The Role of Interventional Radiology in Gynecologic Oncology
Özet
Interventional radiology (IR) has emerged as an indispensable and rapidly evolving subspecialty in the multidisciplinary management of gynecologic malignancies. This review details the expanding role of IR, highlighting its significant contributions to both diagnosis and treatment. In the diagnostic realm, minimally invasive, image-guided percutaneous biopsies are presented as a safe and effective method for obtaining tissue samples for histopathological and molecular analysis. Therapeutically, IR offers a range of innovative, minimally invasive options for local tumor control and symptom palliation. These procedures include vascular interventions such as uterine artery embolization (UAE) for hemorrhage control and transarterial chemoembolization (TACE) and radioembolization (TARE) for targeted drug delivery. The review also covers non-vascular techniques like thermal (Radiofrequency Ablation [RFA], Microwave Ablation [MWA]) and non-thermal ablation (Irreversible Electroporation [IRE]) for tumor destruction. Furthermore, IR provides critical palliative care solutions, including the drainage of malignancy-related fluid collections and nerve blocks for pain management. As technology advances with the integration of artificial intelligence and robotic systems, the importance of IR in gynecologic oncology is expected to grow, offering improved patient outcomes and quality of life.
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