title: Interventional radiology and the care of the oncology patient.
abstract: Interventional Radiology (IR) is occupying an increasingly prominent role in the care of patients with cancer, with involvement from initial diagnosis, right through to minimally invasive treatment of the malignancy and its complications. Adequate diagnostic samples can be obtained under image guidance by percutaneous biopsy and needle aspiration in an accurate and minimally invasive manner. IR techniques may be used to place central venous access devices with well-established safety and efficacy. Therapeutic applications of IR in the oncology patient include local tumour treatments such as transarterial chemo-embolisation and radiofrequency ablation, as well as management of complications of malignancy such as pain, organ obstruction, and venous thrombosis.
authors.affiliation: Department of Radiology, University College Cork, Cork, Ireland.
authors.forename: Siobhan B
authors.initials: SB
authors.lastname: O'Neill
authors.forename: Owen J
authors.initials: OJ
authors.lastname: O'Connor
authors.forename: Max F
authors.initials: MF
authors.lastname: Ryan
authors.forename: Michael M
authors.initials: MM
authors.lastname: Maher
references.citation: J Clin Oncol. 1987 Nov;5(11):1836-40
references.pmid: 3681370
references.citation: Dtsch Arztebl Int. 2008 Sep;105(38):646-53
references.pmid: 19471636
references.citation: Dig Dis Sci. 2008 May;53(5):1400-4
references.pmid: 18046645
references.citation: Clin Oncol (R Coll Radiol). 2010 Nov;22(9):771-80
references.pmid: 20833516
references.citation: Chest. 1998 Jul;114(1):207-13
references.pmid: 9674471
references.citation: Radiology. 2003 Feb;226(2):441-51
references.pmid: 12563138
references.citation: Dig Dis Sci. 1999 Mar;44(3):542-6
references.pmid: 10080147
references.citation: Cancer. 2004 May 1;100(9):1776-85
references.pmid: 15112256
references.citation: Cancer Imaging. 2005 Sep 21;5:103-9
references.pmid: 16305946
references.citation: Adv Ther. 2010 Jun;27(6):334-47
references.pmid: 20544327
references.citation: AJR Am J Roentgenol. 1983 Dec;141(6):1291-4
references.pmid: 6606331
references.citation: J Vasc Interv Radiol. 1993 Sep-Oct;4(5):597-604
references.pmid: 7693074
references.citation: AJR Am J Roentgenol. 2004 Apr;182(4):891-6
references.pmid: 15039160
references.citation: BMJ. 2006 Apr 29;332(7548):1022-4
references.pmid: 16644831
references.citation: Anticancer Drugs. 2009 Jun;20(5):389-95
references.pmid: 19287305
references.citation: J Pathol. 2010 Jan;220(2):231-43
references.pmid: 19918804
references.citation: Radiology. 2010 Nov;257(2):410-7
references.pmid: 20829537
references.citation: J Gastroenterol Hepatol. 2009 Feb;24(2):223-7
references.pmid: 18823439
references.citation: AJR Am J Roentgenol. 1998 Oct;171(4):1003-6
references.pmid: 9762985
references.citation: Nat Rev Cancer. 2009 Dec;9(12):862-73
references.pmid: 19935675
references.citation: J Vasc Interv Radiol. 2006 Jun;17(6):927-51; quiz 951
references.pmid: 16778226
references.citation: Acta Radiol. 2004 Apr;45(2):130-5
references.pmid: 15191094
references.citation: Semin Roentgenol. 2007 Jul;42(3):175-90
references.pmid: 17599551
references.citation: Cancer Treat Res. 2008;143:493-511
references.pmid: 18619230
references.citation: Clin Radiol. 2005 Nov;60(11):1188-94
