TY - JOUR
T1 - Research Priorities in Percutaneous Image- and Endoscopy-Guided Interventions for Biliary and Gallbladder Diseases
T2 - Proceedings from the Society of Interventional Radiology Foundation Multidisciplinary Research Consensus Panel
AU - Riaz, Ahsun
AU - Trivedi, Premal
AU - Aadam, Abdul Aziz
AU - Katariya, Nitin
AU - Matsuoka, Lea
AU - Malik, Asad
AU - Gunn, Andrew J.
AU - Vezeridis, Alexander
AU - Sarwar, Ammar
AU - Schlachter, Todd
AU - Harmath, Carla
AU - Srinivasa, Ravi
AU - Abi-Jaoudeh, Nadine
AU - Singh, Harjit
N1 - Funding Information:
A.R. reports payments/honoraria from Boston Scientific . P.T. reports grants from Associate of University Radiologists GE Radiology Research Academic Fellowship and National Cancer Institute unrelated to the current work, reports consulting fees from Fortec, and is an advisor for Pneumonix. A.A.A. reports consulting fees from Boston Scientific . A.J.G. reports research support (paid to the institution) from Penumbra and Varian and reports consulting fees, payments/honoraria, and participation fees from Varian and Boston Scientific . A.S. reports grants from General Electric and Sirtex Medical Inc., consulting fees from Sirtex Medical Inc., and stocks/stock options from Agile Devices Inc. R.S. reports grant for laser of biliary strictures from Boston Scientific; reports consulting fees from Boston Scientific , Medtronic , NXT Biomedical, and Stryker; reports payment for medicolegal work on biliary stricture treatment; reports travel/meeting support from Boston Scientific and NXT Biomedical; and is on the advisory board for Medtronic . N.A.-J. is a PI and reports funds (directed to the institution) for research collaborative agreement with Philips Medical Systems Inc. Koninklijke NV, for research collaboration with Teclison Limited, for sponsored research by Sillajen Inc., for research collaboration from Sirtex Medical Ltd, for research collaboration from Guerbet SA, for sponsored research by Instylla HES Inc., for sponsored research by BlackSwan Vascular Inc., and for sponsored research by Angiodynamics Inc.; is a consultant for Medtronic Inc. and AstraZeneca; is on the Advisory Boards for Medtronic Inc., Genentech F. Hoffmann-La Roche Ltd., QED Therapeutics Inc., Eisai, Exelixis, Pfizer, Johnson and Johnson, and Replimune; is SIR foundation chair; is JVIR deputy editor; is AMC chair; and is on the GEST meeting committee. H.S. reports royalties from Radiology Fundamentals Textbook and Payment for IR Legal Case Expert Testimony. The remaining authors have not identified a conflict of interest.
Funding Information:
This Research Consensus Panel was supported by SIR Foundation . The authors thank the Society of Interventional Radiology Foundation and its staff (especially Pooja Doshi and Victoria Palacios) for their financial and organizational support during the Research Consensus Panel. The authors also thank all the attendees and the Corporate Ambassador Program members. The authors also thank Dr. Riad Salem and others for their insight and comments during the presentations.
Publisher Copyright:
© 2022 SIR
PY - 2022/10
Y1 - 2022/10
N2 - Recent technological advancements, including the introduction of disposable endoscopes, have enhanced the role of interventional radiology (IR) in the management of biliary and gallbladder diseases. There are unanswered questions in this growing field. The Society of Interventional Radiology Foundation convened a virtual research consensus panel consisting of a multidisciplinary group of experts to develop a prioritized research agenda regarding percutaneous image- and endoscopy-guided procedures for biliary and gallbladder diseases. The panelists discussed current data, opportunities for IR, and future efforts to maximize IR's ability and scope. A recurring theme throughout the discussions was to find ways to reduce the total duration of percutaneous drains and improve patients’ quality of life. After the presentations and discussions, research priorities were ranked on the basis of their clinical relevance and impact. The research ideas ranked top 3 were as follows: (a) percutaneous multimodality management of benign anastomotic biliary strictures (laser vs endobiliary ablation vs cholangioplasty vs drain upsize protocol alone), (b) ablation of intraductal cholangiocarcinoma with and without stent placement, and (c) cholecystoscopy/choledochoscopy and lithotripsy in nonsurgical patients with calculous cholecystitis. Collaborative, retrospective, and prospective research studies are essential to answer these questions and improve the management protocols for patients with biliary and gallbladder diseases.
AB - Recent technological advancements, including the introduction of disposable endoscopes, have enhanced the role of interventional radiology (IR) in the management of biliary and gallbladder diseases. There are unanswered questions in this growing field. The Society of Interventional Radiology Foundation convened a virtual research consensus panel consisting of a multidisciplinary group of experts to develop a prioritized research agenda regarding percutaneous image- and endoscopy-guided procedures for biliary and gallbladder diseases. The panelists discussed current data, opportunities for IR, and future efforts to maximize IR's ability and scope. A recurring theme throughout the discussions was to find ways to reduce the total duration of percutaneous drains and improve patients’ quality of life. After the presentations and discussions, research priorities were ranked on the basis of their clinical relevance and impact. The research ideas ranked top 3 were as follows: (a) percutaneous multimodality management of benign anastomotic biliary strictures (laser vs endobiliary ablation vs cholangioplasty vs drain upsize protocol alone), (b) ablation of intraductal cholangiocarcinoma with and without stent placement, and (c) cholecystoscopy/choledochoscopy and lithotripsy in nonsurgical patients with calculous cholecystitis. Collaborative, retrospective, and prospective research studies are essential to answer these questions and improve the management protocols for patients with biliary and gallbladder diseases.
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U2 - 10.1016/j.jvir.2022.06.025
DO - 10.1016/j.jvir.2022.06.025
M3 - Editorial
C2 - 35809805
AN - SCOPUS:85139535431
SN - 1051-0443
VL - 33
SP - 1247
EP - 1257
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 10
ER -