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How to become an Interventional Radiologist?

Posted by Callie Torres
December 07, 2024

Interventional radiology is a specialized field of medicine that focuses on performing minimally invasive procedures using advanced imaging techniques such as X-rays, CT scans, MRI, and ultrasound to guide instruments within the body. Becoming an interventional radiologist requires about 13-15 years of education and training after high school, which includes earning a bachelor’s degree, completing medical school, a 1-year internship, a 4-year residency in diagnostic radiology, and an additional 1-2 year fellowship in interventional radiology. These specialists provide targeted treatments for a variety of conditions, including cardiovascular diseases, cancers, and gastrointestinal disorders, often resulting in shorter recovery times, lower risks, and reduced pain compared to traditional surgical methods. Interventional radiologists play a critical role in both acute and chronic medical care settings, offering real-time diagnosis and treatment that significantly enhances patient outcomes. In this article, we will discuss what an interventional radiologist does, what the training path entails, how competitive the specialty is, salary, and more.

Quick Navigation Links + FAQs

  1. What is an Interventional Radiologist?
  2. What do Interventional Radiology specialists do? 
  3. Disadvantages of Interventional Radiology
  4. How to become an Interventional Radiologist doctor?
  5. How long is Interventional Radiology fellowship?
  6. Is Interventional Radiology hard to get into?
  7. How long does it take to become an Interventional Radiologist?
  8. Do Interventional Radiologists perform surgery?
  9. What is the difference between a Radiologist and an Interventional Radiologist?
  10. Why would you need an Interventional Radiologist?
  11. Can a Diagnostic Radiologist become an Interventional Radiologist?
  12. Interventional Radiologist's salary
  13. Do Interventional Radiologists make more money than Diagnostic Radiologists?
  14. Getting started in medicine
  15.  
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What is an Interventional Radiologist?

An interventional radiologist is a medical specialist who uses imaging techniques such as X-rays, CT scans, MRI, and ultrasound to diagnose and treat a variety of conditions less invasively. These physicians perform minimally invasive procedures guided by imaging, including angioplasty, stent placement, embolization to control bleeding, and targeted cancer treatments. By utilizing these advanced imaging methods, interventional radiologists can precisely navigate instruments within the body to treat diseases or conditions directly, often resulting in shorter recovery times, reduced risk, and less pain for patients compared to traditional surgical methods. Their expertise combines diagnostic radiology with surgical skills, making them essential in both acute and chronic medical care settings.

What do Interventional Radiologists do?

An interventional radiologist is a highly trained medical professional who performs minimally invasive procedures using advanced imaging techniques such as X-rays, CT scans, MRI, and ultrasound. These imaging modalities allow them to precisely guide instruments within the body to diagnose and treat a variety of conditions. For example, interventional radiologists might perform angioplasty to widen narrowed arteries, place stents to maintain vessel patency, or conduct embolization to control internal bleeding. Their ability to navigate tools precisely within the body enables treatments that often reduce pain, lower risk, and shorten recovery times compared to traditional surgical approaches.

In their daily practice, interventional radiologists work closely with other medical specialists to provide comprehensive care for patients with complex conditions. They often manage cases involving cardiovascular diseases, cancers, gastrointestinal disorders, and other chronic or acute health issues. By leveraging imaging technology, they perform targeted treatments such as delivering chemotherapy directly to a tumor, removing blockages in blood vessels, or draining abscesses. Their dual expertise in diagnostic radiology and surgical procedures makes them vital in acute care settings, allowing for real-time diagnosis and immediate intervention, thereby improving patient outcomes and enhancing the efficiency of medical care.

CT-scan-being-looked-at-by-interventional-radiologist

What are the disadvantages of Interventional Radiology?

Becoming an interventional radiologist involves several challenges, including an extended and rigorous training period beyond medical school (residency and fellowship), which can delay career entry and increase educational expenses. The role demands high levels of responsibility, precision, and quick decision-making, often in high-stakes situations, leading to significant stress. Additionally, the job is physically demanding, with long hours spent standing and a need for protective gear against radiation exposure, which can result in physical strain. Work-life balance may be impacted by irregular hours and on-call duties, and there is a constant need to stay updated with rapidly advancing technologies and procedures in the field. Despite these challenges, many find the specialty highly rewarding due to its direct patient care impact and dynamic, evolving nature.

How to become an Interventional Radiologist?

