Interventional Oncology (RIR_006)
About Study Course
Objective
Train residents to diagnose and treat oncological diseases using invasive radiology methods.
Learning outcomes
1.At the end of this course, residents will be familiar with tumor biology and pathology, commonly used classifications, and markers for tumor diagnosis (alpha-fetoprotein, CEA, CA19-9, etc.), residents will have insight into gene mutations leading to tumor-related prognosis. Residents will know the treatment options in invasive radiology (ethanol, cryotherapy, RF, microwaves, irreversible electroporation, HIFU, etc.), the devices used in the treatment, their size, optimal access positions, recognize real-time changes after starting treatment (eg during cryotherapy, etc.). effects on adjacent tissues, techniques to prevent or reduce damage to surrounding tissues, know the thermal conductivity, electrical conductivity in various organs, as well as other factors that affect ablation protocols.
Residents are familiar with the drugs used (doxorubicin, irinotecan, cisplatin, etc.), the use of chemotherapy regimens in the treatment of various tumors, know the terminology (eg, adjuvant, neoadjuvant, etc.). Residents will know about oncological surgeries, will understand the radiological picture after them, will know MR contrast agents (Gadolinium, Gd-EOB, Gd-BOPTA, etc.), will be able to plan further treatment steps together with the attending physician.
1.During the course, residents will learn pressure points and will be able to position the patient correctly to avoid injury during the procedure and patient transportation.
Residents will be able to perform intraarterial infusions – perfusion of hepatic arteries (oxalipatin, 5FU, irinotecan), targeted perfusion in the extremities, peritoneum, pelvic and liver diseases (melphalan, etc.), to apply drug delivery systems:
• Drug-containing particles – DC beads, Hepasphere
• Drug emulsions with Lipiodol for TACE (Doxorubicin, cisplatin, epirubicin, idarubicin, etc.), Liposomes
• Palliative invasive radiology procedures – insertion of gastrostomes, drains, nephrostomes, ascites drainage.
Residents will learn to perform liver lobar, segmental, targeted embolization using catheters, micro-catheters, guidewires, and more materials.
1.At the end of the course, residents will be able to apply the acquired theoretical knowledge and practical skills to treat oncological diseases, using invasive radiology methods, will be able to recognize and treat possible complications, as well as to prevent damage to adjacent organs.
