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History of IR in Texas

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History of IR in Texas Historical Perspectives on Interventional Radiology in Texas Mark L. Montgomery, MD, FSIR, FACR Chairman Department of Radiology Baylor Scott & White Health-Central Division Disclosures Disclosures First Angiogram Performed • Months after Roentgen’s discovery of X-Rays in 1895 • Two Physicians injected mercury salts into an amputated hand and created an image of the arteries TRS Meetings • 1st TRS meeting held on May 13, 1914 at the Great Southern Life Insurance Company , Houston, TX TRS Founders • George Bond • James Martin Early meeting topics • “Uses of Tincture of Opium in Lime Water to Treat Possible X-ray Burns” • “Report of Some Interesting Cases of Cancer of Face and Acne Treated with X-ray” • “Aid of the X-Ray in World War 1” • “High voltage treatment of Uterine Fibroids” • “Roentgen Ray Treatment of Menorrhagia” IR TRS Presidents • Charles Martin-1925 • Robert Cooley-1969 • Stewart Reuter- 1995 • Helen Redman-1996 • Tom Fletcher-2004 • Richard Strax-2010 • Greg Karnaze-2011 • Ray Kirk-2014 • Zeke Silva-2017 • Mark Montgomery-2018 Stewart Reuter • Radiology Chairman UT San Antonio • Founding member and former president SIR • President American College of Legal Medicine • Major patron of the arts with a keen interest in opera, classic music, and modern art. When he retired, he began creating his own artwork, with exhibits at the MADI Art Museum (Dallas), the Beeville Art Museum (Beeville), and Gallery Nord (San Antonio). Helen Redman • Professor of Radiology Southwestern-17 years • First women member of SIR • President of RSNA and TRS • Recipient of the Madam Curie award American Association of Women in Radiology • "Helen was absolute best-of-class as an angiographer," Parkey said. "But more importantly, she was a master teacher and mentor. She brought an unparalleled level of class and competence to the university and hospital." TRS Lectures • “The Need for a Broader Clinical Outlook by the Radiologists” 1937 • “Cerebral Arteriography” 1947-Curtis Burge (Houston) • “Vertebral Arteriography” 1958 Olav Lofgren (Lund, Sweden) • “Splenoportography” 1960 Stanley Wyman (Boston, MA) • “Some Aspects of Cine and High Speed Serial Angiographic Techniques” 1961 Theodore Keats (Columbia, MO) • “Angiographic Clarification of Intracranial Space-Occupying Lesions” 1962 Juan Taveras (New York, NY) • “Angiography in Renal Vascular Diseases” 1965 Owings Kincaid (Rochester, MN) • “Intra-Arterial Chemotherapy Combined with External Therapy of Advanced Carcinoma of the Head and Neck” 1967 Malcolm Bagshaw (Palo Alto, CA) • “Selective Arteriography in Experimental Visceral Trauma” 1968 Arnold Maske (Galveston) • “The Radiologists’ New Role in the Diagnosis and Management of Patients with Massive GI Hemorrhage” 1972 George Stein ( Philadelphia, PA) • “Treatment of Intestinal Bleeding with Autogenous Clot” 1975 Thorne Griscom (Boston, MA) • “Needle Aspiration Biopsy and Diagnosis of Pulmonary Malignancy” 1975 John Thornbury (Ann Arbor, MI) • “Interventional Radiology” 1979 Sid Wallace (Houston, TX) TRS Lectures • “Interventional Biliary Radiology” 1980 Ernie Ring (Philadelphia, PA) • “Percutaneous Angioplasty” 1980 Ernie Ring (Philadelphia, PA) • “Experiences in Digital Vascular Radiology in Children” 1982 Ed Singleton (Houston) • “11 Year Study of Angiography in Chronic Recurrent GI Bleeding” 1982 Ed Best (Temple, TX) • “Percutaneous Transluminal Angioplasty, Indications and Methods” 1983 Lennard Nadalo (Dallas) • “The Current Place of Angiography in Trauma” 1985 Helen Redman (Dallas) • “”Percutaneous Transluminal Angioplasty: Does It Stand the Test of Time” 1985 Helen Redman (Dallas) • “Neuroangiography” 1985-86: New Tricks for Old Dogs” 1986 Anne Osborn (Salt Lake City, UT) • “Innovations in Interventional Radiology” 1987 Sid Wallace (Houston, TX) • “Recent Advances in Interventional Radiology: Cerebral AVM’s, Aneurysms, and Intracranial Thrombolytic Therapy” 1992 Michael Mawad (Houston, TX) • “Futuristic Technologies: The Cardiovascular Stent as and Interactive Platform” 2004 Julio Palmaz (San Antonio, TX) Julio Palmaz • University of Texas Health and Science Center at San Antonio • Invented the balloon- expandable stent, for which he received a patent filed in 1985 • Intellectual Property International Magazine as one of "Ten Patents that Changed the World" in the last century • Stent research artifacts are now part of the medical collection of the Smithsonian Institution in Washington, DC Sidney Wallace • Chairman UT MD Anderson Cancer Center in Houston • Wooly coil (tail) that later evolved into the Gianturco-Anderson-Wallace stainless steel embolization coil • Gianturco and Wallace formulated the Bird’s Nest vena cava filter, self-expanding Z-stent and stent graft, balloon-assisted coronary stent, atrial septal defect occluder, and the patent ductus occluder • Inventor/co-inventor of 26 patented devices and pharmaceutical agents • Authored/co-authored 652 scientific articles and chapters • Gold medals from the Society of Interventional Radiology, the American College of Radiology, the Gilbert Fletcher Society, the Brazilian Congress of Radiology, and the Japanese Society of Angiography and Interventional Radiology Edward Singleton • Pediatric Radiologist Texas Children’s • President Houston Radiological Society, Society of Pediatric Radiology and the Society of Gastrointestinal Radiology • 130 Manuscripts, 14 book chapters • Gold Medal TRS, ARRS, RSNA, Society of Pediatric Radiology, ACR, Walter Cannon Medal Society of GI Radiology • Renaissance Radiologist Ed Best, John Montgomery Texas Integrated IR Residency Programs • University of Texas Health Science Center Program, Houston • University of Texas Health Science Center School of Medicine at San Antonio Program • University of Texas Southwestern Medical School Program, Dallas 25 Texas Independent IR Residency Programs • Texas A&M College of Medicine-Scott and White Medical Center (Temple) Program • University of Texas Health Science Center School of Medicine at San Antonio Program 26 Texas ESIR Training Programs • Baylor College of Medicine, Houston • Baylor University Medical Center, Dallas • Texas A&M College of Medicine-Scott and White Medical Center (Temple) • Texas Tech University Health Sciences Center Paul L Foster School of Medicine, El Paso • University of Texas Health Science Center at Houston • University of Texas Medical Branch Hospitals, Galveston • University of Texas Southwestern Medical School, Dallas 27 Match Results 2018 • Integrated Interventional Radiology (IR) matched 136 medical students across the United States in 2018 • Represents an increase from 119 in 2017 • No unfilled positions Diagnostic Procedural IR Clinical 30.
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