Is It better to collaborate??

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drjaymehta

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With the constant increase in the number of other specialities trying to eat away the radiologists work??

Is it better to collaborate with them??

OR

Is it better to do some other speciality and then do a Radiology Fellowship??

Eg:- For Neuroradiology or cardioradiology, Is it better to become a cardiologist or a neurologist first and then do an imaging fellowship?
 
With the constant increase in the number of other specialities trying to eat away the radiologists work??

Is it better to collaborate with them??

Who said there's an increase? This has always been the case, but in the end it's the radiologist who does the reading. And the radiologist will become even more relevant in the future with newer technologies on the rise, making the field more complicated and demanding.

OR

Is it better to do some other speciality and then do a Radiology Fellowship??

Eg:- For Neuroradiology or cardioradiology, Is it better to become a cardiologist or a neurologist first and then do an imaging fellowship?

You can't do a neuroradiology fellowship after neurology. You can do some "neuroimaging" fellowship at few institutions, but this is more research, it's not like you'll be a certified neuroradiologist. You could potentially do neurointerventional after neurology and a neurocritical care fellowship. But only few programs in the country will accept neurologists. This is still a field of neurosurgeons and radiologists.

As for cardiology, you can definitely do interventional cardiology.. but that's another ball game.
 
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Some cardiologists do another fellowship (cardiology being the first) in echocardiography. Many cardiology fellowships are now offering certifications in cardiac imaging as well. I'm not aware of any other specialties formalizing their imaging education (apart from radiology, of course).
 
ok..

Which all are those new technological innovations which will stay purely with the radiologists...

One thing I know of is Virtual Imaging...!!

As far the cardiology fellows I know, those programs do not offer them fellowships to read cardiac MRI or Cardiac CT..Most of that is done with the radiologists or at places in collaborations with the cardiologists...
 
You can't do a neuroradiology fellowship after neurology.

Neurology is simply not conceding this field:

With the development and accreditation of new fellowships by the neurology boards/societies (i.e. "neuroimaging"), the neurologists are paving the way to both diagnostic and interventional neurology.
 
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but as you learn that is just used for the research purposes..

Also, I dont really think a person who has done all 4 years of a neurology training, would then like to go ahead and just read the brain images..
 
which all are the procedures which are done by Interventional cardiologists apart from coronaries??

Does an Interventional radiologist face heavy competition in other vascular stuff??
 
Cardiologist like to scan the rest of the body on angiograms and "happen" to find other stenoses. And then proceed to stent them, "since the patient is already prepped" etc. Like renals and carotids, and occasionally even peripheral stuff.

Some nephrologists and even urologists are getting into the stenting business for renal arteries. And vascular surgeons will stent pretty much anything.

But though stent placement might have once been the bread and butter for interventional radiology, you can bet that other procedures are and will be stepping up to take their place. Flouro guided biopsies, drainage, and ablations are common. Vertebroplasty is often done by IR. And there is a lot of cool stuff being done with targeted tumor chemo or radio ablation and targeted gene therapy delivery.

I think perhaps the most exciting development will be MR guided procedures replacing or expanding the current flouro procedures. With titanium, aluminum, or ceramic instruments there shouldn't be any problem, and the MR technology is certainly in the works to make this a routine reality in the future. If you can see soft tissue differentiation to guide your instruments in a procedure... just imagine. And you can bet that radiologists will be the first to do these, and probably keep it to themselves at least for quite a few years. Being that MR falls under "advanced imaging" and radiologitsts have been pretty successful in keeping advanced imaging to themselves, at least in interpretation, they stand at least a reasonable chance at hanging on to this one indefinitely.
 
Are you sure that the advanced Imaging is still owned by the radiologists only..

I have heard that there are some cardiologists who have devoted their lives to cardiac MRI..

Also, IR is being directed more and more towards the treatment of cancers, arent they losing the hold over the vascular procedures doing that then..
I agree, they do keep the cream with them and give away the simple procedures to the other fields..

Are there no restrictions on the other fields from doing the imaging and other procedures..
 
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