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  1. Article: Hepatic Metastasis from Breast Cancer.

    Liberchuk, Ariel N / Deipolyi, Amy R

    Seminars in interventional radiology

    2020  Volume 37, Issue 5, Page(s) 518–526

    Abstract: Breast cancer is the most common cancer in women and breast cancer liver metastasis may be associated with poor outcomes. Emerging locoregional therapies can be given in outpatient settings or with short hospital stays, to provide local control, support ... ...

    Abstract Breast cancer is the most common cancer in women and breast cancer liver metastasis may be associated with poor outcomes. Emerging locoregional therapies can be given in outpatient settings or with short hospital stays, to provide local control, support quality of life, preserve liver function, and potentially prolong survival. This review discusses retrospective studies suggesting potential benefits of locoregional treatment of breast cancer liver metastasis. Future prospective studies are needed to demonstrate efficacy and optimize patient selection.
    Language English
    Publishing date 2020-12-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 848341-3
    ISSN 1098-8963 ; 0739-9529
    ISSN (online) 1098-8963
    ISSN 0739-9529
    DOI 10.1055/s-0040-1720949
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Hepatic Metastasis from Breast Cancer

    Liberchuk, Ariel N. / Deipolyi, Amy R.

    Seminars in Interventional Radiology

    (Seminars in IR Liver Oncology)

    2020  Volume 37, Issue 05, Page(s) 518–526

    Abstract: Breast cancer is the most common cancer in women and breast cancer liver metastasis may be associated with poor outcomes. Emerging locoregional therapies can be given in outpatient settings or with short hospital stays, to provide local control, support ... ...

    Series title Seminars in IR Liver Oncology
    Abstract Breast cancer is the most common cancer in women and breast cancer liver metastasis may be associated with poor outcomes. Emerging locoregional therapies can be given in outpatient settings or with short hospital stays, to provide local control, support quality of life, preserve liver function, and potentially prolong survival. This review discusses retrospective studies suggesting potential benefits of locoregional treatment of breast cancer liver metastasis. Future prospective studies are needed to demonstrate efficacy and optimize patient selection.
    Keywords breast cancer ; locoregional ; hepatic metastasis ; ablation ; chemoembolization ; radioembolization
    Language English
    Publishing date 2020-12-01
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 848341-3
    ISSN 1098-8963 ; 0739-9529
    ISSN (online) 1098-8963
    ISSN 0739-9529
    DOI 10.1055/s-0040-1720949
    Database Thieme publisher's database

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  3. Article ; Online: Predictors of Major Hemorrhage After Spleen Core Biopsy in Cancer Patients.

    Kunin, Henry / Wijetunga, N Ari / Erinjeri, Joseph P / Noy, Ariela / Deipolyi, Amy R

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 9, Page(s) 1055–1060.e1

    Abstract: In this retrospective study, 232 spleen biopsies from 218 patients with cancer were assessed. Biopsies resulting in hemorrhage requiring hospitalization, transfusion, or other interventions were compared with those that did not. The maximization of the ... ...

    Abstract In this retrospective study, 232 spleen biopsies from 218 patients with cancer were assessed. Biopsies resulting in hemorrhage requiring hospitalization, transfusion, or other interventions were compared with those that did not. The maximization of the Youden index helped determine the optimal systolic blood pressure (SBP) and platelet count thresholds. There were 15 (7%) major hemorrhages among 211 core biopsies. A multivariate logistic regression model showed that higher SBP, lower platelet count, and the lack of ultrasound guidance were independently associated with major hemorrhage (P < .05). The optimal SBP cutoff was 140 mm Hg, and the platelet count cutoff was 120,000 platelets/μL. In conclusion, the high major hemorrhage rate of 7% among percutaneous core spleen biopsies in patients with cancer may be mitigated by controlling SBP to <140 mm Hg and avoiding biopsy in patients with thrombocytopenia.
    MeSH term(s) Biopsy, Large-Core Needle/adverse effects ; Hemorrhage/etiology ; Humans ; Neoplasms/complications ; Retrospective Studies ; Spleen/diagnostic imaging
    Language English
    Publishing date 2022-09-01
    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.2022.06.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Palliative Percutaneous Biliary Interventions in Malignant High Bile Duct Obstruction.

    Deipolyi, Amy R / Covey, Anne M

    Seminars in interventional radiology

    2017  Volume 34, Issue 4, Page(s) 361–368

    Abstract: The optimal palliative intervention for malignant biliary obstruction is internal drainage by placement of a metallic stent. For patients with hilar biliary obstruction or low bile duct obstruction in whom endoscopy is not feasible, a percutaneous ... ...

