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  1. Book ; Online ; E-Book: Image-Guided Interventions in Oncology

    Georgiades, Christos / Kim, Hyun S.

    An Interdisciplinary Approach

    2020  

    Abstract: ... precisely targeted approach that both proves more effective and results in fewer side effects. This book’s ...

    Author's details edited by Christos Georgiades, Hyun S. Kim
    Abstract This book provides an up-to-date and comprehensive primer on image-guided interventions for cancer. Image-guided interventional oncology is gaining popularity as it is a minimally invasive and more precisely targeted approach that both proves more effective and results in fewer side effects. This book’s aim is to provide a clinical guide to interventional oncology for the entire oncology team. Chapters are approached with the same interdisciplinary perspective that is used in the care itself, with each chapter written by an interventional radiologist with contributions from medical, surgical and/or radiation oncologists. Chapters cover the major cancers that can benefit from interventional oncology treatment (including lung, liver, kidney, and bone), as well as some of the physics and physiology behind these interventional modalities. This is an ideal guide for interventional radiologists, medical oncologists, surgical oncologists, radiation oncologists, as well as relevant trainees. .
    Keywords Interventional radiology  ; Oncology   ; Interventional Radiology ; Oncology ; Cirurgia oncològica ; Imatges mèdiques
    Subject code 617.05
    Language English
    Size 1 online resource (XIV, 397 p. 114 illus., 43 illus. in color.)
    Edition 1st ed. 2020.
    Publisher Springer International Publishing ; Imprint: Springer
    Publishing place Cham
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-48767-9 ; 3-030-48766-0 ; 978-3-030-48767-6 ; 978-3-030-48766-9
    DOI 10.1007/978-3-030-48767-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Combination Systemic Chemotherapy and Ablation Treatment for Potentially Curable Patients with Colorectal Liver Metastases: Ablate Completely and Ablate Early.

    Georgiades, Christos S

    Radiology

    2023  Volume 308, Issue 2, Page(s) e231709

    MeSH term(s) Humans ; Colorectal Neoplasms/drug therapy ; Drug Therapy, Combination ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/drug therapy ; Liver Neoplasms/surgery ; Catheter Ablation ; Treatment Outcome ; Hepatectomy
    Language English
    Publishing date 2023-09-01
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.231709
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book: Percutaneous tumor ablation

    Hong, Kelvin / Georgiades, Christos S.

    strategies and techniques

    2011  

    Author's details Kelvin Hong ; Christos S. Georgiades
    Keywords Neoplasms / surgery ; Catheter Ablation / methods ; Ablation Techniques / methods ; Surgical Procedures, Minimally Invasive
    Language English
    Size XII, 195 S. : Ill., graph. Darst., 280 mm x 216 mm
    Publisher Thieme
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    Accompanying material 1 DVD (12 cm)
    HBZ-ID HT016590424
    ISBN 978-1-60406-306-6 ; 1-60406-306-8
    Database Catalogue ZB MED Medicine, Health

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  4. Article ; Online: Another Milestone for Cryoablation on Its Way to Becoming the Standard of Care for Stage T1A Renal Cell Carcinoma.

    Georgiades, Christos S

    Radiology

    2020  Volume 296, Issue 3, Page(s) 696–697

    MeSH term(s) Carcinoma, Renal Cell/diagnostic imaging ; Carcinoma, Renal Cell/surgery ; Cryosurgery ; Humans ; Kidney Neoplasms/diagnostic imaging ; Kidney Neoplasms/surgery ; Magnetic Resonance Imaging ; Patients ; Standard of Care ; Tomography, X-Ray Computed
    Language English
    Publishing date 2020-07-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2020202037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Image-guided Cryoablation for Sporadic Renal Cell Carcinoma: Is It Time to Revisit the Standard of Care for Small Renal Tumors?

    Georgiades, Christos S

    Radiology

    2018  Volume 289, Issue 2, Page(s) 562–563

    MeSH term(s) Biopsy ; Carcinoma, Renal Cell/surgery ; Cryosurgery ; Humans ; Kidney Neoplasms/surgery ; Standard of Care
    Language English
    Publishing date 2018-08-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2018181328
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: CT-Guided Celiac Ganglion Block for Neurogenic Gastrointestinal Dysmotility.

    Frangakis, Constantine / Kohler, Beatriz / Georgiades, Christos S

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 12, Page(s) 1492–1499

    Abstract: Purpose: To determine whether celiac ganglion block can serve as a diagnostic test for dysautonomia as the cause of gastrointestinal dysmotility-related symptoms.: Materials and methods: This was an institutional review board-approved, prospective, ... ...

