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1.
Artigo em Japonês | MEDLINE | ID: mdl-31956184

RESUMO

PURPOSE: The International Commission on Radiological Protection recommended that interventional radiologies (IRs) have high radiation doses and that staff may also be exposed to high doses. In the present study, we measured the radiation exposure dose [3 mm dose equivalent, Hp (3) ] in the eye using an appropriate dosimeter placed next to the physician' s eye during neurovascular intervention procedure (Neuro-IR) and interventional cardiac electrophysiology procedure (EP-IR). METHOD: Physicians wore a direct eye dosemeter just lateral to the left eye and an additional direct eye dosemeter outside the radiation protective glasses close to their left eye. Additionally, a neck badge [0.07 mm dose equivalent, Hp (0.07) ] was worn outside the protective apron to the left of the neck, to compare the direct eye dosimeter estimated doses. The occupational eye lens dose was evaluated over a period of 6-month. RESULTS: The maximum Hp (3) of the Neuro-IR physician was estimated 5.1 mSv without the radiation protective glasses and 1.6 mSv with the radiation protective glasses. On the other hand, the maximum Hp (3) of the EP-IR physician was estimated 29 mSv without the radiation protective glasses and 15 mSv with the radiation protective glasses. CONCLUSION: Physicians eye lens dose [Hp (3) ] tended to be overestimated by the neck badge measurements [Hp (0.07)]. A correct evaluation of the lens dose [Hp (3) ] using the direct eye dosimeter is recommended. Although we found a positive correlation between Hp (0.07) and Hp (3), the value of R2 in the regression equation is low, we recommended that the eye lens dose estimated carefully from Hp (0.07).


Assuntos
Técnicas Eletrofisiológicas Cardíacas , Cristalino , Exposição Ocupacional , Exposição à Radiação , Proteção Radiológica , Humanos , Cristalino/efeitos da radiação , Exposição Ocupacional/prevenção & controle , Doses de Radiação , Radiologia Intervencionista
2.
World Neurosurg ; 135: 222-227, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31877393

RESUMO

BACKGROUND: Intracardial migration of a ventriculoperitoneal (VP) shunt (ICMVP) is a rare complication that has been described in only single case reports. Here we report the successful interdisciplinary management of an ICMVP and provide a review of the relevant literature. CASE DESCRIPTION: A 38-year-old-patient with shunt-dependent hydrocephalus caused due to a Blake's pouch cyst presented in our hydrocephalus outpatient clinic with thoracic pain and nocturnal cough at 7 months after VP shunt implantation (with initially a proper location on computed tomography scan of the head and X-ray of the abdomen). A new X-ray of the abdomen and the thorax revealed a dislocated shunt with migration of the distal catheter into the superior cava vein, right atrium, and right heart ventricle, with some loops in both pulmonary arteries. The catheter was successfully removed by an interdisciplinary team in general anesthesia under ultrasound, X-ray guidance, and cardiovascular parameter control by withdrawing the shunt into the superior cava vein and removing the remnant portion of the distal catheter (with a knot) by interventional snaring. Cardiac and vascular surgeons were on standby. CONCLUSIONS: The management of an ICMVP is complex and carries a high risk for severe potential complications. Two different pathophysiological mechanisms have been discussed in the literature, including gradual erosion into an adjacent vein and transvenous catheter placement of the initial shunt secondary to subcostal placement of shunt tunneling instruments. The suction effect of the venous system results in gradual pulling of the catheter into the venous system.


Assuntos
Remoção de Dispositivo/métodos , Átrios do Coração/diagnóstico por imagem , Ventrículos do Coração/diagnóstico por imagem , Complicações Pós-Operatórias/diagnóstico por imagem , Falha de Prótese , Veia Cava Superior/diagnóstico por imagem , Derivação Ventriculoperitoneal , Adulto , Ecocardiografia Transesofagiana , Átrios do Coração/cirurgia , Ventrículos do Coração/cirurgia , Humanos , Masculino , Procedimentos Neurocirúrgicos , Equipe de Assistência ao Paciente , Complicações Pós-Operatórias/cirurgia , Artéria Pulmonar/diagnóstico por imagem , Radiografia Torácica , Radiologia Intervencionista , Cirurgia Assistida por Computador , Veia Cava Superior/cirurgia
3.
Br J Radiol ; 93(1105): 20190340, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31596121

