1. A New Current for Structured Report in the Field of Interventional Radiology
Department of Radioloy, St’Lukes International Hospital
Interventional radiology (IVR) reports should be written according to the time order of the processes. The first one is composed of the indication and choice, the second one is the actual method and process, and the last one is the outcome and result of the IVR prosedure. At the end of the report format, check boxes should be prepared in order to record the success rating (sufficient or insufficient) and associated adverse effects (presence or absence of complications). Through systematic accumulation in a longer period, the data could be utilized for improvement of IVR quality.
- IVR report
- Radiology reporting system
- Quality control
- Structured report
2. Effectiveness of Web Registry System by Japanese Society of Interventional Radiology: JSIR
Department of Diagnostic & Interventional Radiology, Nasu Red Cross Hospital
The Medical record of IVR consists of the physician’s report, nursing care report, electric records of blood pressure, pulse rate, blood oxygen saturation, radiation exposure status & dose, and medical images from modalities such as digital subtraction angiography, computed tomography, and ultrasound. The unification of time in these records is necessary to the correct medical records, especially in emergency cases with trauma or stroke. Web registry system, which is managed by JSIR, is very available to get new insurance payment in IVR. Fine IVR report is useful to obtain the full fee of IVR procedure from the national insurance system.
- Time unification
- Web registry system
- Fine IVR report
3. What Is the Operative Note for Interventional Radiology That Surgery Societies & National Clinical Database Need?
Department of Radiology, St.Marianna University School of Medicine
Surgical operation needs operation note. This is decided legally, but its format has not been defined. Surgical societies established National Clinical Database (NCD) for accumulation of information, and effective use. Surgeons have registered many data on-line.
The procedures of interventional radiology (IR) are mostly classified as operations (Item K) by the Japanese National Health Insurance. It is generally interpreted that the procedures classified as Item K need operative note legally.
The note of IR has no regular format habitually or legally. The present time may be the turning point at which we should discuss and shape our opinion about the optimal form of an IR note.
- Operative note
- Interventional radiology
4. Current Status of IVR reports in Japan and IR reports in the United States
Department of Radiology, Kansai Medical University
Department of Radiology, Brigham and Women’s Hospital 1)
Department of Radiology, Boston Medical Center/Boston University (2010-2011) 2)
Atsushi Komemushi, Alisa Suzuki Han 1), Meguru Watanabe 2), Shuji Kariya
Miyuki Nakatani, Rie Yoshida, Satoshi Suzuki, Akira Sano, Kiyomichi Tanaka
Shohei Kanno, Koshi Ikeda, Keita Utsunomiya, Yoko Harima, Noboru Tanigawa
The authors reported on the realities of IVR reports in Japan and IR reports in the United States. The usual IVR reports were collected from 30 institutions in Japan. The collected reports were analyzed by 2 interventional radiologists. The IVR reports did not have Standard in Japan in infinite variety.
- IR report
- IVR report
- Reporting Standards
Treatment of Congenital Pelvic Arteriovenous Malformation with Iliac Compression Syndrome by Stent Implantation and Transarterial Embolization: A Case Report
Department of Radiology, and Vascular Surgery1),
Tokyo Medical and Dental University Hospital Faculty of Medicine
Yuko Takeguchi, Mitsuhiro Kishino, Hidetoshi Uchiyama1), Koji Yonekura1)
Takahiro Toyofuku1), Toshifumi Kudo1), Masatoshi Jibiki
Norihide Sugano1), Yoshinori Inoue1), Hitoshi Shibuya
Iliac compression syndrome is a clinical condition that occurs as a result of compression of the left common iliac vein by the overlying right common iliac artery. Iliac vein compression syndrome is also a cause of deep venous thrombosis. The congenital pelvic arteriovenous malformation (AVM) arises from dysplastic arteries and veins. Among the many kinds of AVMs, the pelvic AVMs, especially AVMs of internal iliac area, are rare and can give rise to problems in diagnosis and treatment. The combination of pelvic arteriovenous malformation and common iliac vein occlusion is very unusual, and so we report an effective treatment for this case by stent placement and transarterial embolization.
- Iliac compression syndrome
- Venous stenting
- Arteriovenous malformation (AVM)