Interventional Oncology A Practical Guide for the Interventional Rad

Interventional Oncology is a fast-growing new field, as well as an emerging specialty. Many minimally-invasive, imaging-guided procedures seem set to replace more traditional open surgical techniques of treating solid tumors in a variety of organs. The ai

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Interventional Oncology

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A Practical Guide for the Interventional Radiologist

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Interventional Oncology

Peter R. Mueller



Andreas Adam

Editors

Interventional Oncology A Practical Guide for the Interventional Radiologist

Editors Peter R. Mueller Department of Radiology Massachusetts General Hospital Boston, MA, USA [email protected]

Andreas Adam Department of Radiology St. Thomas’ Hospital London, UK [email protected]

ISBN 978-1-4419-1468-2 e-ISBN 978-1-4419-1469-9 DOI 10.1007/978-1-4419-1469-9 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011941010 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

It took us a few years to get used to the words “interventional oncology.” Both of us have been using interventional radiological methods to treat patients with cancer for the whole of our careers. Over the years, technological advances such as the advent of metallic stents have greatly improved the effectiveness of what we do, prolonging the survival and improving the quality of life of patients with malignant disease. Therefore, as far as we were concerned, we were practising interventional oncology before this discipline had a name. In recent years, the term interventional oncology has been applied to a set of potentially curative imaging-guided interventional radiological procedures. This is helpful, as the approach to the patients treated using these methods differs in some important respects from the way that interventional radiologists have managed oncology patients requiring palliative treatments such as biliary stenting. The interventional oncologist often assumes the role of the patient’s primary physician. It is necessary to explain not only the procedure being offered but also potential alternatives, such as surgery and chemotherapy, and to discuss these with the patient in some depth. Anot