RESUMO

OBJECTIVE: To compare key characteristics of interventional radiology (IR) training in the UK with four other English-speaking countries (USA, Canada, Australia and New Zealand) and summarise requirements for training. METHODS: Main features examined were career pathway and requirements, examinations required, specific competition for IR and the process of applying for training as an international medical graduate. Data were collected from official governing body publications, literature and personal experience. RESULTS: Several differences were highlighted, including length of training (ranging from 6 to 9 years after medical school), length of IR-specific training (ranging from 1 to 3 years) and examinations required (USA and Canada have additional IR-specific examinations). The level of competition is generally high, in all countries. CONCLUSIONS: With the demand for IR services set to increase over the next few years, it is crucial that more IR specialists are trained to meet this demand. Awareness of training structures in other countries can highlight opportunity and pitfalls, and help ensure the number of highly trained interventional radiologists in the UK continues to grow.


Assuntos
Educação de Pós-Graduação em Medicina/tendências , Radiologia Intervencionista/educação , Austrália , Canadá , Escolha da Profissão , Avaliação Educacional , Humanos , Nova Zelândia , Reino Unido , Estados Unidos
4.
Presse Med ; 48(10): 1141-1145, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31669005

RESUMO

Some patients require iteratives intravenous administrations on a central catheter, for example in oncology or infectiology, which represents a challenge for ambulatory treatment. Interventional radiology could provide solutions with the implant and monitoring of PICC-lines and ports. These are implanted in sterile environment and under imaging guidance in an interventional radiology room by an operator and with a paramedical team that need to be experienced. This development focus on the interest of one method with respect to the other, as well as the differents ways to do, the complications that could arise and the monitoring of these devices.


Assuntos
Cateterismo Venoso Central/métodos , Cateteres Venosos Centrais , Radiologia Intervencionista , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Cateteres de Demora/efeitos adversos , Cateteres Venosos Centrais/efeitos adversos , Humanos
5.
Presse Med ; 48(10): 1169-1174, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31669007

RESUMO

A wide diversity of diagnostic or therapeutic percutaneous biopsies exists under sonography, under mammography, under MRI or under CT. This review will detail the different techniques for helping diagnosis or therapeutic management.


Assuntos
Neoplasias da Mama/patologia , Mama/patologia , Biópsia Guiada por Imagem/métodos , Mama/diagnóstico por imagem , Neoplasias da Mama/diagnóstico por imagem , Feminino , Marcadores Fiduciais , Humanos , Imagem por Ressonância Magnética Intervencionista/métodos , Mamografia/métodos , Cuidados Pré-Operatórios , Radiologia Intervencionista/métodos , Ultrassonografia de Intervenção
6.
Presse Med ; 48(10): 1156-1168, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31672452

RESUMO

Interventional radiology (IR) has considerably grown since the 90s and has currently a central position in the management of patients suffering from cancer. The aim of this paper is to describe the principle, indications, technique and results of three common hepatic oncologic IR procedures: preoperative portal vein embolization, transarterial chemoembolization and radioembolization. Portal vein embolization is performed before a right hepatectomy in order to increase the left liver volume and functional capacity to ensure adequate liver function of the future remnant liver and to prevent the post-hepatectomy liver failure. It is a proven, well-tolerated and effective technique, allowing most of patients to undergo surgery. Transarterial chemoembolization consists of an injection of a chemotherapeutic agent and an embolic agent into the hepatic artery to locally act on liver tumors. It is the standard of care for BCLC stage B hepatocellular carcinoma and is also recommended for the liver metastases treatment, mainly from neuroendocrine tumors. Radioembolization is an IR procedure on the rise that consists of the injection into the hepatic artery of Yttrium 90 loaded microparticles, which will preferentially deliver high dose on the tumors, sparing the adjacent hepatic parenchyma. Radioembolization is recommended for the palliative treatment of HCC and for colorectal cancer liver metastases resistant to treatment. It is a very well tolerated intervention which place has yet to be defined in the management of neuroendocrine tumors liver metastases and unresectable cholangiocarcinoma. IR is a constantly evolving discipline with proven techniques playing a major role in the oncological management of liver tumor patients. In oncology, IR is now the 4th patient management linchpin alongside oncology, surgery and radiotherapy.


