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Home Radiology What Is Interventional Radiology? Procedures, Benefits & Risks
6Nov

What Is Interventional Radiology? Procedures, Benefits & Risks

by Dr. Imtiaz Ahmad et al

If you’ve ever wondered what is interventional radiology, here’s a simple explanation. Interventional radiology is a medical speciality that uses imaging tools, like X-rays, CT scans, ultrasounds, and MRIs, to help doctors see inside the body and treat problems without open surgery. Instead of making large cuts, doctors use tiny instruments such as needles, tubes, or wires to reach the problem area. This means quicker recovery, less pain, and smaller scars for patients.

What Interventional radiology actually does

To understand what does interventional radiology do, think of it as a way to treat diseases with the help of medical imaging. For example, an interventional radiologist can open blocked arteries, stop internal bleeding, take tissue samples (biopsies), drain fluid, or deliver medicine directly to a tumor. In short, they treat many conditions from inside the body using only small openings in the skin.

Who performs these procedures?

Vascular and interventional radiologists are highly trained doctors who use imaging to both diagnose and treat medical problems. They complete special training after medical school to learn how to perform safe and precise image-guided treatments. These specialists combine the skills of a surgeon and a radiologist to help patients get better faster.

Interventional radiologist vs radiologist: key differences

When comparing interventional radiologist vs radiologist, the main difference is in what they do day-to-day. A diagnostic radiologist mostly looks at scans like X-rays and MRIs to find out what’s wrong. An interventional radiologist, however, also performs treatments using those scans as guides. So, while both interpret images, interventional radiologists take an extra step by using those images to perform procedures that fix the problem.

Common types of Interventional radiology procedures

The types of interventional radiology procedures are wide-ranging. Here are some common examples:

  • Angioplasty and stenting – opening blocked or narrowed blood vessels.
  • Embolization – blocking blood flow to stop bleeding or shrink tumors.
  • Ablation – using heat, cold, or chemicals to destroy tumors.
  • Biopsies – using a needle to remove a small piece of tissue for testing.
  • Drainage – removing fluid or pus from infected or swollen areas.
  • Vascular access – placing tubes for dialysis, chemotherapy, or long-term treatments.

All these procedures are done using real-time imaging, which helps doctors see exactly where they are working. This reduces the need for large cuts and leads to faster healing.

Diagnostic vs interventional radiology: how they work together

To understand diagnostic vs interventional radiology, think of them as two sides of the same coin. Diagnostic radiology helps doctors find out what’s wrong by taking and reading medical images. Interventional radiology, on the other hand, uses those images to treat the problem. Both specialties work closely together so patients can get accurate diagnoses and effective, less invasive treatments.

Benefits of interventional radiology

This procedure offers many advantages, such as:

  • Smaller incisions and less pain – tiny tools mean less trauma to the body.
  • Shorter hospital stays – many treatments are done in a single day.
  • Lower risk of infection and complications – smaller wounds heal faster.
  • Targeted treatments – doctors can deliver medicine or therapy right where it’s needed.
  • Faster recovery – most patients return to normal activities sooner than after open surgery. 

Risks and limitations

Even though interventional radiology is less invasive, it still has some risks. These can include minor bleeding, infection, or damage to nearby organs. There’s also a small chance of an allergic reaction to the contrast dye used during imaging. Radiation exposure is another consideration, though doctors use the lowest possible dose. Before the procedure, your doctor will explain all potential risks and make sure you understand the benefits and any possible side effects.

How to prepare for an IR procedure

Before your procedure, your medical team will tell you exactly what to do. You might need to stop eating for a few hours, avoid certain medicines, or arrange for someone to drive you home. The doctor will ask about any allergies, especially to contrast dye, and run basic blood tests to ensure your safety. Most importantly, you’ll be informed about what the procedure involves and what recovery will look like.

What to expect during and after the procedure

During the procedure, you’ll lie on a table while the doctor uses live imaging, like an X-ray or ultrasound, to guide the instruments. Usually, local anesthesia is used to numb the area, but sometimes mild sedation or general anesthesia is needed. Afterward, you’ll be observed for a short time and then given instructions for recovery at home. Most people go home the same day and recover quickly.

When to choose interventional radiology

You might consider this procedure if your doctor recommends a less invasive treatment instead of surgery. It’s especially helpful for patients who can’t undergo major surgery or want faster recovery. However, some conditions still need open surgery, so your doctor will help you decide the best option

Training and Accreditation

Vascular and interventional radiologists go through years of training, including medical school, residency, and fellowship programs. They earn certifications that prove they’re skilled in using imaging to treat patients safely and effectively. Their combination of technical ability and patient care makes them a vital part of modern medicine.

Future Directions

Interventional radiology continues to grow as technology improves. New imaging systems, robotic tools, and precise delivery methods are making procedures even safer and more effective. Researchers are also exploring ways to combine this method with advanced cancer treatments, such as targeted drugs and immunotherapy. The field is constantly evolving to give patients more treatment options with fewer risks.

FAQs

Q: What is interventional radiology and is it safe?

A: It’s a medical specialty that uses imaging to perform minimally invasive treatments. It’s generally very safe and carries fewer risks than open surgery.

Q: What does interventional radiology do for cancer?

A: It helps treat cancer by directly targeting tumors through treatments like ablation, chemoembolization, or radioembolization, minimizing damage to healthy tissue.

Q: How is an interventional radiologist different from a radiologist?

A: A common radiologist reads and interprets medical images, while this radiologist also performs treatments guided by those images.

Q: What are the main types of interventional radiology procedures?

A: Common types include angioplasty, embolization, ablation, biopsies, drainage, and vascular access placement.

Q: How are diagnostic vs interventional radiology different?

A: Diagnostic radiology focuses on finding the problem, while the other focuses on treating it. Both work hand-in-hand to improve patient care.

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Dr. Ahmad has been practicing in the health care industry for more than 20 years.
In 1995 he completed his fellowship at Northwestern University Chicago Illinois USA.

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