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Interventional radiology (IR) is a medical specialty that performs minimally invasive treatments using radiologic imaging for procedure guidance. Interventional radiology treatments have become the primary method of care for a variety of conditions, offering less risk, less pain and less recovery time, compared to open surgery.

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One of the most important diagnostic aids available to physicians is the battery of imaging technologies available in the radiology lab of their hospital or clinic. Using technologies ranging from X-rays to ultrasound, these machines provide an irreplaceable look inside living human bodies. The technical staff who operate the equipment, variously known as radiology technicians or radiologic technologists, must combine superior technical skills with an ability to put patients at their ease.

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The Process

Radiologists are well trained in human anatomy, as well as in the operation of their equipment. When a physician orders a given test, the technologist must have a precise understanding of the area to be imaged. Once the patient arrives, the technologist will typically explain the test procedure, and provide any specific instructions that might be necessary. CT scans, MRIs and many types of X-ray require the patient to lie on a bed during the imaging process. The technologist must orient the patient on the bed to create the best perspective possible for the diagnostic image. Sometimes this only requires guidance, but unconscious or mobility-impaired patients must be physically moved into position.

Precautions

Radiologic testing uses a variety of technologies, often involving ionizing radiation or strong magnetic fields. The technologist must be aware of any potential hazards and take suitable precautions for self-protection and protection of the patient. Radiologists often wear protective suits or vests during testing procedures, and patients must sometimes be fitted with protective masks or clothing to protect delicate tissues from the radiation. Technologists must be aware of personal items, such as watches, and medical equipment, such as pacemakers, that can be affected by the testing process. They must also be able to work with patients who are intubated or catheterized.

Conducting Tests

Once the patient is properly oriented and all necessary precautions have been taken, the tech is responsible for delivering a usable, high-quality diagnostic image to the physician. At times, it may be necessary to make adjustments and create additional images in order to get the desired result. This could include changing the patient's position, or adjusting the angle of the X-rays.

Income and Outlook

Radiologic technologists enjoy rewarding, responsible and well-compensated careers. The Bureau of Labor Statistics reports their average income as $56,760 per year, but this can vary widely depending on the tech's area of specialization. For example, the American Society of Radiologic Technologists reports an average income of $53,953 for radiographers, or X-ray technicians, while mammographers averaged $60,263 per year. CT technologists reported an average income of $60,586 per year, MRI techs averaged $65,099 per year. The BLS projects strong employment prospects for these professions, with demand for radiologic technologists rising by 28 percent between 2010 and 2020.

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About the Author

Fred Decker is a trained chef and certified food-safety trainer. Decker wrote for the Saint John, New Brunswick Telegraph-Journal, and has been published in Canada's Hospitality and Foodservice magazine. He's held positions selling computers, insurance and mutual funds, and was educated at Memorial University of Newfoundland and the Northern Alberta Institute of Technology.

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Interventional Radiologist

Interventional radiology (IR) is a medical specialty that performs minimally invasive treatments using radiologic imaging for procedure guidance. Interventional radiology treatments have become the primary method of care for a variety of conditions, offering less risk, less pain and less recovery time, compared to open surgery.

Interventional radiologists are board-certified, fellowship trained physicians who specialize in minimally invasive, targeted treatments. Interventional radiologists must graduate from an accredited medical school, pass a licensing examination, and complete at least five years of graduate medical education (residency). In addition, interventional radiologists are fellowship trained for at least one year in performing minimally invasive procedures using imaging. This specialized training is certified by the American Board of Medical Specialties (ABMS) and takes place in accredited training programs. Interventional radiologists are certified by the American Board of Radiology (ABR) in both Diagnostic Radiology and Vascular and Interventional Radiology. Interventional radiologists have had extensive training and must show expertise in radiation safety, radiation physics, the biological effects of radiation and injury prevention. They must offer the most comprehensive knowledge of the least invasive treatments available coupled with diagnostic and clinical experience.

Interventional radiologists use x-rays, CT, MRI or other imaging guidance to navigate small instruments, like catheters and needles, through blood vessels and organs to treat a variety of diseases. Examples of treatments administered by interventional radiologists include angioplasty, stenting, thrombolysis, embolization, radiofrequency ablation, and biopsies. These minimally invasive treatments can cure or alleviate symptoms of vascular disease, stroke, uterine fibroids, or cancer. They are also experts at reading x-rays, ultrasounds, CTs, MRIs, and other forms of medical imaging.

Further information about a career as an interventional radiologist can be found on the Society of Interventional Radiology website (www.sirweb.org).