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Image Guided Therapy
Image Guided Therapy

IGT Clinic

In the IGT department, over 6,000 patients are seen annually. Over time, as new technologies and procedures evolved, it was felt that families would benefit from having an opportunity to discuss with the IGT staff the procedures, its pros and cons, in an unhurried fashion to make the best, informed decision for their child. In 2004, the IGT clinic was created with its main objective to provide pre-procedure planning and direct communication with the child and their family. Most patients seen in the IGT Clinic are outpatients. Positive outcomes from the consultation include optimizing quality, efficiency and thorough patient care with improved workflow.

Which patients are seen in the clinic?

  • Arteriovenous (AV) fistula closure patients
  • Biopsy patients (ie. Bone, Kidney, Liver, Lung, Thyroid)
  • Bone ablation patients
  • Botox injection patients for drooling
  • Botox injection patients for muscles spasticity
  • Cases that involve multiple services
  • Cecostomy tube insertion patients
  • Complex care children (i.e.; with rare or multiple health issues)
  • Family Requests
  • G/GJ-Tube insertion patients and tube resiting patients
  • High risk patients or high risk procedures
  • Pulmonary Arteriovenous Malformation (AVM) patients for treatment
  • Referrals from outside the hospital (i.e.; Renal Angioplasty)
  • Unusual cases
  • Varicocele patients for embolization
  • Vascular Anomalies Clinic patients during active treatment

Before your clinic appointment

Some children may require other tests before their IGT Clinic appointment (i.e. up to date imaging).  If this is necessary, you will be notified and arrangements will be made.

Most of our requests are also pre-screened and families may get a call prior to their consultation to discuss whether their child will need general anaesthesia, local anaesthesia, or nurse provided sedation to keep them comfortable and calm during the procedure. This decision is based on your child's overall health and the type of procedure being performed.

Day of the clinic appointment

The clinic nurse performs a health assessment on your child, which includes checking their vital signs (temperature, pulse rate and breathing rate, blood pressure) and weight. You (families) are provided with a detailed description of the procedure and an overview of your child’s expected course in the hospital. If your child requires general anaesthesia or nurse provided sedation, fasting guidelines will be reviewed. If other consultations are needed, families will be notified. The interventional radiologist discusses the risks and benefits of the procedure, answers any questions or concerns you may have related to it, and obtains consent at this time.   

The Follow-up

Patients that are discharged home on the same day as their procedure may receive a follow-up call 24-48 hours from the IGT Clinic nurse. If there is no answer, a message will be left with contact information that can be used if required. These calls are an opportunity for the nurse to evaluate the patient’s physical and emotional recovery after the procedure. As well, the clinic welcomes any input about all aspects of the family’s and patient’s hospital experience. The data gathered from the clinic has proved to be a useful tool in continuing to provide optimal patient care and in shaping the treatment of future patients.

For more information, please contact:

Julie Zettel or Michelle Cote
IGT Clinic Nurse
IGT (Image Guided Therapy)
The Hospital for Sick Children
Phone: 416-813-6054 ext. 201804
Email: julie.zettel@sickkids.ca or michelle.cote@sickkids.ca