    Abstract The optimal palliative intervention for malignant biliary obstruction is internal drainage by placement of a metallic stent. For patients with hilar biliary obstruction or low bile duct obstruction in whom endoscopy is not feasible, a percutaneous transhepatic approach in interventional radiology is preferred. This article reviews the rationale for this approach, periprocedural management, and techniques to optimize stent patency.
    Language English
    Publishing date 2017-12-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 848341-3
    ISSN 1098-8963 ; 0739-9529
    ISSN (online) 1098-8963
    ISSN 0739-9529
    DOI 10.1055/s-0037-1608827
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Locoregional Therapies for Primary and Metastatic Breast Cancer:

    Deipolyi, Amy R / Ward, Robert C / Riaz, Ahsun / Vogl, Thomas J / Simmons, Rache M / Pieper, Claus C / Bryce, Yolanda

    AJR. American journal of roentgenology

    2023  Volume 222, Issue 2, Page(s) e2329454

    Abstract: Minimally invasive locoregional therapies have a growing role in the multidisciplinary treatment of primary and metastatic breast cancer. Factors contributing to the expanding role of ablation for primary breast cancer include earlier diagnosis, when ... ...

    Abstract Minimally invasive locoregional therapies have a growing role in the multidisciplinary treatment of primary and metastatic breast cancer. Factors contributing to the expanding role of ablation for primary breast cancer include earlier diagnosis, when tumors are small, and increased longevity of patients whose condition precludes surgery. Cryoablation has emerged as the leading ablative modality for primary breast cancer owing to its wide availability, the lack of need for sedation, and the ability to monitor the ablation zone. Emerging evidence suggests that in patients with oligometastatic breast cancer, use of locoregional therapies to eradicate all disease sites may confer a survival advantage. Evidence also suggests that transarterial therapies-including chemoembolization, chemoperfusion, and radioembolization-may be helpful to some patients with advanced liver metastases from breast cancer, such as those with hepatic oligoprogression or those who cannot tolerate systemic therapy. However, the optimal modalities for treatment of oligometastatic and advanced metastatic disease remain unknown. Finally, locoregional therapies may produce tumor antigens that in combination with immunotherapy drive anti-tumor immunity. Although key trials are ongoing, additional prospective studies are needed to establish the inclusion of interventional oncology in societal breast cancer guidelines to support further clinical adoption and improved patient outcomes.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/surgery ; Liver Neoplasms/therapy ; Embolization, Therapeutic ; Brachytherapy ; Catheter Ablation
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.23.29454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Internet Search Trends Relevant to Interventional Oncology: A Google Trends Study (2004-2020).

    Berning, Philipp / Maybody, Majid / Deipolyi, Amy R / Solomon, Stephen B / Dzaye, Omar

    Journal of vascular and interventional radiology : JVIR

    2021  Volume 32, Issue 10, Page(s) 1445–1448.e1

    Abstract: Interventional Radiology (IR) procedures addressing cancer have been grouped in the subspecialty of interventional oncology and represent an important component of modern multidisciplinary cancer care. This study pinpoints temporal and geographical ... ...

    Abstract Interventional Radiology (IR) procedures addressing cancer have been grouped in the subspecialty of interventional oncology and represent an important component of modern multidisciplinary cancer care. This study pinpoints temporal and geographical trends of public online searches for terms related to the field, as well as IR-related cancer therapies. Google Trends data were analyzed for long-term (2004-2020) trends in the United States and worldwide. Overall, search interest for IR increased throughout the United States but decreased globally. Specific search volumes for cancer-related IR techniques such as radioembolization and chemoembolization therapies increased by 2.8- and 2.5-fold, respectively, in the United States, whereas the search volumes for ablation techniques remained steady or decreased. Future research and advocacy may focus on increasing public awareness of the field.
    MeSH term(s) Humans ; Internet ; Medical Oncology ; Neoplasms/therapy ; Radiology, Interventional ; Search Engine ; United States
    Language English
    Publishing date 2021-07-20
    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.2021.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Inflammatory and infectious aortic diseases.

    Deipolyi, Amy R / Czaplicki, Christopher D / Oklu, Rahmi

    Cardiovascular diagnosis and therapy

    2018  Volume 8, Issue Suppl 1, Page(s) S61–S70

    Abstract: Aortitis is aortic inflammation, which can be due to inflammatory or infectious diseases. Left undiagnosed, aortitis can lead to aneurysm formation and rupture, in addition to ischemic compromise of major organs. Infectious aortic diseases include ... ...

