Service Lines

Welcome to the SIR RFS Membership Council

The Membership Council houses the SIR RFS service lines. The idea for the Membership Council started back in 2010 soon after the development of the RFS with the goal to promote resident education and become experts in certain disease processes. Soon after the development of the Membership Council we moved to a service line organization modeled after the SIR Service Lines. This was spearheaded with the Vascular Disease Service Line holding the first Angioclub in February of 2012. Since this time the Membership Council has grown to encompass the Vascular Disease Service Line (includes both PVD and Venous Disease), Interventional Oncology, Women’s Interventions, GI/GU Interventions, Pediatric Interventions, Neuro IR, and Pain Interventions. One or two members are appointed as the head of each service line. The service lines actively promote education of their respective disease processes through many different outlets such as online forums, monthly webinars, angioclubs, and sentinel article databases just to name a few. The goal of the service lines are to become experts in their respective disease processes; understand the pathology, clinical presentations, and treatments both IR and non-interventional as well as spread this knowledge to other residents and fellows. As future IR’s we need to become key players in the care for our patients.

Service Lines

  • Vascular Disease

    Vascular disease is the backbone of interventional radiology and is that which gave birth to the field. By performing the first ever peripheral intervention on a 82 year old woman's superficial femoral artery, after she was told by surgeons her only option was amputation, Dr. Dotter founded a field that has forever changed medicine. While his brilliance has been appreciated for decades, his prescience at the 1968 American College of Surgery meeting is only now being acknowledged and acted upon. At that meeting, he said "If my fellow angiographers prove unwilling or unable to accept or secure for their patients the clinical responsibilities attendant on transluminal angioplasty, they will become high-priced plumbers facing forfeiture of territorial rights based solely on imaging equipment others can obtain and skill still others can learn."

    The Vascular Disease Service Line functions to help interventional radiologists-in-training deepen their knowledge of vascular disease, both arterial and venous. Our goal is to help every interested IR-in-training become a disease expert and the primary physician for all of their patients suffering from vascular disease. If we intervene, we should assume complete care for that patient. The resources contained here provide a wealth of resources to help you do just that. Please use them as needed and don't hesitate to contact us with any questions!

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  • Interventional Oncology (IO)

    Interventional Oncology (IO) is a rapidly developing field among physicians trained as Interventional Radiologists. These physicians are trained to be the experts in image-guided and minimally invasive procedures. They use the most advanced diagnostic equipment, molecular imaging, and non-invasive therapies to directly target, treat and manage many difficult-to-treat cancers and related disorders. Using a multidisciplinary approach, they work with other specialists including medical oncology, surgical oncology and radiation oncology to provide comprehensive cancer care.

    Some of the minimally invasive therapies utilized by Interventional radiologists in IO include: chemoembolization, radioembolization, radiofrequency ablation (RFA), selective internal radiation therapy (SIRT), cryoablation and more. Many of these procedures are done on an outpatient or overnight basis. In many situations, this can be an alternative to or supplement surgical treatment for many conditions and can result in shorter recovery times, fewer side effects and decreased hospitalizations. There are also many other new and developing technologies that have the potential to manage cancer in a more focused, effective, economical, and less invasive manner.

    The goal of the RFS IO Service line is to provide high quality resources and information regarding the 1) clinical, 2) practice building, 3) technical and 4) imaging components of oncologic diseases that can be treated through minimally invasive procedures performed by interventional radiologists. The IO Service line is currently subdivided into subcommittees based on the four components mentioned above.

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  • Pediatric Interventional Radiology

    Pediatric Interventional Radiology (PIR) is a specialized subsection of interventional radiology offering therapeutic and diagnostic procedures on infants, children and adolescents. While many of the procedures performed by pediatric interventional radiologists are similar to those performed on adults, pediatric patients have unique anatomy, physiology, and pathology that makes the practice of pediatric IR quite different than adult IR. Typical Training Pathway:
      • 1-year clinical training: medicine, pediatrics, transitional, etc. (AKA preliminary year)
      • 4-year diagnostic radiology residency
      • (Optional: 1-year pediatric radiology fellowship or 1-year adult interventional radiology fellowship)
    • 1-year pediatric interventional radiology fellowship

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  • Neurointerventional Radiology

    Neurointerventional angiographic procedures were first pioneered in 1927 and the field has grown tremendously since then to involve a number diagnostic and therapeutic procedures such as cerebral aneurysms, arteriovenous malformations, carotid cavernous fistulas, head and neck tumors, spinal vascular malformations, vasospasms and vertebral body compression fractures among many others. This subspecialty of interventional radiology is currently known as neurointerventional surgery. This field involves extensive training which involves 5 years of radiology residency, one fellowship year of diagnostic neuroradiology, followed by one to two fellowship years of neurointerventional training.

    The goal of this service line is to serve as an educational resource for anyone hoping to learn more about the procedures and the clinical decisions involved in this subspecialty as well as new developments within the field through the use of webinars, podcasts and case files.

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  • Pain Management

    Welcome to the Pain Management Service line home page. As the field of Interventional Radiology shifts to a more clinical model, opportunities will arise to improve patient care through a working knowledge of pain and its interventional and non-interventional management. As it stands, knowledge gap exists in traditional radiology training in this regard. We aim to bridge this gap by providing information in a condensed format focusing on the basic principles pain management, summaries of key articles both seminal and those addressing what is on the horizon of the field. We expect this will be a tremendous value added service to all strata of physicians from residents to attendings as the field moves to the forefront of holistic patient care.

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  • GI/GU/Reproductive

    As the pioneers of minimally invasive procedures, interventional radiologists have been involved in gastrointestinal and genitourinary interventions for more than 30 years. With the start of biliary manipulation and biliary stents in the early 80’s, interventional radiologists have developed an increasing number of less invasive alternatives to abdominal and pelvic surgeries. By the early 1980’s the transjugular intrahepatic portosystemic shunt technique initially developed by Josef Rosch, MD in 1969 finally became known as an effective means to treat portal venous hypertension and avoid mesocaval shunt surgeries.

    The concurrent development of cross sectional and ultrasound imaging in the 1980s and 1990s led to an explosion of the GI and GU interventions. Techniques ranging from percutaneous extraction of gallstones and kidney stones to placement of feeding tubes and ablative treatment of liver and kidney tumors have now become commonplace. Interventional radiologists continue to develop new techniques including Islet cell transplantation to treat diabetes and prostate embolization to treat benign prostatic hypertrophy.

    The goal of the GI/GU service line and this website is be a resource for understanding the clinical relevance, technical considerations, and scientific basis for gastrointestinal and genitourinary interventions performed by IR physicians. The role and clinical decision making of hepatobiliary, portal venous, and renal interventions, among others, is often complicated requiring input from multiple specialties. Through electronic media including case files, presentations, webinars, and question and answer sessions this website will be a primary resource for clinical trainees seeking to better understand the clinical roles and considerations of GI and GU procedures.

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  • Intensive Care Unit (ICU)

    Info about the ICU Service Line coming soon!

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