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Image-guided therapy and minimally invasive surgery in children: a merging future

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Abstract

Minimally invasive image-guided therapy for children, also known as pediatric interventional radiology (PIR), is a new and exciting field of medicine. Two key elements that helped the rapid evolution and dissemination of this specialty were the creation of devices appropriate for the pediatric population and the development of more cost-effective and minimally invasive techniques. Despite its clear advantages to children, many questions are raised regarding who should be performing these procedures. Unfortunately, this is a gray zone with no clear answer. Surgeons fear that interventional radiologists will take over additional aspects of the surgical/procedural spectrum. Interventional radiologists, on the other hand, struggle to avoid becoming highly specialized technicians rather than physicians who are responsible for complete care of their patients. In this article, we briefly discuss some of the current aspects of minimally invasive image-guided therapy in children and innovations that are expected to be incorporated into clinical practice in the near future. Then, we approach the current interspecialty battles over the control of this field and suggest some solutions to these issues. Finally, we propose the development of a generation of physicians with both surgical and imaging skills.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Centre for Image Guided Therapy, Hospital for Sick Children, 555 University Ave., Toronto, Ontario, Canada, M5G 1X8

    Eran Shlomovitz, Joao G. Amaral & Peter G. Chait

Authors
  1. Eran Shlomovitz
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  2. Joao G. Amaral
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  3. Peter G. Chait
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Corresponding author

Correspondence to Peter G. Chait.

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“If my fellow angiographers prove unwilling or unable to accept or secure for their patients the clinical responsibilities attendant on translational angioplasty, they will become high-priced plumbers facing forfeiture of territorial rights based solely on imaging equipment others can obtain and a skill still others can learn.”

Charles Dotter, 1968

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Shlomovitz, E., Amaral, J.G. & Chait, P.G. Image-guided therapy and minimally invasive surgery in children: a merging future. Pediatr Radiol 36, 398–404 (2006). https://doi.org/10.1007/s00247-006-0112-7

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  • DOI: https://doi.org/10.1007/s00247-006-0112-7

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