Interventional Neuroradiology

Inland Imaging’s interventional neuroradiologists are experts in the use of X-ray and other imaging techniques to guide minimally invasive treatments of brain aneurysms, stroke, and other neurological conditions without surgery.

For example, an interventional procedure may be performed to open narrowed arteries to prevent stroke, close arteries to tumors and aneu¬rysms, or treat pain for spine fractures. Interventional neuroradiology services also include carotid angiography, cerebral angiography and carotid treatment.

Embolization of Brain Aneurysms and Fistulas

An embolization may be performed to treat a brain aneurysm, a bulge or sac that develops in an artery because the wall of the vessel is weak. It also may be performed to treat a fistula, an abnor¬mal connection or passageway between the arteries and veins.

In this procedure, a neuroradiologist uses image guidance to place a small, soft metal coil at the site of a bulge or pas¬sageway. The coil helps block the flow of blood and prevents a rupture of the vessel.

Carotid Angioplasty and Artery Stenting

This is a minimally invasive technique used to prevent stroke. The procedure involves directing a catheter through a small incision in the groin to the carotid artery in the neck.

First, your physician will place an embolic protec¬tion device beyond the narrowing part of the artery to prevent loose particles from reaching the brain and causing a stroke. After the protection device is in position, a small tube called a stent is released through the catheter at the site of narrowing. The stent holds the artery open, improving blood flow to the brain. The stent also holds atherosclerotic plaque against the artery wall, preventing a possible stroke.

Cerebral Angiogram

A cerebral angiogram (also known as an arteriogram) is a diagnostic procedure that provides images of the blood vessels in the brain and/or head. The test is performed to find blocked or leaking blood vessels. This test can help detect the presence of a blood clot, fatty plaque that increases the patient’s risk of stroke, cerebral aneurysm or other vascular conditions.

This procedure involves inserting a catheter in a blood vessel, most often in the thigh, and the reading it through the vessel to the head or brain. A special dye is injected through the catheter, allowing physicians to view the health of the blood vessels.

Interventional Oncology

Inland Imaging is a partner in your fight against cancer. Our interventional radiologists use the latest in technology for the low-risk, minimally invasive treatment of various cancers, including liver, lung and kidney tumors.

Radioembolization YTTRIUM - 90 (Y-90)

Radioembolization is a type of radiation therapy used to treat liver cancer. Tiny polymer beads – also called microspheres – are load¬ed with Y-90, a type of radioisotope that emits beta radiation to kill tumor cells. The beads are injected into the artery that supplies blood to the tumors. The beads become trapped into the tumor’s vascular bed, where they emit a high dose of radiation to destroy the cancer cells.


Also called transcatheter arterial embolization (TACE), this procedure involves delivering tiny beads – or drug-eluding beads – that are loaded with chemotherapy agents through a micro-catheter directly to the site of the tumor.

Radiofrequency Ablation (RFA) and Cryoablation

Percutaneous cryoablation (freezing) and radiofre¬quency ablation (heat energy) are two techniques used to destroy tumors locally. The procedures, which are performed through a tiny skin nick, are usually done under general anesthesia with CT or ultrasound guid¬ance.

Other Oncology Procedures
  • Portal vein embolization
  • Transhepatic biliary drainage
  • PleurX catheters
  • Biopsy
  • Thoracentesis
  • Paracentesis
  • Cement augmentation with or without radiofrequency ablation of spine tumors
  • Chemotherapy infusion devices

Stroke and Vascular Screening

Stroke and vascular disease affect thousands of Americans each year. A screening for these diseases can measure your risk and provide important information to help improve your vascular health and prevent life-threatening problems.

The stroke and vascular screening at Inland Imaging includes a check of the three areas of your body that are most susceptible to signs of vascular disease: the abdominal aorta, the carotid arteries, and the peripheral arteries.

What should I expect?

The stroke and vascular screening is a painless, non-invasive exam that includes a reading of the blood pressure in your arms and legs, an ultrasound of your abdomen to check the abdominal aorta, and an ultrasound of your neck to view the carotid artery.

The patient remains clothed throughout the exam. The screening requires approximately 30 minutes.

Abdominal Aorta Ultrasound: A check for an aneurysm

The largest artery in the body, the aorta provides oxygen-rich blood to your abdominal organs and legs. A weakening of the aorta walls can lead to an enlargement or aneurysm that could rupture and create a serious medical emergency. More than 200,000 people are diagnosed with an Abdominal Aorta Aneurysm (AAA) each year.

Carotid Artery Ultrasound: A Check for Blockage

The carotid arteries are the two primary vessels that provide oxygen-rich blood to the brain. Plaque build-up on the walls of these arteries can reduce blood flow to the brain or cause a complete blockage, resulting in a stroke. More than 30 percent of the nearly 800,000 strokes in the United States originate at the carotid arteries.

Arms and Legs Blood Pressure: A check for Peripheral Artery Disease (PAD)

The peripheral arteries provide oxygen-rich blood to the arms and legs. Weak blood flow caused by narrowing or blockage of these arteries could indicate peripheral artery disease (PAD), which greatly increases your risk for cardiovascular disease. One in 20 Americans over the age of 50—about 12 million people—will have PAD. This group is five times more likely to have a stroke or heart attack.

Should I get screened?

A stroke and vascular screening is recommended for those with the following risk factors:

  • 50 years or older
  • A family history of stroke, heart disease, or Abdominal Aorta Aneurysm
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Sedentary lifestyle
How do I make an appointment?

To schedule your stroke and vascular screening, call 509.363.7554