Insights Imaging. 2018 Apr;9(2):189-197. doi: 10.1007/s13244-018-0594-5. Epub 2018 Feb 23.
The International Forum is held once a year by the ESR and its international radiological partner societies with the aim to address and discuss selected topics of global relevance in radiology. In 2017, the issue of the position of interventional radiology (IR) within radiology was analysed. IR is expanding because of the increased patient demand for minimally invasive therapies performed under imaging guidance, and its success in improving patient outcomes, reducing in-hospital stays, reducing morbidity and mortality of treatment in many organs and organ-systems. Despite the many successes of IR, public awareness about it is quite low. IR requires specific training and, in most countries, the majority of interventional radiologists do not dedicate their time completely to IR but perform diagnostic radiology investigations as well. Turf battles in IR are common in many countries. To preserve and keep IR within radiology, it is necessary to focus more on direct and longitudinal patient care. Having beds dedicated to IR within radiology departments is very important to increase clinical involvement of interventional radiologists. IR procedures fit perfectly within "value-based healthcare", but the metrics have to be developed.
• IR should stay a prominent subspecialty within radiology. • Dedicated IR training pathways are mandatory. • Measures to increase recruitment of young doctors to IR and to increase public awareness of IR are needed. • Beds dedicated to IR within radiology departments are important in order to increase clinical involvement of interventional radiologists.
国际论坛由欧洲放射学会(ESR)及其国际放射学合作伙伴协会每年举办一次,旨在探讨和讨论放射学领域具有全球相关性的特定主题。2017年,分析了介入放射学(IR)在放射学中的地位问题。由于患者对影像引导下微创治疗的需求增加,以及IR在改善患者预后、缩短住院时间、降低许多器官和器官系统治疗的发病率和死亡率方面取得的成功,IR正在不断发展。尽管IR取得了诸多成功,但其公众认知度却相当低。IR需要特定培训,在大多数国家,大多数介入放射科医生并未将全部时间投入到IR工作中,而是同时进行诊断性放射学检查。在许多国家,IR领域的地盘之争很常见。为了将IR保留在放射学范畴内,有必要更多地关注直接和长期的患者护理。在放射科设置专门的IR床位对于增加介入放射科医生的临床参与度非常重要。IR程序完全符合“基于价值的医疗保健”理念,但必须制定相关衡量标准。
• IR应在放射学领域保持突出的亚专业地位。• 必须有专门的IR培训途径。• 需要采取措施增加年轻医生从事IR工作的人数,并提高公众对IR的认知度。• 在放射科设置专门的IR床位对于增加介入放射科医生的临床参与度很重要。