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    Role of interventional radiology in pain management in oncology patients

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    Authors
    Heptonstall, N.
    Scott-Warren, Julian
    Berman, Richard
    Filippiadis, D.
    Bell, Jon
    Affiliation
    Department of Radiology, The Christie NHS Foundation Trust, Manchester, UK
    Issue Date
    2022
    
    Metadata
    Show full item record
    Abstract
    This article reviews the current evidence of interventional radiology procedures for patients suffering with debilitating cancer pain, refractory to conventional therapies. Cancer pain is notoriously difficult to treat. Up to 90% of cancer patients experience pain with 56-82% of cancer pain controlled inadequately. Cancer pain influences a patient's ability to perform normal daily activities, causes higher risk of depression, and reduces quality of life. Pain-free status has been universally voted as a "good death". Alternative minimally invasive options include nerve blocks, neurolysis, bone ablation, spine and peripheral musculoskeletal augmentation techniques, embolisation, and cordotomy with evidence highlighting improved pain control, reduced analgesic requirements, and improved quality of life. Unfortunately, awareness and availability of these procedures is limited, potentially leaving patients suffering during their remaining life. The purpose of this review is to describe the basic concepts of interventional radiology techniques for pain palliation in oncology patients. In addition, emphasis will be given upon the need for an individually tailored approach aiming to augment efficacy and safety.
    Citation
    Heptonstall N, Scott-Warren J, Berman R, Filippiadis D, Bell J. Role of interventional radiology in pain management in oncology patients. Clin Radiol. 2022 Jul 7. PubMed PMID: 35811156. Epub 2022/07/11. eng.
    Journal
    Clinical Radiology
    URI
    http://hdl.handle.net/10541/625423
    DOI
    10.1016/j.crad.2022.05.022
    PubMed ID
    35811156
    Additional Links
    https://dx.doi.org/10.1016/j.crad.2022.05.022
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.crad.2022.05.022
    Scopus Count
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