Semin intervent Radiol 2005; 22(1): 10-14
DOI: 10.1055/s-2005-869571
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Clinical Interventional Radiology: Parallels with the Evolution of General Surgery

Gregory M. Soares1 , Timothy P. Murphy1
  • 1Brown Medical School, Rhode Island Hospital, Providence, Rhode Island
Further Information

Publication History

Publication Date:
12 May 2005 (online)

ABSTRACT

Parallels between the evolution of surgery into an accepted clinical specialty and changes in the practice of interventional radiology (IR) have been drawn. Technical advances have mandated a change in the role of interventional radiologists from diagnostic radiologist to that of the treating physician. The development of “modern” IR is an accelerated repetition of the evolution of “modern” clinical surgery. The resistance or delay of some to accept IR as a clinical specialty is a duplication of the resistance to accept surgery as a clinical specialty by medicine in general. It is clearly time to understand that the benefits the interventional radiologist brings to the patient far exceed his ability to synthesize imaging data with catheter skills. Those of us who have accepted this can take some comfort in the fact that we now tread a path already proven in its destination.

REFERENCES

  • 1 Ring E J, Kerlan Jr R K. Clinical responsibility in interventional radiology.  Radiology. 1983;  147 285
  • 2 Rosch J, Keller F S, Kaufman J A. The birth, early years and future of interventional radiology.  J Vasc Interv Radiol. 2003;  14 841-853
  • 3 Wangensteen O W. Has medical history importance for surgeons?.  Surg Gynecol Obstet. 1975;  140 434-442
  • 4 Richter J. The barber-surgeons.  Surgery. 1951;  30 1049-1061
  • 5 Russell K F. Anatomy and the barber-surgeons.  Med J Aust. 1973;  1 1109-1115
  • 6 Robinson J O. The barber-surgeons of London.  Arch Surg. 1984;  119 1171-1175
  • 7 Connor J T. Beyond the ivory tower: the Victorian revolution in surgery.  Science. 2004;  304 54-55
  • 8 Hamilton D. The nineteenth-century surgical revolution: antisepsis or better nutrition?.  Bull Hist Med. 1982;  56 30-40
  • 9 Wheeler E S. The development of antiseptic surgery.  Am J Surg. 1974;  127 573-579
  • 10 Churchill E D. Medicine as a science. Surgery.  N Engl J Med. 1951;  244 799-805
  • 11 Levin D C, Abrams H L, Castaneda-Zuniga W R et al.. Lessons from history: why radiologists lost coronary angiography and what can be done to prevent future similar losses.  Invest Radiol. 1994;  29 480-484
  • 12 Murphy T P. Interventional radiology: a call to arms.  J Vasc Interv Radiol. 1999;  10 377-378
  • 13 Walker R M. The barber surgeons of Bristol.  Bristol Med Chir J. 1975;  90 51-56
  • 14 Maeterlinck M. The Measure of the Hours. In: de Mattos AT, trans New York; Dodd, Mead 1907: 97
  • 15 White Jr R I. Interventional radiology: reflections and expectations. The 1985 Eugene P. Pendergrass new horizons lecture.  Radiology. 1987;  162 593-600 , Review

Timothy P MurphyM.D. F.S.I.R. F.A.H.A. F.S.V.M.B. 

Associate Professor of Diagnostic Imaging, Brown Medical School

Rhode Island Hospital, 593 Eddy Street

Providence, RI 02903

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