Assuntos
Carcinoma Hepatocelular/terapia , Embolização Terapêutica/métodos , Neoplasias Hepáticas/terapia , Radiologia Intervencionista , Carcinoma Hepatocelular/diagnóstico por imagem , Quimioembolização Terapêutica , Hepatectomia , Artéria Hepática , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Sistema Porta , Radioisótopos de Ítrio/uso terapêutico
8.
Eur J Radiol ; 120: 108691, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31589996

RESUMO

PURPOSE: To determine radiological or clinical criteria guiding treatment decisions in active lower gastrointestinal bleeding (LGIB). MATERIALS AND METHODS: We consecutively and retrospectively included all patients admitted to our emergency department for acute LGIB proven by CT angiography (CTA) from 2004 to 2017. Patients were divided into two groups depending on whether they first underwent interventional radiological (IR) or surgical treatment. Two radiologists reviewed CTA and angiographic images. Patients' hemodynamic and clinical parameters, delay between imaging and treatment, procedure characteristics, and outcomes were investigated to detect differences between the two groups. RESULTS: Initial management consisted of IR in 62 cases (70.5%) and surgery in 26 (29.5%). IR cases were older than surgical cases (74.3 vs 64.3y, p = 0.014). Baseline hemodynamic parameters were similar between the two groups. For colonic bleeding sources, the delay between CTA and IR was shorter than between CTA and surgery (p = 0.027), while there was a trend towards a shorter delay for all LGIB taken together (p = 0.061). In cases with hematochezia or melena, IR was more frequently performed than surgery (p = 0.001). Surgical cases showed higher base excesses (p = 0.039) and lactate levels (p = 0.042) after treatment compared with IR cases. Length of hospital stay was similar between the two groups (p = 0.728). During angiography, 41 (66%) cases were embolized. Complications occurred in three cases after IR (7%) and in five after surgery (19%). CONCLUSION: Initial management of active LGIB revealed by CTA (i.e. IR versus surgery), may depend on age and clinical signs, rather than hemodynamic parameters.


Assuntos
Angiografia por Tomografia Computadorizada/métodos , Embolização Terapêutica/métodos , Hemorragia Gastrointestinal/diagnóstico por imagem , Hemorragia Gastrointestinal/terapia , Doença Aguda , Idoso , Feminino , Hemorragia Gastrointestinal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Radiologia Intervencionista/métodos , Estudos Retrospectivos , Resultado do Tratamento
9.
Medicine (Baltimore) ; 98(39): e17373, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574886

RESUMO

Ionizing radiation can induce deoxyribonucleic acid (DNA) methylation pattern change, and ionizing radiation-induced oxidative damage may also affect DNA methylation status. However, the influence of low-dose ionizing radiation, such as occupational radiation exposure, on DNA methylation is still controversial.By investigating the relationship between occupational radiation exposure and DNA methylation changes, we evaluated whether radiation-induced oxidative damage was related to DNA methylation alterations and then determined the relationship among occupational radiation level, DNA methylation status, and oxidative damage in interventional physicians.The study population included 117 interventional physicians and 117 controls. We measured global methylation levels of peripheral blood leukocyte DNA and expression level of DNA methyltransferase (Dnmts) and homocysteine (Hcy) in serum to assess the DNA methylation status of the body. We measured 8-hydroxy-2'-deoxyguanosine (8-OHDG) and 4-hydroxynonenal (4-HNE) levels as indices of oxidative damage. Relevance analysis between multiple indices can reflect the relationship among occupational radiation exposure, DNA methylation changes, and oxidative damage in interventional physicians.The expression levels of Dnmts, 4-HNE, and 8-OHDG in interventional physicians were higher than those in controls, while there was no statistical difference in total DNA methylation rate and expression of Hcy between interventional physicians and controls. Total cumulative personal dose equivalent in interventional physicians was positively correlated with the expression levels of Dnmts, 8-OHDG, and 4-HNE. The expression levels of 8-OHDG in interventional physicians were negatively correlated with global DNA methylation levels and positively correlated with the expression levels of Hcy.Occupational radiation exposure of interventional physicians has a certain effect on the expression of related enzymes in the process of DNA methylation, while ionizing radiation-induced oxidative damage also has a certain effect on DNA methylation. However, there was no evidence that dose burden of occupational exposure was associated to changes of DNA methylation status of interventional physicians, since it is rather unclear which differences are observed among the effects produced by radiation exposure and oxidative damage.


