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Author Marshall, Richard H. ♦ Avila, Edward K. ♦ Solomon, Stephen B. ♦ Erinjeri, Joseph P. ♦ Maybody, Majid
Source United States Department of Energy Office of Scientific and Technical Information
Content type Text
Language English
Subject Keyword RADIOLOGY AND NUCLEAR MEDICINE ♦ ABLATION ♦ BIOMEDICAL RADIOGRAPHY ♦ DAMAGE ♦ ELECTRIC UTILITIES ♦ GAS UTILITIES ♦ HAZARDS ♦ IMAGES ♦ MEDICAL RECORDS ♦ NEOPLASMS ♦ NERVES ♦ PATIENTS ♦ REVIEWS
Abstract PurposeTo assess feasibility of intraoperative neurophysiologic monitoring (IONM) during image-guided, percutaneous thermal ablation of tumors.Materials and MethodsFrom February 2009 to October 2013, a retrospective review of all image-guided percutaneous thermal ablation interventions using IONM was performed and data was compiled using electronic medical records and imaging studies.ResultsTwelve patients were treated in 13 ablation interventions. In 4 patients, real-time feedback from the monitoring neurologist was used to adjust applicator placement and ablation settings. IONM was technically feasible in all procedures and there were no complications related to monitoring or ablation. All nerves at risk remained intact and of the 11 patients who could be followed, none developed new nerve deficit up to a minimum of 2 months after ablation.ConclusionIONM is safe and feasible for use during image-guided thermal ablation of tumors in the vicinity of nerves. Outcomes in this study demonstrate its potential utility in image-guided ablation interventions.
ISSN 01741551
Educational Use Research
Learning Resource Type Article
Publisher Date 2016-06-15
Publisher Place United States
Journal Cardiovascular and Interventional Radiology
Volume Number 39
Issue Number 6


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