The education path to becoming an interventional radiologist involves extensive training and typically takes around 13-15 years after high school. It begins with earning a bachelor’s degree, followed by completing medical school to obtain an MD or DO degree, each of which takes 4 years. Afterward, the physician must complete a 1-year internship, commonly in internal medicine or surgery, followed by a 4-year residency in diagnostic radiology. Following this, the physician undertakes a 1-2 year fellowship in interventional radiology, where they gain specialized training in minimally invasive, image-guided procedures. Board certification in both diagnostic radiology and interventional radiology is usually required, necessitating passing these comprehensive exams.

How long is Interventional Radiology fellowship?

An interventional radiology fellowship typically lasts 1-2 years, depending on the program and the specific focus areas of training. This specialized fellowship follows the completion of a residency in diagnostic radiology and provides advanced training in minimally invasive, image-guided techniques and procedures. Some programs may offer an integrated interventional radiology program, which combines diagnostic and interventional radiology training over a span of 5-6 years.

IR-doctor-looking-at-brain-imaging

Is Interventional Radiology hard to get into?

Yes, becoming an interventional radiologist is very competitive. The field attracts many candidates due to its advanced technological methods, minimally invasive procedures, and significant impact on patient care. The competitive nature is reflected in the stringent requirements for high academic performance during medical school, strong performance on licensing exams, and a solid track record during a diagnostic radiology residency. Additionally, applicants must secure a fellowship position in interventional radiology, which further narrows the selection pool. Thus, aspiring interventional radiologists often need to demonstrate exceptional skills, dedication, and a strong commitment to the field to succeed in this competitive specialty.

How long does it take to become an Interventional Radiologist?

Becoming an interventional radiologist typically takes around 13-15 years after high school. This includes:

  • A bachelor’s degree (4 years)
  • Medical school (4 years)
  • An internship (1 year)
  • A diagnostic radiology residency (4 years)
  • An interventional radiology fellowship (1-2 years)

Do Interventional Radiologists perform surgery?

Interventional radiologists perform minimally invasive procedures that are often considered alternatives to traditional surgery. Using imaging guidance such as X-rays, CT scans, MRI, and ultrasound, they navigate instruments through small incisions or natural body orifices to diagnose and treat various conditions. These procedures can include placing stents, performing angioplasty, embolizing blood vessels to stop bleeding, delivering targeted cancer therapies, and more, all with the aim of reducing recovery times, risks, and pain compared to conventional surgical methods.

What is the difference between a Radiologist and an Interventional Radiologist?

Radiologists are medical doctors who specialize in diagnosing diseases and conditions using medical imaging techniques such as X-rays, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine. They play a critical role in the healthcare system by interpreting these images to identify abnormalities like tumors, fractures, infections, or other medical conditions. After completing medical school, radiologists undergo a four-year residency program in diagnostic radiology, and may pursue additional fellowship training to further specialize in particular imaging areas such as neuroradiology, pediatric radiology, or musculoskeletal imaging. Their primary responsibility is to provide accurate and detailed diagnostic information to other healthcare providers to guide appropriate treatment plans.

Interventional radiologists, on the other hand, are radiologists who have undergone additional specialized training to perform minimally invasive procedures using image guidance. This specialized training, typically consisting of one to two years of fellowship following a diagnostic radiology residency. This equips them to not only diagnose but also treat a variety of conditions through procedures like angioplasty, stent placement, embolization, thrombolysis, tumor ablation, and biopsies. Interventional radiologists use imaging techniques such as , CT, and ultrasound to guide their instruments precisely within the body, offering treatments that are often less risky and require shorter recovery times compared to traditional surgery. Their dual expertise in diagnostic imaging and therapeutic procedures makes them integral to modern medical care.

While both radiologists and interventional radiologists rely heavily on medical imaging, their roles diverge significantly in terms of their scope of practice. Radiologists mainly focus on diagnosing illnesses and conditions by interpreting medical images and providing crucial diagnostic insights. In contrast, interventional radiologists extend their practice beyond diagnosis to include performing minimally invasive procedures to treat various medical conditions. This additional capability allows interventional radiologists to offer therapeutic interventions that provide alternatives to conventional surgical approaches. Thus, while both specialties are rooted in imaging expertise, interventional radiologists possess a unique skill set that combines diagnostic proficiency with hands-on treatment, bridging the gap between imaging and interventional therapy.

