Yamashita Y, Takahashi M, Hiramatsu K, Ishikawa T, Suzuki S, Takashima T, Uchida H, Yamada R
Department of Radiology, Kumamoto University School of Medicine, Japan.
J Vasc Interv Radiol. 1994 Mar-Apr;5(2):299-304. doi: 10.1016/s1051-0443(94)71487-1.
Because the practice of interventional radiology in Japan seems very different from that in western countries, a survey was conducted to define practice patterns and the current position of radiologists in the field of vascular and interventional radiology in Japan.
During the spring of 1992, a questionnaire was mailed to all institutions to which members of the Japanese Society of Angiography and Interventional Radiology belong.
For abdominal, thoracic, and peripheral angiography, more than 50% of procedures were controlled by radiologists. The majority of abdominal embolotherapy (87%) and peripheral angioplasty (70%) procedures were performed by interventional radiologists. On the other hand, 64.3% of neurointerventions, 74% of abscess drainage, and 98% of coronary angioplasty procedures were performed by other specialists. In most institutions, embolotherapy for liver neoplasms was commonly performed by radiologists (97%). Peripheral and renal angioplasty and thrombolysis were performed by 74% of respondents, although less than 10 cases per year were encountered at 81% of institutions. Abscess drainage and biopsy were performed by radiologists in more than 50% of institutions. In other nonvascular interventional procedures, especially lithotripsy, the practice by and experiences of radiologists were very limited. Fifty-seven percent of radiology departments have beds allocated and radiologists serve as attending physicians for interventional purposes.
The practice pattern of interventional radiology in Japan is quite different from that in other countries because of differences in patients' diseases, historical backgrounds, number of interventional radiologists, and department organization.
由于日本介入放射学的实践似乎与西方国家有很大不同，因此进行了一项调查，以确定日本血管和介入放射学领域的实践模式以及放射科医生的当前地位。
1992年春季，向日本血管造影与介入放射学会成员所属的所有机构邮寄了一份调查问卷。
对于腹部、胸部和外周血管造影，超过50%的操作由放射科医生控制。大多数腹部栓塞治疗（87%）和外周血管成形术（70%）操作由介入放射科医生进行。另一方面，64.3%的神经介入、74%的脓肿引流和98%的冠状动脉成形术操作由其他专科医生进行。在大多数机构中，肝脏肿瘤的栓塞治疗通常由放射科医生进行（97%）。74%的受访者进行外周和肾血管成形术及溶栓治疗，尽管81%的机构每年遇到的病例少于10例。超过50%的机构由放射科医生进行脓肿引流和活检。在其他非血管介入操作中，尤其是碎石术，放射科医生的实践和经验非常有限。57%的放射科设有床位，放射科医生作为介入治疗的主治医师。
由于患者疾病、历史背景、介入放射科医生数量和科室组织的差异，日本介入放射学的实践模式与其他国家有很大不同。
