In e en ional Radiology needs o e ol e
o willdisappea
A ew yea s ago in Vancou e , Canada, we hea d om D . Sco Te a ola1, a he Cha les Do e lec u e, in which he
in i ed all in e en ional adiologis s (IRs) a ound he wo ld o ake ac ion. IRs spend oo much ime complaining
abou o he special ies wan o ake o e hei p ac ices, and p ocedu es which in hei opinion is e y un ai . Un ai ?
I is possible, bu his is he cu en eali y o he wo ld oday. This compe i ion exis s ( he su i al o he i es ),
and i has been obse ed h ough many decades in ou daily wo k. As Si William Osle said,“By a he mos dan-
ge ous oe we ha e o igh is apa hy – indi e ence om wha e e cause, no om a lack o knowledge, bu om
ca elessness, om abso p ion in o he pu sui s, om a con emp b ed o sel -sa is ac ion”.
I in i e he eade s o his le e o ead wi h consciousness he a icle published by D . G ego y Ma k is and D .
Raman Ube oi in CVIR 20162. They could no say i be e o clea e . These wo b illian IRs poin ou wo undamen-
al ideas. The i s is ha IRs being in he hea o Diagnos ic Radiology is de imen al o In e en ional Radiology,
and he second is ha we, IRs,mus dedica e ou sel es wi h all ou en husiasm and e o o he pa ien s. Ou side
o hese ideas, ou endea o is s e ile o unp oduc i e. They, D . Mak is and D . Ube oi wi h g ea success in i e us
no o shoo ou sel es in ou own oo , was ing ime on o he ma e s ha a e no he In e en ional Radiology
subspecial y e en be e , o become an independen special y. Bo h, one o he o he , will no comple ely sol e he
p oblem o compe i ion, bu hey will acili a e pa o he p oblems which a ec s In e en ional Radiology: aining,
p ocedu es po olio, clinical p i ileges, ou pa ien consul a ion, hospi aliza ion, e c.
This is he pa h ha he US has al eady aken, and some o he coun ies in Eu ope a e ying. Bu i is clea ha
almos all o us wan and see his e olu ion and ecogni ion o he special y as an essen ial ma e . The wo bigges
medical socie ies, he Ame ican (SIR) and he Eu opean (CIRSE) a e making a g ea e o in his ega d, bu no one
expec s ha om ou side hey will sol e ou domes ic p oblems o impose he special y in each coun y.
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| REFERENCES
1. Te a ola S. Reply o he Le e «In e en ional Radiology-The Fu u e: E olu ion o Ex inc ion?»Ca dio asc In e en Radiol.
2016 Dec;39(12):179.
2. Mak is GC, Ube oi R. In e en ional Radiology-The Fu u e: E olu ion o Ex inc ion? Ca dio asc In e en Radiol. 2016
Dec;39(12):1789-1790.
The IRs mus wage a ba le a he local le el, s i ing in hei commi men o excellence o pa ien ca e and claiming
his legal and necessa y ecogni ion om he au ho i ies and he socie y. I his does no happen, In e en ional
Radiology as we know i oday is des ined o disappea . The compe i ion (clinical o su gical special ies ha ha e
seized in e en ional p ocedu es) has he ad an age o di ec con ac wi h he clien /pa ien , and hey also ha e
he ecogni ion o he communi y as a solid medical p ac ice. IRs ha e o lea n om pas mis akes, ocus on hei
goals, and be p oac i e o ace u u e challenges.
In a s udy by And ews e al. Only 6% o he pa ien s who en e an In e en ional Radiology angio sui e had hea d
o in e en ionism, i s p ocedu es, esul s, and possibili ies. The IRs, on he con a y o wha Machia elli says in The
P ince, “should always y o appea i uous”. In addi ion o owning and cul i a ing hem, he i ues mus always
be exhibi ed, made known, and be p oud o hem. By allowing o he special ies o pa icipa e in in e en ional
p ocedu es, IRs mus become he undispu ed leade s in he in e en ional ope a ing ooms o angio sui es, due o
hei aining, knowledge, and skills.
MA de G ego io
In e en ionalRadiologis
mg ego i@uniza .es
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