Assuntos
Dano ao DNA/efeitos da radiação , Metilação de DNA/efeitos da radiação , Exposição Ocupacional/análise , Estresse Oxidativo/efeitos da radiação , Exposição à Radiação/análise , Radiologia Intervencionista/estatística & dados numéricos , Adulto , Aldeídos/sangue , Desoxiguanosina/análogos & derivados , Desoxiguanosina/sangue , Feminino , Homocisteína/sangue , Humanos , Leucócitos/metabolismo , Masculino , Metiltransferases/sangue , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Médicos/estatística & dados numéricos , Exposição à Radiação/efeitos adversos
11.
R I Med J (2013) ; 102(6): 19-23, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31398963

RESUMO

RATIONALE AND OBJECTIVES: In the transition to the integrated interventional radiology residency model, residency websites are important resources of program information for prospective applicants. The objective of this investigation was to evaluate the availability and comprehensiveness of integrated interventional radiology residency websites. MATERIALS AND METHODS: A complete list of programs participating in the 2018 integrated interventional radiology match was collected using the online Fellowship and Residency Electronic Interactive Database and Electronic Residency Application Service. Residency program websites were evaluated for the presence of 19 variables related to resident education and recruitment, and the percent comprehensiveness of each website was calculated based on the number of variables present. The effect of program size and geographic region on website availability and comprehensiveness was assessed. RESULTS: Of the 69 programs participating in the 2018 match, 18 (26%) programs did not have any locatable website. Of the 51 programs with websites, 30 (59%) had stand-alone interventional radiology websites distinct from the associated diagnostic radiology website. Large programs were more likely to have a residency website than small programs (91% versus 54%, p=0.001). Across all categories, the mean website comprehensiveness was 33%. Mean website comprehensiveness of programs in the Midwest (43%) and Northeast (37%) was significantly greater than mean website comprehensiveness of programs in the West (19%) (p=0.005). CONCLUSION: Overall, 1 in 4 integrated interventional radiology residency programs did not have locatable websites. Many integrated interventional radiology residency websites lack important content variables. Efforts should be made to improve the residency websites and digital training resources for prospective interventional radiology applicants and to help showcase programs in the best light.


Assuntos
Educação de Pós-Graduação em Medicina , Internet , Internato e Residência , Radiologia Intervencionista/educação , Escolha da Profissão , Humanos
12.
AJR Am J Roentgenol ; 213(4): 785-791, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31414883

RESUMO

OBJECTIVE. This article introduces key concepts of inequity as they apply to interventional radiology, from both the patient and the physician perspectives, to ultimately improve the health care of all patients. CONCLUSION. By directing society's efforts toward addressing health care disparities, our specialty may begin to establish trust and partnerships with populations that are disproportionately affected and those that have been historically exploited and disenfranchised by medicine in the name of innovation. Although we may look to close the equity gap by understanding health care disparities as they pertain to our patient populations, a closer examination of barriers of entry into medicine for underrepresented minorities reveals numerous disparities across race, sexual orientation, and socioeconomic status.


Assuntos
Disparidades em Assistência à Saúde , Radiologia Intervencionista , Grupos de Populações Continentais , Feminino , Acesso aos Serviços de Saúde , Humanos , Masculino , Grupos Minoritários , Defesa do Paciente , Preconceito , Radiologia Intervencionista/educação
13.
Chin Clin Oncol ; 8(4): 40, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31431037

RESUMO

Gallbladder carcinoma is a rare, aggressive biliary tract malignancy, with a 5-year survival of less than 5%. It is the 6th most common gastrointestinal malignancy in the United States and more commonly found in women. While some risk factors include gallstones, porcelain gallbladder, and smoking, gallbladder carcinoma is often found incidentally following cholecystectomy or percutaneous image guided biopsy. Patients frequently present in a late disease state when they are no longer surgical candidates and minimally invasive image guided-interventions therefore play a critical role in the management and treatment of these patients. This review will discuss some of the key procedures and roles interventional radiologists play in the diagnosis and management of patients suffering from gallbladder carcinoma including tissue sampling, placement of intra-arterial infusion pumps, preoperative portal vein embolization (PVE), biliary drainage, management of post-operative complications such as bile leaks or biliary obstruction, and management of chronic pain.


