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IMAGE-guided percutaneous methods of tumor destruction have proven effective for treatment of benign bone tumors as well as for palliation of metastases involving bone and soft tissue sites beyond the liver and lung. Treatment of primary bone tumors is largely restricted to benign tumors, most notably osteoid osteomas, as a single-modality treatment or as(More)
PURPOSE To describe volumetric changes of "radiation lobectomy," a manifestation of hepatic parenchymal response to lobar (90)Y microsphere radioembolization. METHODS Twenty patients exhibiting this phenomenon were identified. Pre- and posttreatment absolute right and left hepatic lobar volume (HLV), relative HLV (rHLV = HLV/total liver volume), and(More)
PURPOSE To compare the performance of various liver disease scoring systems in predicting early mortality after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS In this single-institution retrospective study, eight scoring systems were used to grade liver disease in 211 patients (male-to-female ratio = 131:80; mean age,(More)
PURPOSE To assess the incidence, prognostic factors, and clinical outcomes of hepatic encephalopathy (HE) after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS In this single-institution retrospective study, 191 patients (m:f = 114:77, median age 54 years, median Model for End-Stage Liver Disease or MELD score 14) who(More)
OBJECTIVE The purpose of this article is to characterize the temporal evolution and clinical impact of laboratory liver function parameters after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS In this single-institution retrospective study, 157 patients (98 men and 59 women; median age, 55 years) underwent TIPS(More)
  • Ron C Gaba
  • 2012
OBJECTIVE The objective of our study was to assess patterns of chemoembolization use; identify variations in application, technique, and follow-up; and recognize areas of practice conformity and divergence. MATERIALS AND METHODS During August and September 2010, Society of Interventional Radiology (SIR) members with "chemoembolization expertise" were(More)
PURPOSE To assess clinical outcomes of transjugular intrahepatic portosystemic shunt (TIPS) treatment of variceal hemorrhage. MATERIALS AND METHODS A total of 128 patients (82 men and 46 women; mean age, 52 y) with liver cirrhosis and refractory variceal hemorrhage underwent TIPS creation from 1998 to 2010. Mean Child-Pugh and Model for End-stage Liver(More)
UNLABELLED BACKGROUND AND RATIONALE FOR THE STUDY: The Model for End Stage Liver Disease (MELD) score has not been derived and validated for the emergent transjugular intrahepatic portosystemic shunt (TIPS) population. We sought to identify predictive factors for survival among emergent TIPS patients, and to substantiate MELD for outcomes prognostication in(More)
The development of medically refractory ascites portends a grim prognosis for patients with liver cirrhosis, and is associated with median survival of six months and marked impairment of quality of life [1–3]. Hepatic hydrothorax is a sequela of cirrhotic ascites in which fluid moves into the pleural space via diaphragmatic defects [4]. Transjugular(More)
BACKGROUND & AIMS Portal vein embolization (PVE) is a standard technique for patients not amenable to liver resection due to small future liver remnant ratio (FLR). Radiation lobectomy (RL) with (90)Y-loaded microspheres (Y90) is hypothesized to induce comparable volumetric changes in liver lobes, while potentially controlling the liver tumor and limiting(More)