Cardiovascular and Interventional Radiological Society of Europe
PublicationsCIRSE InsiderCVIR Special Section: MSK

CVIR Special Section: MSK

November 7, 2023

CIRSE talked to Prof. Julien Garnon of the University Hospital of Strasbourg, CVIR’s MSK editor and guest editor of the latest special section on this topic, to find out what readers can look forward to.

CIRSE: How did you choose the MSK topics you wanted to focus on?

Garnon: The idea was to present the latest technical advancements and most significant data from the literature on hot topics in MSK. The goal is to give any IR an overview of what is feasible and for which result.

CIRSE: What are the highlights from this series?

Garnon: The special issue is divided into three main sections: Bone stabilization, interventional oncology, and management of degenerative disease. Each section presents a few important points in each paper.

Prof. Julien Garnon speaks with a visitor at the CVIR booth at ECIO 2023.
CVIR Editor-in-Chief Prof. Klaus Hausegger invites experts to guest edit two CVIR special editions each year.

CIRSE: Which articles did you personally find the most enlightening?

Garnon: I have to say that all authors did a very good job in providing the readers with sources on the latest advancements of IR in MSK diseases. Everything is definitely a must-read. I personally particularly enjoyed the articles on embolization, as embolization in this field of application is quite a new, fascinating, and promising use of the technique. It’s new to me personally! So much has still to be done to better understand how the technique works and how to optimize the current practice and develop optimal embolic agents.

CIRSE: What types of MSK articles to you hope to see submitted to CVIR in the future?

Garnon: This question builds upon the previous answer! We are definitely looking for pre-clinical and clinical papers on the different topics that are presented in the special issue. MSK is still a relatively new topic in IR, and despite the excitement around these techniques, we still lack high-quality evidence that would help us to spread these minimally invasive interventions among colleagues and patients. This is not always without controversies, as highlighted by the paper on vertebroplasty in this awesome – sorry, special – issue.

CIRSE: What have been the main advances in MSK interventions over the last few years and where are we today? What could motivate young IRs to specialise in MSK?

Garnon: There has been so many advances! Bone stabilization has changed the way we can restore movements and function for patients suffering from impending and pathological fractures. IR offers solutions that did not exist before! It’s the same case for benign bone tumours. If we can reduce the morbidity of surgery while achieving good clinical outcomes, it is all about patient benefit. After reading this issue, readers will realize that degenerative disease may also benefit from our treatments: platelet-rich plasma (PRP), ablation of nerves, and embolization are now potential solutions. But like for any other organ, we need to stratify and be able to propose a clear algorithm. Challenging and exciting! Different techniques, different indications, we couldn’t ask for a more motivating topic for young IRs!


Mastering musculoskeletal interventions: CVIR’s newest special issue
Julien Garnon, guest editor

Early Vertebroplasty for Severely Painful Acute Osteoporotic Compression Fractures: A Critical Review of the Literature
William Clark & Terrence Diamond

A Toolbox of Bone Consolidation for the Interventional Radiologist
Jeanie Betsy Chiang & Dennis King Hang Yee

Bone Consolidation: A Practical Guide for the Interventional Radiologist
Roberto Luigi Cazzato, Danoob Dalili, Pierre De Marini, Guillaume Koch, Pierre-Alexis Autrusseau, Julia Weiss, Pierre Auloge, Julien Garnon & Afshin Gangi

Cryoablation for the Palliation of Painful Bone Metastasis: A Systematic Review
Shaghayegh Khanmohammadi, Alireza Noroozi, Mir Saeed Yekaninejad & Nima Rezaei

Benign Bone Tumors Beyond Osteoid Osteoma: Percutaneous Minimally Invasive Image-Guided Interventions
Anderanik Tomasian & Jack W. Jennings

Thermoprotection of Neural Structures During Musculoskeletal Ablation
Ahmad Parvinian, Jonathan M. Morris, Benjamin A. Johnson-Tesch & A. Nicholas Kurup

Clinical Applications of PRP: Musculoskeletal Applications, Current Practices and Update
Ahmad M. Aljefri, Cormac O. Brien, Tien Jin Tan, Adnan M. Sheikh, Hugue Ouellette & Salem Bauones

Musculoskeletal Embolotherapy
T.F. Barge & M. W. Little

Transarterial Embolization for Refractory Overuse Sports Injury: Pictorial Case Reports
Yuji Okuno

Image-Guided Radiofrequency Ablation for Joint and Back Pain: Rationales, Techniques, and Results
Felix M. Gonzalez, Junjian Huang & Jan Fritz


Prof. Garnon is currently practicing as a consultant interventional radiologist at the University Hospital of Strasbourg and has published over 200 peer reviewed articles in scientific journals. He has a particular scientific interest in percutaneous ablation and consolidative techniques in oncology.

Prof. Garnon has always been very active within CIRSE – his current roles include that of Deputy Chairperson of the CIRSE Online Education Committee, ECIO representative of the CIRSE Social Media Subcommittee, and CVIR Editor for MSK.