Assuntos
Neoplasias da Vesícula Biliar/radioterapia , Radiologia Intervencionista/métodos , Feminino , Humanos , Masculino
15.
Stud Health Technol Inform ; 264: 74-78, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31437888

RESUMO

Personalized medicine implies reducing invasiveness of therapeutic procedures. Although interventional radiology proved a very interesting alternative to surgical procedures, it still raises concerns due to the irradiation dose received by the medical team (and by the patient). We propose a novel concept allowing to reduce very significantly the irradiation dose during the phases where tools inserted in the patient have to be tracked with respect to previously acquired images. This implies inserting a miniaturized X-ray detector in the tip of the tools, and reducing the dose by a "rotating collimator". We demonstrate that real-time processing of the signals allows accurate localization of the tip of the tools, with a dose reduction of at least ten times.


Assuntos
Cateterismo , Radiologia Intervencionista , Interface Usuário-Computador , Fluoroscopia , Humanos , Doses de Radiação , Radiologia Intervencionista/instrumentação
16.
Jpn J Radiol ; 37(10): 727-734, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31367890

RESUMO

PURPOSE: To analyze the factors affecting the tracking accuracy of the CyberKnife Synchrony Respiratory Tracking System (SRTS). MATERIALS AND METHODS: A dynamic motion phantom (motion phantom) reproduced the respiratory motions of each patient treated with the SRTS using a ball as the target. CyberKnife tracked the ball using the SRTS, and this process was recorded by a video camera mounted on the linear accelerator head. The tracking error was evaluated from the images captured by the video camera. Multiple regression analysis was used to identify factors affecting tracking accuracy from 91 cases. RESULTS: The median tracking error was 1.9 mm (range 0.9-5.3 mm). Four factors affected the tracking accuracy: the average absolute amplitude of the tumor motion in the cranio-caudal (CC) direction (p = 0.007), average position gap due to the phase shift between the internal tumor and external marker positions in the CC direction (p < 0.001), and average velocity of the tumor in the CC (p < 0.001) and anterior-posterior directions (p = 0.033). CONCLUSION: We identified factors that affected tracking accuracy. This information may assist the identification of suitable margins that should be added to each patient's clinical target volume.


Assuntos
Neoplasias Pulmonares/cirurgia , Radiologia Intervencionista/métodos , Radiocirurgia/métodos , Respiração , Procedimentos Cirúrgicos Robóticos/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pulmão/diagnóstico por imagem , Pulmão/cirurgia , Neoplasias Pulmonares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Movimento (Física) , Imagens de Fantasmas , Reprodutibilidade dos Testes
18.
Radiol Med ; 124(12): 1253-1261, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31428958

RESUMO

PURPOSE: We aimed to determine the safety, feasibility and efficacy of interventional radiology method for the management of esophagogastric anastomotic leakage. METHODS: We retrospectively assessed the medical records of 23 consecutive patients with esophagogastric anastomotic leakage treated using intervention protocol. Patients received three-tube method (abscess drainage tube, gastrointestinal decompression tube and jejunal feeding tube) with or without temporary covered esophageal stent placement. Abscess drainage, anti-inflammatory treatment and nutritional support were performed thereafter. The esophageal stents and three tubes were removed after leakage healing. RESULTS: All patient received three-tube method and eight patients received covered stent placement. All operations were technically successful. After a median of 2.4 months, the stents were successfully removed from five patients. No death, esophageal rupture or massive hemorrhage occurred during procedures. The abscess cavity had markedly decreased in seven patients or disappeared in 16 cases. During follow-up, four patients died of cancer recurrence, one died of heart dysfunction and one died of pulmonary infection. The 1-, 3-, 5-year survival rates were 86.4%, 52.3% and 52.3%, respectively. CONCLUSION: Interventional radiology protocol is safe, feasible and efficacious for treatment for esophagogastric anastomotic leakage.