    Abstract Purpose: To determine whether celiac ganglion block can serve as a diagnostic test for dysautonomia as the cause of gastrointestinal dysmotility-related symptoms.
    Materials and methods: This was an institutional review board-approved, prospective, single-arm, registered study, from January 2020 to May 2021, and included patients aged 14-85 years with gastrointestinal symptoms of food intolerance, abdominal pain, or angina. Patients with nonneurogenic causes (ie, chronic cholecystitis, peptic ulcer disease, gastroesophageal reflux, and malabsorption syndrome) were excluded. All 15 patients underwent computed tomography-guided celiac ganglion block with 100 mg of liposomal bupivacaine. Patients filled out the dysautonomia-validated questionnaire Composite Autonomic Symptom Score 31 (COMPASS-31) before and after intervention. Differences (before vs after) were compared with the exact permutation method.
    Results: Fifteen women (median age, 17 years; range, 14-41 years) were included. Average COMPASS-31 score improved significantly, from baseline 11 (SD ± 2.8) to 4 (SD ± 1.9) (improvement, 7 points ± 2.8; P < .001). All patients reported significant reduction in abdominal angina. Fourteen of the 15 patients (93%) reported complete resolution, and 14 of 15 (93%) reported a significant reduction in non-postprandial abdominal pain (P < .01). Only 1 patient reported no improvement. Eight of those 14 patients (57%) reported complete resolution of abdominal pain. There was a significant improvement in functional scores (vomiting, P = .01; constipation frequency, P = .02; constipation severity, P < .01; and nausea, P < .01). The rate of minor and major adverse events was 13% and 0%, respectively, per the Society of Interventional Radiology adverse event classification.
    Conclusions: Celiac ganglion block is a safe diagnostic tool for confirming dysautonomia as the underlying condition in patients with gastrointestinal dysmotility-related symptoms. It could provide early diagnosis, lead to definitive treatment (ganglionectomy) earlier, or obviate unnecessary surgery.
    MeSH term(s) Humans ; Female ; Adolescent ; Prospective Studies ; Ganglia, Sympathetic/diagnostic imaging ; Abdominal Pain/etiology ; Abdominal Pain/therapy ; Tomography, X-Ray Computed/adverse effects ; Constipation/complications ; Primary Dysautonomias/complications
    Language English
    Publishing date 2022-08-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2022.08.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Biliary Leaks and Bilomas: Etiology, Diagnosis, and Management Techniques

    Gowda, Prateek C. / Georgiades, Christos S. / Weiss, Clifford R.

    Digestive Disease Interventions

    (Radiologic and Endoscopic Approaches to Management of Biliary Tract Pathology)

    2022  Volume 06, Issue 03, Page(s) 219–231

    Abstract: Biliary leaks and bilomas are significant complications that arise more commonly from iatrogenic or traumatic bile duct injury. These are increasingly occurring primarily due to the growing number of laparoscopic cholecystectomies performed. Diagnosis ... ...

    Series title Radiologic and Endoscopic Approaches to Management of Biliary Tract Pathology
    Abstract Biliary leaks and bilomas are significant complications that arise more commonly from iatrogenic or traumatic bile duct injury. These are increasingly occurring primarily due to the growing number of laparoscopic cholecystectomies performed. Diagnosis can be challenging because of nonspecific patient symptoms, but early recognition and treatment is crucial for improving patient outcomes. Detection of biliary leaks involves a strong clinical suspicion and multimodal imaging studies, including magnetic resonance cholangiopancreatography, cholescintigraphy, endoscopic retrograde cholangiopancreatography, or percutaneous transhepatic cholangiography. Definitive treatment most often requires the endoscopic placement of biliary stents to decrease pressure in the biliary system and the placement of a percutaneous drain for drainage if a biloma is found. However, biliary leaks are heterogeneous in their severity and location, and some are refractory to the standard approach. In such cases, novel and minimally invasive techniques, rather than surgical procedures, have been described for the treatment of biliary leaks. Diagnosis and management require a multidisciplinary approach by diagnostic radiologists, interventional radiologists, gastroenterologists, and surgeons.
    Keywords biliary leaks ; bilomas ; biliary intervention
    Language English
    Publishing date 2022-07-11
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2472-873X ; 2472-8721
    ISSN (online) 2472-873X
    ISSN 2472-8721
    DOI 10.1055/s-0042-1753462
    Database Thieme publisher's database

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  8. Article ; Online: Resolution of generalized compensatory hyperhidrosis related to sympathectomy, after T2 sympatholysis.