    Abstract Aortitis is aortic inflammation, which can be due to inflammatory or infectious diseases. Left undiagnosed, aortitis can lead to aneurysm formation and rupture, in addition to ischemic compromise of major organs. Infectious aortic diseases include mycotic aneurysm and graft infection; the most common inflammatory diseases are Takayasu's and giant cell arteritis. We review the epidemiology, etiology, presentation and diagnosis, and treatment of these entities.
    Language English
    Publishing date 2018-05-24
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2685043-6
    ISSN 2223-3660 ; 2223-3652
    ISSN (online) 2223-3660
    ISSN 2223-3652
    DOI 10.21037/cdt.2017.09.03
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Role of Venous Sampling in the Diagnosis of Endocrine Disorders.

    England, Ryan W / Geer, Eliza B / Deipolyi, Amy R

    Journal of clinical medicine

    2018  Volume 7, Issue 5

    Abstract: Venous sampling is the gold standard for localizing abnormal hormone secretion in several endocrine disorders. The most common indication for venous sampling is in the workup of primary aldosteronism, adrenocorticotropic hormone-dependent Cushing's ... ...

    Abstract Venous sampling is the gold standard for localizing abnormal hormone secretion in several endocrine disorders. The most common indication for venous sampling is in the workup of primary aldosteronism, adrenocorticotropic hormone-dependent Cushing's syndrome, and hyperparathyroidism. In experienced hands, venous sampling is safe and accurate. This review discusses the role of venous sampling in the workup of endocrine disease, describing the underlying anatomy and pathophysiology, as an understanding of these concepts is essential for technical and clinical success.
    Language English
    Publishing date 2018-05-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm7050114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Percutaneous Biliary Interventions.

    Perez-Johnston, Rocio / Deipolyi, Amy R / Covey, Anne M

    Gastroenterology clinics of North America

    2018  Volume 47, Issue 3, Page(s) 621–641

    Abstract: Biliary drainage is important in the care of patients with benign and malignant biliary obstruction. Careful preprocedure evaluation of high-quality cross-sectional imaging and inventory of symptoms are necessary to determine whether a percutaneous, ... ...

    Abstract Biliary drainage is important in the care of patients with benign and malignant biliary obstruction. Careful preprocedure evaluation of high-quality cross-sectional imaging and inventory of symptoms are necessary to determine whether a percutaneous, endoscopic, or surgical approach is most appropriate. High bile duct obstruction is usually best managed percutaneously; a specific duct can be targeted and enteric contamination of isolated ducts can be avoided. Options for percutaneous biliary intervention include external or internal/external biliary drainage, stent placement, biliary stone retrieval, and bile duct biopsy. Preprocedure evaluation, technique, and indications for percutaneous intervention in benign and malignant diseases are summarized.
    MeSH term(s) Biliary Tract/pathology ; Biliary Tract Surgical Procedures/methods ; Cholestasis/etiology ; Cholestasis/surgery ; Drainage/methods ; Humans
    Language English
    Publishing date 2018-07-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 92114-2
    ISSN 1558-1942 ; 0889-8553
    ISSN (online) 1558-1942
    ISSN 0889-8553
    DOI 10.1016/j.gtc.2018.04.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Percutaneous Embolization of a Pulmonary Vein Pseudoaneurysm Secondary to Vascular Erosion of a Metastatic Mass.

    Rice, Samuel L / Deipolyi, Amy R / Martin, Ernesto Santos

    Cardiovascular and interventional radiology

    2018  Volume 41, Issue 9, Page(s) 1440–1443

    Abstract: Fifty-two-year-old female with high-grade undifferentiated pleomorphic left thigh sarcoma and bilateral metastatic soft tissue lesions to the lungs consistent with metastases, presented with recurrent, anemia, and worsening hemoptysis. Cross-sectional ... ...

    Abstract Fifty-two-year-old female with high-grade undifferentiated pleomorphic left thigh sarcoma and bilateral metastatic soft tissue lesions to the lungs consistent with metastases, presented with recurrent, anemia, and worsening hemoptysis. Cross-sectional imaging demonstrated erosion of a right lower lobe metastatic mass into an adjacent right inferior lower lobe pulmonary vein with formation of a pseudoaneurysm. We report the successful treatment of this pseudoaneurysm via direct image-guided percutaneous access with subsequent coil embolization.
    MeSH term(s) Aneurysm, False/complications ; Aneurysm, False/therapy ; Computed Tomography Angiography/methods ; Embolization, Therapeutic/methods ; Female ; Humans ; Lung Neoplasms/complications ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/secondary ; Middle Aged ; Pulmonary Veins/diagnostic imaging ; Sarcoma/pathology
    Language English
    Publishing date 2018-05-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-018-1977-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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