Nagpur University Winter 2011 Exam Results

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Can Radiological Intervention replace Vascular Surgery?

The blockage in Fallopian Tube causes infertility. Interventional Radiology (IR) plays an important role by clearing the blockage and woman can conceive. The rate of women cured with the help of Interventional Radiology is 40 per cent. Uterine fibroid tumors are almost always benign. These benign (non-cancerous) tumors are found in most cases, in the uterus of women in their 30s and 40s. This problem too is cured by IR. Now, Interventional Radiology is coming up and doctors say it is proving itself as an alternative to vascular surgeries. It does not need any wear and tear of the body. The Coronary Angiography is nothing but invented by Radiology. Problem of Neurology, Orthopaedic, kidney, stomach, cardiac name the part and IR has reached there, except eye and skin treatment. Diseases like cancer can be cured with the help of IR.

Dr Vimal Someshwar, Head and Chief Consultant of Vascular and Interventional Radiology Department, Kokilaben Dhirubhai Ambani Hospital and Research Institute, Mumbai, told that Interventional Radiology is a subspecialty of Radiology in which minimally invasive procedures are performed using image guidance. Some of these procedures are done for purely diagnostic purposes (e.g., angiogram), while others are done for treatment purposes (e.g., angioplasty). Dr Gireesh Warwadekar, Consultant Interventional Radiologist at Lilavati Hospital, Mumbai, as guest faculty, said, Practically IR entered in 1973 when Shah of Iran, who was in exile in America, had developed Gall Stone. It was removed through IR. IR is inventing procedures for other specialties since 1973. Its gamut has been increased from diagnosis to therapy. The unfortunate part is people are unaware about this branch. Hepatocellular Carcinoma (HCC) is on rise, one of the reason for it is Hepatitis B, C. Now, IR has the answer for it, the rate of cure is 70%, said Dr Someshwar. There is no separate course of IR. But now it is being incorporated in Maharashtra University of Health Sciences, Nasik, a certificate course has been started in Datta Meghe Institute of Medical Sciences University. Indian Society of Vascular and Interventional Radiology is imparting training to aspirants, pointed out Dr Someshwar. The cost of IR is too high because all the equipment are being imported. Either all equipment should be manufactured in India or their use should be increased to the extent that we could ask multi-national companies to bring down the prices, added Dr Warwadekar. Dr Someshwar said that in collaboration with Engineering sector, Catheter, Balloon and Stent are manufactured in India. We will get the result within five years, he claimed.

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