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.
The goal of the SIR-RFS Pediatric Service Line to not only familiarize IR trainees with procedures relatively unique to Pediatric IR, including radiofrequency ablation of aneurysmal bone cysts and sclerotherapy for lymphatic malformations, but to build a curriculum for IR trainees with a focus on four major educational pillars: clinical education, imaging education, procedural education, and practice building.
“It is essential that the interventional radiologist caring for pediatric patients be familiar with the relevant spectrum of pediatric disease, and be well versed in the principles of pediatric interventions and related care.” -Kevin M. Baskin MD
Alejandra Maria Bedoya
Maria A. Bedoya
David P Duncan
Josi L. Herren
Travis Stuart Scharr
Joel M Raborn
- General Resources
- Cleveland Clinic Pediatric Radiology Imaging Modules: comprehensive online learning curriculum and resource online learning curriculum and resource for pediatric radiology. The curriculum covers ‘core concepts’ in pediatric radiology and has become required course material in many radiology residency programs across North America.
- CTisUS: Great website covering most pediatric radiology protocol
- Vascular Malformations
- Image Gently Website
- The ALARA concept in pediatric interventional and fluoroscopic imaging
- Practice of ALARA in the pediatric interventional suite
- Entrance skin dosimetry and size-specific dose estimate from pediatric chest CTA.
Most of the techniques applied to adults can be performed in children, although the indications in children generally differ.
- Central Venous Access
- Needle Biopsy
- Organ Transplantation and Oncologic Interventions
- Interventional radiology in the treatment of the complications of organ transplant in the pediatric population-part 1: the kidneys, heart, lungs, and intestines
- Interventional radiology in the treatment of the complications of organ transplant in the pediatric population-part 2: the liver.
- Long-Term Venous Complications After Full-Size and Segmental Pediatric Liver Transplantation
- 3DCT angiography for detection of vascular complications in pediatric liver transplantation
- Long-term results of the percutaneous transhepatic venoplasty of portal vein stenoses after pediatric liver transplantation
- Endovascular interventions for hepatic artery complications immediately after pediatric liver transplantation
- Paediatric interventional oncology
- Percutaneous Gastrostomy and Gastrojejunostomy
- Interventional Radiology Placement of a Gastrostomy tube
- Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)
- Vascular Malformations
- Other Procedures
Please select from the available survival guides below. Those without a link are coming soon.
Vascular Interventions (arterial)
Vascular Interventions (venous)
Enteric Tube Placement
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
Useful Mobile Apps:
- Current Guidelines: ACP has an app for that!
- Doctor’s Dilemma: Jeopardy style app
- Prognosis: Interactive cases where you review the H&P and select the appropriate tests and therapy followed by an explanation
- QuantiaMD: Interactive cases with community responses
- OnExam App: To help maintain and refine physical exam skills. Nicely detailed.
- Harriet Lane: Harriet Lane is the authoritative pediatric resource for residents, interns, and practitioners.
Multiple Choice Question Banks
Pediatric Interventional Radiologists must have the clinical and medical knowledge base in Pediatrics to properly treat their patients. Below are some suggested resources for maintaining and enhancing your clinical knowledge base of Pediatric medicine during Radiology Residency.
Pediatric Medicine Intensive Review Courses:
Typically about 5 days in length, these courses would be a great way (after the core exam is taken) to provide a knowledge boost to get ready for a career of patient care in the pediatric population.
- Cleveland Clinic Children’s Hospital Pediatric Board Review: From $1295MM
- UCLA Pediatric Board Review Course: From $1195
- Osler Pediatrics Board Reviews: $780 Resident Price
- Pediatric Emergency Medicine: From $795
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