Assuntos
Fístula Anastomótica/diagnóstico por imagem , Fístula Anastomótica/terapia , Radiologia Intervencionista/métodos , Abscesso/terapia , Idoso , Anastomose Cirúrgica , Descompressão Cirúrgica/instrumentação , Remoção de Dispositivo , Drenagem/instrumentação , Nutrição Enteral/instrumentação , Fístula Esofágica/diagnóstico por imagem , Fístula Esofágica/terapia , Esofagectomia/efeitos adversos , Esôfago/cirurgia , Estudos de Viabilidade , Feminino , Fístula/diagnóstico por imagem , Fístula/terapia , Humanos , Masculino , Doenças do Mediastino/diagnóstico por imagem , Doenças do Mediastino/terapia , Pessoa de Meia-Idade , Estudos Retrospectivos , Stents , Estômago/cirurgia , Taxa de Sobrevida
19.
AJR Am J Roentgenol ; 213(4): 867-874, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31268735

RESUMO

OBJECTIVE. Given recent specialty attention to workforce diversity, we aimed to characterize potential gender differences in the practice patterns of interventional radiologists (IRs). MATERIALS AND METHODS. Using Medicare claims data, we identified IRs on the basis of the distribution of their billed clinical work effort and descriptively characterized practice patterns by gender. RESULTS. Women represented 8.2% (241/2936) of all IRs identified nationally. Female representation varied geographically (≤ 2% in nine states, ≥ 20% in three states) and by career stage (9.4% among early-career IRs and 6.4% among late-career IRs; 18.8% among early-career IRs in the Northeast). For both female IRs and male IRs, interventional case mixes were similar across service categories (e.g., venous and hemodialysis access, arterial and venous interventions, biopsies and drainages) and by procedural complexity (e.g., 5.7% vs 4.3% for low-complexity procedures and 59.5% vs 61.3% for high-complexity procedures). Average patient complexity scores were also similar for female (2.7 ± 12 [SD]) and male (2.8 ± 12) IRs. Female IRs spent slightly lower portions of their work effort rendering invasive services (66.5% vs 70.0%, respectively) and noninvasive diagnostic imaging (19.0% vs 22.2%) than male IRs but spent more time in evaluation and management clinical visits (14.5% vs 7.9%). Both female IRs and male IRs rendered a majority of their services to female patients (53.4% vs 53.1%). CONCLUSION. Although women remain underrepresented in interventional radiology, female IRs' interventional case composition, procedural complexity, and patient complexity are similar to those of their male colleagues. Female IRs' higher proportion of evaluation and management clinical visits supports the specialty's increased focus on longitudinal care so that interventional radiology will thrive alongside other clinical specialties.


Assuntos
Padrões de Prática Médica/estatística & dados numéricos , Radiologistas/estatística & dados numéricos , Radiologia Intervencionista/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Medicare , Estados Unidos
20.
Diagn Interv Radiol ; 25(5): 375-379, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31358487

RESUMO

PURPOSE: We aimed to assess the awareness of interventional radiology (IR) among medical students, and to evaluate an IR curriculum in China. METHODS: Between the academic years of 2008 and 2016, 517 third-year medical undergraduates, who successfully applied for an IR curriculum, received a survey related to IR before taking the course. Final exams were conducted after the IR course. RESULTS: A total of 355 of the 517 medical students (68.67%) answered the survey; 81.97% of the respondents had heard of IR, 40.28% believed they understood what IR is, but no one was familiar with IR. The four most common pathways for medical students to acquire IR knowledge were via new media (e.g., internet, apps) (42.82%), a teacher/textbook (36.90%), a friend (32.68%), and traditional media (26.48%). The most familiar interventional procedures to respondents were percutaneous transluminal coronary angioplasty (PTCA, 78.59%) and transcatheter arterial chemoembolization (TACE, 44.51%). The results of the survey also indicated that 68.45% of the respondents wanted to learn about IR, but that only 47 male students (13.24%) considered a career in IR. The pass rate of the IR course final exam was 87.04%, i.e., 87.04% of the students successfully completed the course and final exam. CONCLUSION: The IR knowledge of medical students in China is worse than that of European medical students. We suggest that providing medical students with general information about IR in the media, as well as via teaching and textbooks in medical school, requires prompt and significant attention. An IR curriculum is beneficial for increasing the IR knowledge of undergraduates.


Assuntos
Conscientização , Competência Clínica/estatística & dados numéricos , Currículo , Radiologia Intervencionista/educação , Estudantes de Medicina/estatística & dados numéricos , China , Feminino , Humanos , Masculino , Estudantes de Medicina/psicologia
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