Image Guided Percutaneous Spine Biopsy

This textbook covers key areas and reviews important principles and steps in the preparation for and the performance of spine biopsy. Image-guided percutaneous biopsy techniques and their application throughout the spinal axis are presented and discussed in detail. The advantages and disadvantages of various spine biopsy instruments are reviewed. Commonly encountered biopsy scenarios are considered in order to help readers effectively manage these situations when they occur in their practices. Clear guidance is offered on patient selection and preparation, which are critical to safe and effective outcomes, and much emphasis is placed on procedural safety, with a focus on complication avoidance and the appropriate reporting of complications. Image-Guided Percutaneous Spine Biopsy will be a welcome one-stop shop providing up-to-date information for all physicians with an interest in the subject, including radiologists, surgeons, and pathologists.

This book provides a comprehensive source for all aspects of percutaneous image-guided biopsy. A synthesis of rationale, technique and evidence-based medicine, it offers a clear approach to imaging, devices, procedures and patient care. Replete with case studies, radiological images, illustrative diagrams and tables, this valuable reference is an indispensable addition to the bookshelves of all radiologists in training as well as practicing radiologists who would like to expand their biopsy service and refine their skills. The easy to follow format, organization and graphic presentations create a high-yield approach to practical information such as indications, technical considerations, anatomical considerations, outcomes and complications. This timely compendium is a necessity in this rapidly progressing field.

A panel of world-renowned experts presents a complete course on evaluating and treating patients with back pain, including interventional spinal procedures, spinal imaging, and the clinical evaluation of the spine patient. The authors focus on all the critical spinal procedures, ranging from such traditional methods as selective nerve root blocks, epidural injections, facet injections, sacroiliac joint injections, to such state-of-the art techniques as spinal biopsy, percutaneous vertebroplasty, spinal imaging, nucleoplasty, discography, intradiscal electrothermal therapy, and transcatheter therapy for tumors of the spine. Additional material is provided on basic spinal anatomy, CT, MRI, the nuclear medicine of the spine, and the pharmacology of the medications used in injection procedures.

Here is the second, completely revised and updated edition of the successful practical guide to image-guided spine intervention. It contains revised text and images as well as new sections and chapters. The updated text thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief.

The field of interventional radiology is constantly undergoing change, and its procedures evolve over time. There is currently tremendous pressure on our specialty, as cardiology and vascular surgery app- priate existing vascular interventions. We need to be looking constantly for new procedures that will replace this loss. In the 1980s, the int- duction of vascular access provided new procedures that included the placement of temporary venous catheters, ports, tunneled catheters, and dialysis maintenance. As a result of vascular access the number of procedures performed in some interventional labs doubled. The same revolution is occurring again with the advent of image-guided spine intervention. Five percent of the American population at any one time has back pain. This huge patient population is seeking help for this disabling and persistent problem. Image-Guided Spine Interventions describes the varied and numerous procedures that are available to the image-guided interventionist, who may provide these therapies for the spine. This book embraces clinical evaluation, pharmacological requirements, procedural recommen- tions, and a spectrum of procedures that will be of interest to the image-guided spine interventionist. It covers a broad range of ma- rial that is presented by experts in each field, including discography, intradiscal electrothermal therapy (IDET), percutaneous discectomy, vertebroplasty and ballon kyphoplasty, epidural steroid injections, - lective nerve root blocks and autonomic nerve blockade, diagnostic epidurography and therapeutic epidurolysis, sacroiliac and facet joint injections, implanted drug delivery systems, and epidural blood and fibrin patches for CSF leaks.

This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine.

This practical guide thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief. Traditionally, pain procedures were in the limited purview of the pain anesthesiologist. Only a portion of these procedures were image guided. The growth in utilization of spine intervention and the realization that image guidance improves outcomes and safety has produced a need for this cutting-edge book. This book is an ideal aid for radiologists and other physicians who deal with back pain.