references.pmid: 16223615
references.citation: AJR Am J Roentgenol. 1995 Jan;164(1):189-93
references.pmid: 7998537
references.citation: Aliment Pharmacol Ther. 2010 Feb 15;31(4):461-76
references.pmid: 19925500
references.citation: J Vasc Interv Radiol. 2006 Oct;17(10):1571-93
references.pmid: 17056999
references.citation: Ann Vasc Surg. 2011 Feb;25(2):222-8
references.pmid: 20947293
references.citation: AJR Am J Roentgenol. 1992 Feb;158(2):251-7
references.pmid: 1729776
references.citation: Radiol Clin North Am. 2000 Mar;38(2):303-22, viii
references.pmid: 10765392
references.citation: J Gastrointest Surg. 2006 Jul-Aug;10(7):960-73
references.pmid: 16843866
references.citation: Radiol Med. 2009 Sep;114(6):976-83
references.pmid: 19554420
references.citation: J Urol. 2007 Jul;178(1):178-83; discussion 183
references.pmid: 17499300
references.citation: Ultraschall Med. 2007 Jun;28(3):283-90
references.pmid: 17315109
references.citation: J Urol. 2009 Dec;182(6):2613-7
references.pmid: 19836807
references.citation: AJR Am J Roentgenol. 2002 Sep;179(3):633-6
references.pmid: 12185033
references.citation: Tech Vasc Interv Radiol. 2010 Jun;13(2):89-99
references.pmid: 20540918
references.citation: Ann Radiol (Paris). 1974 Oct;17(6):593-603
references.pmid: 4142843
references.citation: J Korean Med Sci. 2002 Dec;17(6):727-36
references.pmid: 12482993
references.citation: Cochrane Database Syst Rev. 2004;(1):CD002916
references.pmid: 14973997
references.citation: Surg Oncol. 2010 Mar;19(1):e22-32
references.pmid: 19268571
references.citation: N Engl J Med. 1993 Jul 22;329(4):257-63
references.pmid: 8316270
references.citation: Radiol Med. 2010 Jun;115(4):619-33
references.pmid: 20091135
references.citation: Spine J. 2004 Jul-Aug;4(4):418-24
references.pmid: 15246303
references.citation: Am J Clin Oncol. 2010 Aug;33(4):420-3
references.pmid: 19858695
references.citation: J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S219-S226, S226.e1-10
references.pmid: 19560002
references.citation: Arch Intern Med. 2000 Mar 27;160(6):809-15
references.pmid: 10737280
references.citation: Cardiovasc Intervent Radiol. 2009 Sep;32(5):861-76
references.pmid: 19641957
references.citation: Oncology (Williston Park). 2005 Oct;19(11 Suppl 4):27-32
references.pmid: 16366376
references.citation: Curr Probl Diagn Radiol. 2003 Sep-Oct;32(5):218-26
references.pmid: 12963868
references.citation: J Vasc Interv Radiol. 2002 Sep;13(9 Pt 1):883-6
references.pmid: 12354821
references.citation: Semin Oncol. 2000 Jun;27(3):284-98
references.pmid: 10864217
references.citation: Dig Liver Dis. 2010 Jul;42 Suppl 3:S302-9
references.pmid: 20547319
references.citation: J Endourol. 2009 Oct;23(10):1571-7
references.pmid: 19630501
references.citation: J Vasc Interv Radiol. 2010 Jul;21(7):969-75
references.pmid: 20304676
references.citation: Radiology. 2000 Oct;217(1):89-93
references.pmid: 11012428
references.citation: Q J Nucl Med Mol Imaging. 2009 Jun;53(3):325-35
references.pmid: 19521312
references.citation: J Hepatol. 2010 Jun;52(6):930-6
references.pmid: 20385428
references.citation: J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S377-90
references.pmid: 19560026
references.citation: Radiographics. 2005 Oct;25 Suppl 1:S69-83
references.pmid: 16227498
