title: Percutaneous strategies for the management of pulmonary parenchymal, chest wall, and pleural metastases.
abstract: OBJECTIVE
  The purposes of this article are to review the indications for and technical aspects of various percutaneous strategies available for the treatment of intrathoracic metastases involving the parenchyma, pleura, and chest wall and to describe the relative merits of one of these strategies over another to determine the best approach to use.
  
  
  CONCLUSIONS
  The thorax is a common site of metastatic disease with frequent involvement of the lungs, pleura, and osseous structures. A variety of interventional procedures and techniques are available for treatment and for palliative care of patients with this disease. Imaging-guided interventions include thermal ablation of metastatic disease of the lungs and pleura, catheter placement and sclerosis of malignant pleural effusions, and palliative pain management for osseous and soft-tissue metastases.
authors.affiliation: 1 Department of Radiology, UCLA Medical Center, 757 Westwood Plaza, Los Angeles, CA 90095.
authors.forename: Quazi Z
authors.initials: QZ
authors.lastname: Al-Tariq
mesh_terms: D055011:Ablation Techniques / Q000379:methods*; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000556:secondary / Q000628:therapy; D015641:Radiography, Interventional / Q000379:methods*; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000628:therapy*; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000601:surgery
keywords: interventional radiology; malignant pleural effusion; management; osseous metastasis; pain management; thermal ablation