    Brock, Malcolm / Georgiades, Christos S

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2017  Volume 52, Issue 6, Page(s) 1231–1232

    Abstract: Compensatory hyperhidrosis (CH) is common after sympathectomy, and most treatments are ineffective. We present a 36-year-old man whose CH was effectively treated with percutaneous sympatholysis. The patient's axillary-palmar hyperhidrosis had been ... ...

    Abstract Compensatory hyperhidrosis (CH) is common after sympathectomy, and most treatments are ineffective. We present a 36-year-old man whose CH was effectively treated with percutaneous sympatholysis. The patient's axillary-palmar hyperhidrosis had been treated with T3-4 sympathetic ligation. The patient developed CH involving the head, face, back, torso and feet and was referred for computed tomography-guided percutaneous T2 sympatholysis for craniofacial symptoms, after which the patient experienced resolution of CH (complete face/neck/feet and partial back/torso), despite the treated level being above the previous ligation.
    MeSH term(s) Adult ; Axilla ; Follow-Up Studies ; Humans ; Hyperhidrosis/surgery ; Male ; Patient Satisfaction ; Sympathectomy/methods ; Thoracic Vertebrae ; Thoracoscopy/methods ; Tomography, X-Ray Computed
    Language English
    Publishing date 2017-12-01
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezx275
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Physician Burnout versus Moral Injury and the Importance of Distinguishing Them.

    Sheikhbahaei, Sara / Garg, Tushar / Georgiades, Christos

    Radiographics : a review publication of the Radiological Society of North America, Inc

    2022  Volume 43, Issue 2, Page(s) e220182

    MeSH term(s) Humans ; Stress Disorders, Post-Traumatic ; Burnout, Professional ; Physicians ; Burnout, Psychological ; Surveys and Questionnaires
    Language English
    Publishing date 2022-12-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603172-9
    ISSN 1527-1323 ; 0271-5333
    ISSN (online) 1527-1323
    ISSN 0271-5333
    DOI 10.1148/rg.220182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Kidney Cancer.

    Hancock, S Brandon / Georgiades, Christos S

    Cancer journal (Sudbury, Mass.)

    2016  Volume 22, Issue 6, Page(s) 387–392

    Abstract: The number of new cases of renal cell carcinoma has been steadily increasing since the 1960s, reaching 62,000 and 89,000 annually in the United States and Europe, respectively, in 2016. The current standard of care for early-stage disease is nephron- ... ...

    Abstract The number of new cases of renal cell carcinoma has been steadily increasing since the 1960s, reaching 62,000 and 89,000 annually in the United States and Europe, respectively, in 2016. The current standard of care for early-stage disease is nephron-sparing surgery, which has a demonstrated long-term disease-free survival and an acceptable safety profile. Technical developments (thin, powerful probes and real-time image guidance systems) have allowed image-guided percutaneous ablation to become a viable option for stage I renal cell carcinoma. Because of the widespread use of cross-sectional imaging, most renal tumors (75%) are indeed detected incidentally at stage I (75%). As a result, ablation is a potentially curable intervention and one that could mitigate surgical risks. All 3 ablative modalities (radiofrequency ablation, microwave ablation, and cryoablation) have been extensively applied. The utilization of ablation was initially hampered by the lack of prospective, long-term oncologic data. As a result, ablation was reserved for specific subgroups of patients, for example, patients with solitary kidney, chronic kidney disease, or bilateral disease; poor surgical candidates; or patients with syndromes that predispose them to renal cell cancer. Recently, however, studies on percutaneous ablation for early-stage renal cancer have yielded prospective, long-term oncologic data, affirming the earlier, lower-level-evidence studies. The reported efficacy of ablation for stage I renal cancer (especially cryoablation) appears to rival that of the accepted standard of care (nephron-sparing surgery), whereas its safety profile is a decided advantage. In conclusion, image-guided percutaneous ablation should be considered a viable, curative option for stage IA renal cell carcinoma.
    MeSH term(s) Carcinoma, Renal Cell/etiology ; Carcinoma, Renal Cell/pathology ; Carcinoma, Renal Cell/surgery ; Catheter Ablation ; Humans ; Kidney Neoplasms/etiology ; Kidney Neoplasms/pathology ; Kidney Neoplasms/surgery ; Neoplasm Staging ; Risk Factors
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2018400-1
    ISSN 1540-336X ; 1528-9117 ; 1081-4442
    ISSN (online) 1540-336X
    ISSN 1528-9117 ; 1081-4442
    DOI 10.1097/PPO.0000000000000225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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