references.citation: Cardiovasc Intervent Radiol. 2011 Apr;34(2):338-44
references.pmid: 20845039
references.citation: JAMA. 2005 Feb 9;293(6):715-22
references.pmid: 15701913
references.citation: Curr Med Chem. 2002 Jan;9(1):73-82
references.pmid: 11860349
references.citation: Radiology. 1995 Dec;197(3):699-704
references.pmid: 7480742
references.citation: Diagn Interv Radiol. 2005 Jun;11(2):113-8
references.pmid: 15957100
references.citation: Radiology. 1984 Aug;152(2):343-6
references.pmid: 6739796
references.citation: J Vasc Interv Radiol. 2001 Oct;12(10):1135-48
references.pmid: 11585879
references.citation: Eur Radiol. 2010 Apr;20(4):862-9
references.pmid: 19789880
references.citation: J Vasc Interv Radiol. 1994 Mar-Apr;5(2):279-85
references.pmid: 7514463
references.citation: AJR Am J Roentgenol. 1995 Mar;164(3):589-91
references.pmid: 7532350
references.citation: Arch Surg. 1981 Apr;116(4):405-7
references.pmid: 6971083
references.citation: Support Care Cancer. 2006 Nov;14(11):1147-51
references.pmid: 16625334
references.citation: Semin Nucl Med. 2010 Mar;40(2):105-21
references.pmid: 20113679
references.citation: J Vasc Interv Radiol. 2010 Jun;21(6):789-95
references.pmid: 20307987
references.citation: Eur J Radiol. 2005 Oct;56(1):84-90
references.pmid: 16168268
references.citation: Acta Radiol. 1996 Mar;37(2):234-6
references.pmid: 8600969
references.citation: J Hosp Infect. 1994 Nov;28(3):163-76
references.pmid: 7852731
references.citation: Br J Cancer. 2010 Jul 27;103(3):324-31
references.pmid: 20628388
references.citation: Surg Oncol. 2007 Nov;16(3):229-33
references.pmid: 17689958
references.citation: Abdom Imaging. 2009 Sep-Oct;34(5):593-609
references.pmid: 19015913
references.citation: BMJ. 2003 Aug 16;327(7411):361
references.pmid: 12919984
references.citation: J Clin Oncol. 2003 Oct 1;21(19):3665-75
references.pmid: 14512399
references.citation: Expert Opin Pharmacother. 2010 Mar;11(4):579-86
references.pmid: 20163269
references.citation: Anticancer Drugs. 2010 Oct;21(9):882-4
references.pmid: 20679889
references.citation: Cancer. 2008 Jun;112(11):2483-92
references.pmid: 18404702
references.citation: Aliment Pharmacol Ther. 2009 Apr 1;29(7):706-19
references.pmid: 19284407
references.citation: Ir Med J. 2009 Jul-Aug;102(7):212-5
references.pmid: 19772001
references.citation: Radiology. 1983 May;147(2):419-26
references.pmid: 6836120
references.citation: Cancer. 2002 Jun 1;94(11):3049-56
references.pmid: 12115396
references.citation: Pain. 1999 Sep;82(3):263-274
references.pmid: 10488677
references.citation: Eur J Radiol. 2005 Sep;55(3):355-61
references.pmid: 16129244
references.citation: J Vasc Interv Radiol. 2003 Sep;14(9 Pt 2):S271-5
references.pmid: 14514832
references.citation: J Natl Compr Canc Netw. 2006 Oct;4(9):889-901
references.pmid: 17020667
references.citation: J Vasc Interv Radiol. 2010 Jul;21(7):976-81
references.pmid: 20610180
references.citation: Lancet. 2009 Jul 11;374(9684):159-69
references.pmid: 19595350
references.citation: Perspect Vasc Surg Endovasc Ther. 2010 Sep;22(3):152-63
references.pmid: 21098496
references.citation: Radiology. 2001 Jul;220(1):161-7
references.pmid: 11425990
references.citation: N Engl J Med. 1994 Mar 3;330(9):592-6
references.pmid: 7508092
references.citation: Eur Radiol. 2004 Jan;14(1):38-47
references.pmid: 12736755