Interventional Radiology

Interventional Radiology

Interventional radiology is a sub-specialty of radiology utilizing minimally invasive, image-guided procedures to diagnose and treat disease.

Interventional Radiology

736 Cambridge St.
Brighton, MA 02135
617-789-2762

doctor with patient

The concept behind interventional radiology is to diagnose and treat patients using the least invasive techniques currently available in order to minimize risk to the patient and improve health outcomes. These procedures have less risk, less pain and less recovery time compared to open surgery.

Interventional radiologists are medical doctors with an additional six or seven years of specialized training after medical school. All of our interventionalists are certified by the American Board of Radiology.

Interventional radiology originated within diagnostic radiology as an invasive diagnostic subspecialty. Interventional radiology is now a therapeutic and diagnostic specialty that comprises a wide range of minimally invasive, image-guided therapeutic procedures, as well as invasive diagnostic imaging. The range of diseases and organs amenable to image-guided therapeutic and diagnostic procedures are extensive and constantly evolving, and include, but are not limited to, diseases and elements of the vascular, gastrointestinal, hepatobiliary, genitourinary, pulmonary, musculoskeletal, and, the central nervous system. As part of interventional radiology practice, our physicians provide patient evaluation and management relevant to image-guided interventions in collaboration with other physicians or independently. Interventional radiology procedures have become an integral part of medical care. Many minimally invasive, image-guided procedures performed by interventional radiologists have actually replaced major surgical procedures.

Outpatient (and most inpatient) interventional radiology procedures are performed between 8 a.m. and 5 p.m., Monday through Friday, in the Main Radiology Department on CMP4.

Interventional Radiology Benefits

Interventional radiologists provide minimally invasive options as alternatives to more radical procedures or surgery. Interventional radiology provides many benefits to patients, including:

  • Less risk, less recovery time and less discomfort than surgery
  • Small to no incisions
  • Same day, minimally invasive procedures, allowing patients to quickly resume daily activities
  • The use of the latest advancements in high-tech imaging equipment for the most accurate diagnosis and treatment
  • Short wait times to schedule procedures
  • Typically performed without general anesthesia

 

Interventional Oncology

Interventional oncology, practiced by interventional radiologists, is one of four parts of a multidisciplinary team approach in the treatment of cancer and cancer related disorders. The others include medical oncology, surgical oncology and radiation oncology.

Interventional oncology procedures provide minimally invasive, targeted treatment of cancer. Image guidance is used in combination with the most current innovations available to treat various tumors while minimizing possible injury to other body organs. Most patients having these procedures are outpatients or require a one night stay in the hospital.

These procedures are frequently used in combination with other therapies such as chemotherapy to effectively treat many types of cancer. These techniques are also frequently an option for patients whose cancer cannot be surgically removed or effectively treated with systemic chemotherapy alone.

Therapeutic Procedures
  • Intraarterial Procedures
    • Chemoembolization (TACE)
    • Radioembolization
  • Percutaneous Ablation
    • Cryoablation
    • Radiofrequency Ablation (RFA)
    • Microwave Ablation

Supportive Procedures
  • Image-Guided Biopsy
  • Paracentesis or Thoracentesis
  • PICC Line Placement
  • Tunneled Catheter Placement
  • Port Placement
  • Percutaneous biliary drainage
  • Percutaneous Nephrostomy
  • Pleurx Catheter Placement
  • Stenting of Malignant Strictures
  • Portal Vein Embolization

 

Women's Health

Our services range from routine diagnostic exams, to in-depth consultations for women with pelvic and vein disorders.

Therapeutic Procedures

  • Uterine Fibroid Embolization
  • Pelvic Pain/ Pelvic Congestion / Ovarian Vein Embolization

 

Conditions Treated by Interventional Radiologists

Interventional radiologists treat multiple diseases and conditions using minimally invasive techniques and cutting-edge imaging technology.

Acute bleeding

  • Gastointestical bleeding
  • Hemoptysis - bronchial artery embolization 

Biliary Disease

  • Biliary obstruction
  • Infection of the biliary system

Cancer

  • Chemoembolization of liver tumors
  • Radioembolization (Yttrium-90)
  • Percutaneous ablation of liver tumors, kidney tumors and osteoid osteomas
  • Stenting of malignant bile duct strictures
  • Portal vein embolization

Gastrointestinal

  • Placement and maintenance of gastrostomy and gastrojejunostomy feeding tubes

Men’s Health

  • Infertility – varicocele embolization

Pain Management

  • Kyphoplasty
  • Steroid injection

Percutaneous Biopsy

  • Image-guided soft tissue and bone biopsy
  • Percutaneous liver and kidney biopsy
  • Transjugular liver biopsy

Percutanous Drainage

  • Paracentesis
  • Thoracentesis
  • Percutaneous drainage of abscesses and fluid collections
  • Placement of chest tubes 

Portal Hypertension

  • TIPS
  • Variceal embolization

Obstructive Uropathy

  • Nephrostomy, nephroureterostomy and urteteronephrostomy
  • Ureteral stents
  • Percutaneous access for stone retrieval
  • Suprapubic drainage

Renal Failure

  • Tunneled central venous catheter

Venous Access

  • Placement of PICCs (peripherally inserted central catheters)
  • Placement of chest ports
  • Placement and maintenance of apheresis, and infusion catheters

Venous Thromboembolic Disease

  • Permanent and temporary caval filtration
  • IVC filter rretreival

Women’s Health

  • Uterine fribroids
  • Pelvic pain / pelvic congestion syndrome

To learn more about our interventional radiologists, click on their names below.

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Resources

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ACR Appropriateness Criteria
The ACR Appropriateness Criteria® (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. Employing these guidelines helps providers enhance quality of care and contribute to the most efficacious use of radiology.