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Updated: Jul 2, 2026

Three-Dimensional Reconstruction of Orbital Fractures
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Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

Launching an Image-Guided Percutaneous Osteosynthesis Program: A PRISM-RE-AIM Implementation Framework.

Sylvain Grange1, Louis-Martin Boucher2, Nicolas Stacoffe3

  • 1Université Jean Monnet, CHU Saint-Etienne, Service de Radiologie, Mines Saint-Etienne, INSERM, SAINBIOSE U1059, Saint-Etienne, France;; Department of Diagnostic Radiology, McGill University Health Centre, Montreal, Canada.

Journal of Vascular and Interventional Radiology : JVIR
|June 30, 2026
PubMed
Summary

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This review offers a framework for establishing image-guided percutaneous osteosynthesis (IGPO) programs. It focuses on practical implementation and sustainability for skeletal lesion stabilization.

Area of Science:

  • Musculoskeletal Interventional Radiology
  • Implementation Science

Background:

  • Image-guided percutaneous osteosynthesis (IGPO) is an emerging minimally invasive technique for skeletal lesion stabilization.
  • While technical feasibility and outcomes are reported, guidance for program implementation and sustainability is limited.

Purpose of the Study:

  • To propose an implementation framework for launching and sustaining IGPO programs.
  • To guide institutions in developing robust IGPO services.

Main Methods:

  • Expert narrative review synthesizing key publications and institutional experiences.
  • Framework guided by the Practical, Robust Implementation and Sustainability Model (PRISM) and RE-AIM.
  • Not a systematic review or formal qualitative study.
Keywords:
Bone metastasesImage-guided percutaneous osteosynthesisImplementation scienceInternational experienceInterventional radiologyMinimally invasive procedureMultidisciplinary collaborationPathological and traumatic fractures

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Main Results:

  • The proposed framework emphasizes institutional readiness, stakeholder engagement, and patient selection.
  • It highlights the importance of imaging, anesthesia, staffing, radiation safety, and adverse event monitoring.
  • Key metrics for success include technical success, patient outcomes, and resource utilization.

Conclusions:

  • A structured implementation framework is crucial for successful IGPO program development.
  • The framework addresses critical components from initial setup to long-term maintenance.
  • Standardized metrics are essential for evaluating IGPO program effectiveness and patient impact.