CT-scan-of-head

Why would you need an Interventional Radiologist?

Someone might need to see an interventional radiologist for a variety of medical reasons, primarily when minimally invasive procedures are needed to diagnose or treat certain conditions. Interventional radiologists are specially trained to perform these procedures using imaging guidance such as fluoroscopy, CT scans, or ultrasound. Here are some common scenarios in which a patient might be referred to an interventional radiologist:

  • Vascular Conditions: Interventional radiologists can treat blood vessel-related issues such as arterial blockages, varicose veins, aneurysms, and deep vein thrombosis. Procedures like angioplasty and stent placement help restore proper blood flow.
  • Pain Management: Interventional radiologists can perform nerve blocks or vertebroplasty for patients suffering from chronic pain or spine fractures due to osteoporosis or cancer.
  • Kidney and Biliary Problems: They can place stents or drainage tubes to relieve obstructions in the urinary or biliary systems caused by conditions like kidney stones or bile duct cancers.
  • Non-Vascular Interventions: Procedures like biopsies to obtain tissue samples, drainage of abscesses or fluid collections, and insertion of feeding tubes are performed by interventional radiologists using imaging guidance for precision.
  • Women’s Health: They provide treatments for uterine fibroids through uterine artery embolization and manage pelvic congestion syndrome, which can cause chronic pelvic pain.
  • Emergency Interventions: In cases of trauma or internal bleeding, interventional radiologists can quickly address hemorrhages or injuries, often reducing the need for more invasive surgical procedures.
  • Cancer Treatment: They offer treatments for cancer patients, such as tumor ablation (destroying tumors with heat, cold, or chemicals) and embolization (cutting off the blood supply to a tumor) to shrink or eradicate tumors.

Overall an interventional radiologist’s expertise allows them to offer less invasive alternatives to traditional surgery, often resulting in shorter recovery times, less pain, and reduced risk for patients. This makes them a critical resource for addressing a wide range of medical conditions effectively and safely.

Can a Diagnostic Radiologist become an Interventional Radiologist?

Yes, a diagnostic radiologist can become an interventional radiologist. This typically involves completing additional specialized training in interventional radiology. After finishing a residency in diagnostic radiology, which typically lasts four years, the radiologist can then pursue a fellowship in interventional radiology, usually lasting 1-2 years. This fellowship provides the necessary advanced training in image-guided, minimally invasive procedures that define the interventional radiology specialty.

Interventional Radiologist's salary

Salary can be affected by a number of different variables including location, experience, job setting, and more. For interventional radiologists working in an academic hospital, their job salary may vary depending on their job title. Newer radiologists will be assistant professor, while more seasoned radiologists will be associate or full professor. The average salary of an interventional radiologist according to is $468,479 for assistant professors, $521,328 for associate professors and $543,120 for full professors. Salaries are usually higher in the private sector then in an academic setting.

Do Interventional Radiologists make more money than Diagnostic Radiologists?

The compensation for interventional radiologists compared to diagnostic radiologists can vary depending on various factors such as geographic location, years of experience, the type of practice or healthcare setting, and regional demand for specific specialties. However, in general, interventional radiologists tend to earn higher salaries than diagnostic radiologists.

This pay difference is often attributed to the additional training and specialized skills required for interventional procedures, which are typically more complex and time-consuming than diagnostic interpretations alone. Interventional radiologists perform a variety of minimally invasive treatments that can offer significant benefits to patients, which enhances their value to hospitals and clinics.

As with any medical specialty, actual salaries can fluctuate widely. It’s always a good idea for physicians to research salary surveys and benchmarks pertinent to their specific situation and market. Generally, data from sources such as the (MGMA) or other physician compensation surveys can provide a clearer picture of current earning trends in these fields.

Getting started in Medicine

Now that you know more about Interventional Radiology, you may want to take the first step in your medical career and get accepted into a great medical school like the University of Medicine and Health Sciences. If you would like to apply, please start here. To talk to an admissions specialist, please start here by booking a time with one of our admission specialists. For more information about Áù¾ÅÉ«Ìà Medical school and to get answers to FAQ's please check out our offshore Caribbean medical university FAQ page.

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Posted by Callie Torres

Callie Torres is a resident physician working at a top tier institute in the Midwest. She is a freelance health and medical writer as well as an author of many peer reviewed medical articles. She additionally serves as a Captain in the United States Air Force.

Topics: Feature Medical Practice

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