issue 12 of the thrice-yearly
journal for medical imaging professionals worldwide.
Controversies and Consensus in Imaging and Intervention
Encourages debate and informs:
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Computed tomography radiologists
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Interventional cardiologists
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Interventional radiologists
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MRI radiologists
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Radiographers
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Nurses
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Pharmacists
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Practice managers
Clinical updates
This issue of C2I2 includes a broad range of topics
and all readers should find at least one paper of particular interest.
Imaging techniques and CT in particular plays a major role in assessing
the response of solid tumours to treatment and the first paper of the
issue addresses this important subject. There is increasing interest
among interventional cardiologists in the trans-radial approach as an
alternative to femoral access for PCI and the second paper considers
how this, together with newer antithrombotic regimens can reduce complications,
and thus have potential economic advantages. The final two papers are
practical ones covering subjects that are very relevant to interventional
radiologists, namely the repair of endoleaks after aneurysm repair and
the implantation of central venous port systems.
In this issue
- Dr Angela Riddell and colleagues at the Royal
Marsden Hospital,London, UK, present an overview of current criteria
for assessing the response of tumours to treatment and the role that
CT plays. Particular attention is paid to newer imaging techniques
that can provide insights into tumour biology and are usefulin assessing
the response to newer targeted antineoplastic agents.
- Professor Martial Hamon from the University Hospital, Caen, France,
discusses access site complications after PCI. He shows how newer
antithrombotic regimens and the use of the transradial approach can
reduce the risk of bleeding from the access site and the need for
transfusions.
- Dr Robin Williams and Dr John Rose of the Freeman Hospital, Newcastle
upon Tyne, UK, provide a concise summary of the classification and
management of endoleaks occurring after the endovascular repair of
aortic aneurysms.
- Dr Mykhaylo Burbelko and Dr Hans-Joachim Wagner
from the Vivantes Friedrichshain Hospital, Berlin, Germany, give a
very practical account of the procedure for the implantation of subcutaneous
ports for central venous access.
We hope that you will enjoy reading this issue
of C2I2 and that you will find the content useful in your clinical practice.
10-2006 BUY1145315/JB2356/MB002264/CMC 12th edition
Source: C2I2, Volume IV, Issue 3, 2006

In this issue
The role of CT in defining criteria for tumour response
Author: Angela M Riddell,
Dow-Mu Koh, Mike King
This article reviews the methods of assessing tumour response using CT, describing the more traditional methods (based on an alteration in tumour size) such as Response Evaluation Criteria in Solid Tumours (RECIST), and also the emerging techniques using functional imaging. Read more...
Vascular access site complications after PCI:
An update and trans-radial approach in perspective
Author: Martial Hamon
Major bleeding, currently the most common non-cardiac complication after percutaneous coronary intervention (PCI) has been associated with an increased risk of long term mortality, and this relationship may be causal. Therefore, reducing the frequency of bleeding events ... Read more...
Management of endoleaks following endovascular aneurysm repair
Author: John Rose and Robin Williams
The term endoleak was defined in 1996 as the persistent perfusion of the aneurysm sac after endovascular aneurysm repair (EVAR) due to the incomplete sealing or exclusion of the aneurysm sac or vessel segment. An endoleak implies failure to exclude the aneurysm and the patient ... Read more...
Port implantation
Author: Mykhaylo Burbelko and
Hans-Joachim Wagner
Subcutaneous ports are advantageous for long-term central venous access, especially in patients who receive chemotherapy for malignancy or undergo an intravenous therapy over several weeks. Read more...
