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Chapter-143 Imaging Use During Interventional Procedures

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. JE Levin
2. Kennedy Clinical Assistant Professor, Physical Medicine and Rehabilitation, Department of Orthopedics Stanford University, Redwood City, CA, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_144
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
1. Stanford University, Palo Alto, CA, USA
2. DJ
Chapter keywords
Imaging, computed tomography, CT, ultrasound, US, fluoroscopy, joint infection, sacroiliac joint, knee joint infection, hip joint infection

Abstract

With the advent of image guidance via computed tomography (CT), fluoroscopy, and ultrasound (US), practitioners now must decide when imaging is needed or required. The use of imaging is predicated on the ability to safely and accurately perform a procedure. Additionally, the necessity of image guidance is partially dependent on the anatomic target and the utility of the diagnostic component of the injection. The main disadvantages of using image guidance include added cost and radiation exposure with CT or fluoroscopic guidance. The first advantage to utilizing imaging is that it clearly increases accuracy, as studies have repeatedly shown blind injections to be inaccurate. The second advantage to image guidance is that it may enhance the procedural safety for some high-risk procedures. Computed tomography guidance is another modality that has been used for many years in the performance of interventional spine and peripheral joint injections.

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