Radiology And Interventional Radiology

Radiology and Interventional Radiology

The department of Radiology provides comprehensive imaging services at ILBS and is one of its kind, in the country to be solely dedicated to the subspecialty of Abdominal Radiology. Department of Radiology employs 8-certified radiologists specialized in abdominal and hepato-biliary imaging. As a team department performs more than 100,000 imaging examinations annually at the hospital. Excellent-quality, radiation safe and cost effective care to patients through medical imaging has been the forte of the department for the past 16 years since its inception in 2009. Radiology was the first functional department of the ILBS out patient service, where the first ultrasound scans were performed even before the first in-patient admission.

The department is devoted to high-quality care with world class equipment and highly trained Radiographers as well as Radiologists. In addition, the department continues to play a key role in advancing imaging technologies including CT (computed tomography), MRI (magnetic resonance imaging), X-ray (radiography) and high-end Ultrasound.

The department integrates imaging with research for further advancement of technology and improved clinical benefits. Our motto includes handover of the torch of knowledge and experience gained in this field through teaching programs to other broad specialties of radiology, to maintain highest quality of care in clinical work and procedures.

Services Rendered by the department : From January 2023 to December 2023

New services & facilities added to the department in 2023

We plan to further our department's growth in the field of teaching and research programs as well as design a tele-radiology centre for outreach to remote areas providing them with sub specialized standard of care in the existing specialty.

Educational Activities

Workshop : Topic:- CROP (Carestream Health Radiographer orientation Program).

New services & facilities added to the department in 2023

We plan to further our department's growth in the field of teaching and research programs as well as design a tele-radiology centre for outreach to remote areas providing them with sub specialized standard of care in the existing specialty.

Educational Activities

Workshop :

Topic:- CROP (Carestream Health Radiographer orientation Program).

Interventional Radiology

Interventional radiology (IR) is the minimally invasive, image-guided treatment of complex medical conditions without surgery thus offers treatments with less risk, less pain; shorter recovery times and hospital stay. IR is particularly relevant for patients who are in frail health and unfit for surgery.

IR offers treatment for diseases and conditions affecting liver, biliary tract, pancreas, spleen, bowel and kidney like hepatocellular carcinoma (Radio Frequency Ablation-RFA, Microwave ablationMWA. Trans-arterial chemo embolization-TACE), portal hypertension (Trans-Jugular IntrahepaticPorto-systemic Shunt-TIPS}, HVOTO (DIPS, angioplasty, stenting), abscesses, inducing remnantliver hypertrophy and preventing post-operative liver failure (portal vein embolization), refractory hepatic encephalopathy (Balloon-occluded retrograde transvenous obliteration ofvarices-BRTO,PARTO), mesenteric ischemia and portal vein thrombosis (thrombolysis, angioplasty, stenting), traumatic bleeding and collections (embolization,PCD), post liver and kidney transplant complications, post-surgical complications, benign and malignant biliary strictures (PTBD andstenting), cholecystitis (percutaneouscholecystostomy), acute pancreatitis (percutaneous necrosectomy), Hypersplenism (splenic artery embolization), Gl bleed (embolization), renal arterystenosis (angioplasty stenting), renal tumors (ablation), dialysis fistula related complications (fistuloplasty,centralvenoplasty), dialysis access creation (permacath, peritoneal dialysis catheter), diagnostic studies (FNAC, biopsy, diagnostic angiography, HVPG, transjugular liver and kidneybiopsy). We also have the expertise to manage aneurysms and pseudoaneurysm, arteriovenousmalformations, deep vein thrombosis, pulmonary embolism (IVC filter), hemoptysis (bronchialarteryembolization), and uterinefibroids (uterinearteryembolization).

Our department is one of the few in country performing some of the innovative procedures like plug assisted retrograde transvenous obliteration (PARTO)to minimise the post procedural complications and monitoring time, per-cutaneous trans hepatic antegrade gastro-lienorenal shuntocclusion for patients with complex venous vascular anatomy, endobiliary RFA for opening biliary stents which get blocked by tumor in-growth and transjugular kidney biopsy (TJKB) inpatients with low platelet count and increased prothrombin time (especially in patients with liver cirrhosis).

Services Rendered by the department

Services	2022	2023
TIPS	66	59
TACE	183	229
BRTO/PARTO	17	25
RFA	04	05
MWA	119	181
PTBD	373	404
DSA-Angioplsty/stenting	90	101
DSA-Angiography (diagnostic)	05	04
DSA-Embolization	47	65
DSA Fistula Dialatation	10	05
DSA Thrombolysis	01	05
DSA Miscellaneous	80	49
Miscellaneous intervention	717	662
Permacath	94	99
TJKB	02	06
TJLB +HVPG	280	336
HVPG	59	64
PCN	05	06
PCD/Aspiration	2747	3334
Picc line insertion	59	85
FNAC	186	253
Biopsy	675	641
Arterial & venous line placement	938	1200
USG Screening	7678	8936

New services & facilities added to the department in 2023

• new state of the art cathlab (DSA unit) has been installed in the department capable of performing all kind of abdominal interventions. It is equipped with most advanced cone beam CT and latest software to assist various embolization procedures and TACE.
• TACE: ILBS has been the 1st institute in India to start balloon occluded TACE procedure.

Educational Activities

Live work shop was conducted for B-TACE on 14th of October 2023

Visiting faculty to the department in 2023

Name	Institution
Dr Deepak Gupta	Head Radiology and Director Saroj hospital
Dr M K Mittal	Professor and Senior Consultant Vardhman Mahavir Medical College
	and Safadrjung Hospital, New Delhi
Dr Anjali Prakash	Director Professor of Department of Radio Diagnosis in MAMC &
	LN Hospital, President of CHS Teachers Association.
Dr. Prof Shabnam	Dean Research Medical School & Health Sciences Schools, Sharda
Bhandari Grover	University, Prof. and Academic Incharge Department of Radiology,
	Sharda University, Greater Noida, Ex Prof. and HOD Radiology,
	Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi