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Diagn Interv Imaging. 2021 Dec;102(12):699-707. doi: 10.1016/j.diii.2021.07.002. Epub 2021 Aug 18.

Image-guided marking techniques in interventional radiology: A review of current evidence.

Diagnostic and interventional imaging

Georgia Tsoumakidou, Sarah Saltiel, Nicolas Villard, Rafael Duran, Jean-Yves Meuwly, Alban Denys

Affiliations

  1. Department of Radiology, CHUV, CH-1011, Lausanne, Switzerland. Electronic address: [email protected].
  2. Department of Radiology, CHUV, CH-1011, Lausanne, Switzerland.

PMID: 34419388 DOI: 10.1016/j.diii.2021.07.002

Abstract

Precise marking of lesions using image-guided techniques is essential, as imprecise targeting of a tumor can result in either insufficient excision/treatment with an increased risk of recurrence, or excessive removal of healthy tissue. Most frequent indications include localization of nonpalpable lesions before surgical resection (i.e., hook-wire localization of pulmonary nodules before video-assisted thoracoscopy) and definite marking of liver metastasis before neoadjuvant therapy. Other indications include marking of hepatocellular carcinomas that are not visible on ultrasound and unenhanced computed tomography before thermal ablation, of bone lesions before surgical excision, and of different visceral tumors before stereotactic radiotherapy. This review presents the different existing indications, assesses their usefulness, gives systematic details on the technique and lastly analyzes the current literature with emphasis on results and complications.

Copyright © 2021 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.

Keywords: Fiducial marker; Hepatocellular carcinoma; Interventional radiology; Lipiodol; Stereotactic body radiotherapy

Conflict of interest statement

Disclosure of Competing Interests The authors declare that they have no competing interest.

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