakian3
1Division of Interventional Radiology, Johns Hopkins Hospital, Baltimore, MD, USA; Johns Hopkins University School of Medicine, 3400 N Charles St, Baltimore, MD, 21218, USA.
Lipiodol (ethiodized oil), initially a diagnostic tool in radiology, is now a versatile therapeutic agent. Its use has expanded from contrast imaging to various interventional embolization procedures.
Area of Science:
- Radiology
- Interventional Radiology
- Medical Chemistry
Background:
- Lipiodol (ethiodized oil) was synthesized in 1901 by Marcel Guerbet.
- Initially used as a contrast agent in diagnostic radiology.
- Its application has evolved significantly over the decades.
Purpose of the Study:
- To review the historical development of Lipiodol.
- To discuss the physical properties of ethiodized oil.
- To highlight its current clinical applications in interventional radiology.
Main Methods:
- Literature review of historical data.
- Analysis of physical and chemical properties.
- Compilation of clinical applications in interventional radiology.
Main Results:
- Lipiodol transitioned from a diagnostic contrast medium to a therapeutic agent.
- It is now widely used in embolization procedures.
- Key applications include chemoembolization and embolization of vascular malformations.
Conclusions:
- Ethiodized oil has evolved into a multifunctional agent in interventional radiology.
- Its historical trajectory showcases a significant shift in clinical utility.
- Lipiodol remains a valuable tool in modern interventional procedures.
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