Centre for Image Guided Care

World-first paediatric procedure to eliminate pain due to compression on the renal vein. Change of blood flow in a vein from one-way to two-way in a minimally invasive procedure involving Urology, Interventional Radiology and Cardiovascular Surgery.

Led by Dr. Armando Lorenzo, Dr. Joao Amaral and Dr. Osami Honjo.

Clinical pilot trial of treatment of Osteoid Osteoma in children was completed. This ablation modality involves the use of magnetic resonance-guided high-intensity focused ultrasound energy for the treatment of benign bone tumours. The treatment is incisionless and involves no radiation. This clinical pilot trial was one of the goals that was set out by the HIFU team at the beginning of the HIFU implementation by CIGC at SickKids. As a result, a multi-institutional / multi-national registry for patients with osteoid osteoma being treated with HIFU and other modalities (Radiofrequency ablation, Cryoablation, Laser ablation) has now been launched internationally.

Led by Dr. Michael Temple, Adam Waspe and Dr. Joao Amaral.

This symposium was created and hosted at SickKids in 2004 by a small group of dedicated SickKids radiologists and Drs. Bairbre Connolly and Michael Temple who were passionate about advancing the practice of image-guided procedures in infants and children. In 2007, at the Society of Interventional Radiology (SIR) meeting in Seattle, formation of a new society dedicated to Paediatric IR was proposed. The Symposium was handed off to the Society for Paediatric Interventional Radiology, who now organizes yearly conferences and educational events. 

With the help of a generous donor, a laser ablation equipment system was purchased and implemented at SickKids to perform Magnetic Resonance-Guided Laser Interstitial Thermal Therapy (MRgLITT) for the clinical care of children with deep brain lesions. Led by Dr. James Drake, this innovative procedure was completed in approximately 10 cases at SickKids.  

New procedure using a drug-coated balloon in a patient with a case of recurrent hepatic vein stenosis post partial hepatectomy due to neoplasia.

Led by Dr. Dimitri Parra and IGT team.   

Innovative approach avoiding open surgical procedure to treat stones impacted in the biliary ducts of a liver transplant patient.

Led by Dr. Dimitri Parra and Dr. Armando Lorenzo.   

Three surgical cases of DBS by Neurosurgery in collaboration with the IGT team were performed in patients with genetic dystonia, acquired dystonia and epilepsy.

Led by Dr. George Ibrahim.  

New palliative treatment for a benign tumour that has an aggressive behavior and high rates of recurrence after therapy.

Led by Dr. Michael Temple.  

Reconstruction of IVC venous outflow with stents which improve lower limbs venous return and reduce the chance of Post thrombotic Syndrome.

Led by Dr. Michael Temple.  

Two-day inaugural event took place on April 12-13, 2019 where International Paediatric Interventional Radiologists learned about 6 new ablation techniques and modalities at SickKids: MR-guided High Intensity Focused Ultrasound, Cryoablation, Microwave Ablation, Radiofrequency Ablation, Laser Ablation, and Irreversible Electroporation. Didactic lectures focused on the physics, individual ablation techniques, current uses of these modalities in children and future directions. Attendees also participated in Hands-on Workshops of each modality and discussed ways to develop some Research collaboration.

This event was led by Dr. Michael Temple and Dr. Joao Amaral.

• Dr. Joao Amaral – Centre Co-Director, Interventional Radiologist, Department of Diagnostic & Interventional Radiology
• Dr. Armando Lorenzo – Centre Co-Director, Surgeon, Department of Urology 
• Dr. Clyde Matava – Anesthesiologist, Department of Anesthesia and Pain Medicine 
• Lisa Pendergast – Director, Perioperative Services 
• Adam Waspe – Senior Project Manager, Division of Neurosurgery 
• Lauren Erdman – Bioinformatician, Centre for Computational Medicine 
• Olga Carpio – CIGC Project Coordinator 

• Dr. Armando Lorenzo – Centre Co-Director, Division Head, Urology (ad hoc member) 
• Dr. Manohar Shroff – Neuroradiologist, Department of Diagnostic & Interventional Radiology (ad hoc member) 
• Dr. Dimitri Parra – Interventional Radiologist, Department of Diagnostic & Interventional Radiology 
• Dr. Prakash Muthusami – Interventional Radiologist, Department of Diagnostic & Interventional Radiology
• Dr. Agostino Pierro – Surgeon, Division of General and Thoracic Surgery