What Is Interventional Oncology

Interventional Oncology is the performance of image-guided, minimally-invasive techniques to treat cancer. Most procedures are either outpatient or require an overnight stay in the hospital with minimal recovery time.

Advanced Interventional Radiology Solutions uses chemotherapy, radiation and ablation therapy to shrink or destroy tumors. Kidney, liver, and bone tumors are among the most common conditions we treat.

We work together with your medical and radiation oncologist to determine the best treatment option for the patient.

What Are The Treatment Options

Intra-arterial Therapies:

Tumors within the liver are supplied by the hepatic artery. Via this vessel we can inject liquids/particles loaded with either chemotherapy or radioactive beads containing Yttrium-90. These treatments can be effective versus both primary tumors such as hepatocellular carcinoma and cholangiocarcinoma, as well as liver-dominant metastatic tumors including neuroendocrine tumor, colorectal cancer, breast cancer, melanoma and other selected patients.

Ablative Therapies:

Ablation destroys tumors by achieving extreme temperatures after the target tumor is punctured with one or more applicators under ultrasound or CT guidance. Ablation modalities can generate heat by delivering microwave or radiofrequency energy or cold via cryoablation. Primary and metastatic tumors of the liver, kidney and lung can be treated in appropriate candidates.

Pain Palliation:

For patients with pain from skeletal metastases, relief can often be obtained either by ablation or vertebroplasty, where stabilizing cement is injected under careful fluoroscopic guidance. In some patients, these two percutaneous interventions may be combined.

Neoadjuvant (Pre-operative) Procedures:

For patients who may be candidates for curative liver surgery, but would have insufficient remnant liver tissue left remaining, portal vein embolization can be useful. This procedure helps grow the future liver remnant and can significantly shorten recovery from surgery.

Mediports

A port is a small device that is placed under the skin on your chest or arm. The port connects to a small, soft tube called a catheter which is placed inside one of the large central veins that take blood to your heart.

Patients can receive a number of medications infused through a mediport including chemotherapy. They can also be used for blood draws and transfusions, eliminating the need for multiple IV Sticks for a patient with frequent blood work and infusions. A port can stay in place for months or even years if needed.

Biopsies

We can perform a biopsy, tissue or cell sampling, of almost any organ or body part. We send our specimens out to an independent laboratory for testing. Your doctor will receive results in 2-4 days of testing. While we can provide conscious sedation for a patient’s comfort, some biopsies can be performed with just local anesthesia. Common biopsy sites are liver, bone, soft tissue, lymph node, muscle, and kidneys.