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| http://dx.doi.org/10.3389/froh.2025.1556733 | DOI Listing |
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The phases of transition from fluoroscopy to ultrasound-guided pain medicine interventions.
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Department of Anaesthesiology, Amaltas Institute of Medical Sciences, Dewas, India.
Ultrasonography (USG)-guided interventions have transformed pain medicine by enhancing precision, efficacy, and safety through real-time anatomical visualization. Despite these advantages, mastering USG techniques presents a steep learning curve, especially for practitioners transitioning from fluoroscopy-guided methods. Adapting the Transtheoretical Model of Behavior Change, this commentary outlines a five-phase framework for transitioning to USG-guided pain medicine interventions: overcoming initial reluctance, addressing sonoanatomy challenges, improving probe stabilization, needle visualization, and achieving expertise.
View Article and Find Full Text PDFThe Complexity of the Neonatal Pain Construct: A Commentary on Glenzel et al. (2023).
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Reply to commentary: Time to target perioperative sleep disturbances to enhance postoperative outcomes.
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Thermal Protection Techniques for Image-guided Musculoskeletal Ablation.
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From the Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA 98105 (P.C.T., A.A., A.P., E.A., N.H., M.C.); Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Colorado Anschutz Medical Campus, Aurora, Colo (C.K.H.); and Department of Radiology, Penn State Health, Hershey, Pa (L.M.S.).
Percutaneous image-guided thermal ablation has gained wide acceptance among physicians for the treatment of benign and malignant tumors of the musculoskeletal system. Increasing evidence to support the efficacy of thermal ablation techniques in primary and adjuvant treatment of soft-tissue sarcomas, treatment of oligometastatic disease to bone and soft tissue, and metastatic pain palliation has positioned interventional oncology alongside surgery, systemic therapies, and radiation therapy as the fourth pillar of modern comprehensive cancer care. Despite the expanding indications and increasing use in clinical practice, thermal ablation carries a significant risk of injury to the adjacent vulnerable structures, predominantly the skin, bowel, and neural structures.
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