Establishing And Improving Interventional Radiology

This publication provides a general overview of interventional radiology (IR). It presents an evidence-based rationale for establishing, improving and maintaining an IR service consistent with current clinical knowledge benchmarks. A summary is provided of necessary elements for the establishment of an IR clinical service and to ensure its sustainability. The publication includes information on specific challenges faced especially but not uniquely in emerging nations, as well as a defined list of expert recommendations. Safety and quality standards are emphasized in addition to necessary funding, human resources, education, training and certification/recertification, as well as involvement of the main professional societies.

This publication provides a general overview of interventional radiology (IR). It presents an evidence-based rationale for establishing, improving and maintaining an IR service consistent with current clinical knowledge benchmarks. A summary is provided of necessary elements for the establishment of an IR clinical service and to ensure its sustainability. The publication includes information on specific challenges faced especially but not uniquely in emerging nations, as well as a defined list of expert recommendations. Safety and quality standards are emphasized in addition to necessary funding, human resources, education, training and certification/recertification, as well as involvement of the main professional societies.

This book is a concise introduction to the interventional radiology field and is designed to help medical students and residents understand the fundamental concepts related to image-guided interventional procedures and determine the appropriate use of imaging modalities in the treatment of various disorders. It covers the history of interventional radiology; radiation safety; equipment; medications; and techniques such as biopsy and drainage, vascular access, embolization, and tumor ablation. The book also describes the indications, patient preparation, post-procedure care, and complications for the most common interventional radiology procedures.

This book is the product of a unique collaboration by experts from leading international, regional and national agencies and professional organizations discussing on the current ‘hot’ issue on the judicious use and safety of radiation in radiology. There have been several cases involving radiation overexposure that have received international attention. Strategies and solutions to guide readers how to maximize the benefits and minimize the risks when using radiation in medicine are covered.

The World Health Organization stated that approximately two-thirds of the world’s population lacks adequate access to medical imaging. The scarcity of imaging services in developing regions contributes to a widening disparity of health care and limits global public health programs that require imaging. Radiology is an important component of many global health programs, including those that address tuberculosis, AIDS-related disease, trauma, occupational and environmental exposures, breast cancer screening, and maternal-infant health care. There is a growing need for medical imaging in global health efforts and humanitarian outreach, particularly as an increasing number of academic, government, and non-governmental organizations expand delivery of health care to disadvantaged people worldwide. To systematically deploy clinical imaging services to low-resource settings requires contributions from a variety of disciplines such as clinical radiology, epidemiology, public health, finance, radiation physics, information technology, engineering, and others. This book will review critical concepts for those interested in managing, establishing, or participating in a medical imaging program for resource-limited environments and diverse cross-cultural contexts undergoing imaging technology adaptation.

This textbook offers a comprehensive guide to interventional radiology (IR) for medical students, residents, nurse practitioners, physician assistants, and fellows. IR is constantly evolving to meet the growing demands of patient care by applying cutting-edge technology to minimally invasive image-guided procedures. A dynamic specialty, interventional radiology has gained significant traction and interest in recent years, with combined IR/DR residencies rising to meet the increasing demand. This book addresses this growing need for a reference in IR, allowing students to gain a solid foundation to prepare them for their careers. The book is divided into two main sections, with many images and key point boxes throughout that offer high-yield pearls along with the specific How To's necessary for practice. The first section is designed to give readers an introduction to IR, including radiation safety, commonly used devices, patient care, and anatomy. The second portion divides into sections covering major body areas, diseases, conditions, and interventions. These chapters cover procedures including pathophysiology, indications for treatment, as well as alternative treatments before delving into interventional therapy. IR Playbook gives medical students, residents, and trainees a full perspective of interventional radiology.

The number of interventional procedures guided by X ray imaging is increasing every year. Given the medical necessity of these procedures, it is vital that public confidence is not undermined by the adverse consequences of high radiation doses. Guidance levels have proved to be a useful tool for optimization in general radiography.

In this autobiography, Josef Rösch, a leading pioneer in interventional radiology from its inception to the present, documents his life and discusses important aspects of his work, focusing especially on those procedures that he developed or improved and that were popularized by his lectures and publications. In Prague, Dr. Rösch worked on splenoportography and visceral angiography, while in the United States he developed the transjugular intrahepatic portosystemic shunt (TIPS) and introduced embolization for treatment of GI bleeding and expandable metallic stenting of obstructions of major veins and the esophagus. In addition, he contributed to the improvement of coronary angiography and fallopian tube catheterization. The book also describes the author’s role as the lead person in establishing the Dotter Interventional Institute in 1990. The Institute was the first freestanding, independent interventional radiology unit to deal with education, research, and patient care. Dr. Rösch’s organization of scientific meetings and his early use of techniques for live internet broadcasting are described, and the book concludes by summarizing the multiple honors and awards that he received in recognition of his achievements.