Interventional Radiology

What is Interventional Radiology?

Interventional radiology (IR) is an exciting area of modern medicine delivering precise, targeted treatment for complex diseases and conditions throughout the body. Using minimally invasive image-guided techniques, interventional radiologists provide high quality care with less morbidity and often at a lower cost than many surgical alternatives.

IR is practiced across a spectrum, from basic procedures performed by clinical radiologists through to complex vascular, oncological and neurological interventions performed by versatile specialist radiologists with advanced skills in IR and interventional neuroradiology (INR).

Why Practice Interventional Radiology?

IR is an exciting combination of clinical interaction, procedural work and imaging. As one of the most innovative and fastest growing medical professions, IR provides radiologists with a unique opportunity to pioneer and deliver treatment techniques utilising cutting edge technology. 

More than just proceduralists, IRs and INRs are clinically focused radiologists integrated into the patient care team. And the future for IR is bright. Health services are increasingly recognising the value of IR and INR as the future of modern medicine – delivering cost-effective, minimally invasive treatments, with shorter procedural and recovery times and better patient-focused outcomes than many surgical alternatives.

Is Interventional Radiology for you?

To be a competent and effective IR or INR, you need:

  • Dedication, perseverance, creativity and innovation
  • A genuine interest in people and patient care
  • Expert knowledge in imaging and interventional procedures
  • Sophisticated observation, diagnostic, analytical and reporting skills
  • Good hand-eye coordination and dexterity
  • Excellent communication skills to confer and interact with other medical professionals and patients

How to Become an Interventional Radiologist or Interventional Neuroradiologist

The interventional training journey starts within the RANZCR Clinical Radiology Training Program, where registrars develop a range of basic procedural and clinical competencies. This training program lays the foundations required for interventional practice, which can be built upon through Continuing Professional Development (CPD) activities or by undertaking a Fellowship in IR or INR upon receiving the FRANZCR.

These Fellowship positions equip radiologists to perform complex procedures requiring specialised interventional skills. With hospitals increasingly recognising the value of IR and INR in delivering cost-efficiencies and optimal patient outcomes, radiologists who complete these Fellowships often go on to practice in full time IR or INR consultant positions.

Fellowships for Interventional Radiology are typically one year in duration. Once  the Fellowship is completed, some IRs choose to sit the European Board of Interventional Radiology (EBIR) examination, hosted by the Interventional Radiology Society of Australasia (IRSA) at their annual meeting.

Fellowships for Interventional Neuroradiology are a minimum two years in duration. Once the Fellowship is completed, INRs can apply for a recognition of training in INR through the Conjoint Committee for the Recognition of Training in Interventional Neuroradiology (CCINR).

Fellowships are offered at most major hospitals and some regional centres. For a list of current Fellowship opportunities, please visit the RANZCR Jobs website.

What are the Career Options?

  • Perform basic interventional procedures as part of your clinical radiology career, balancing both diagnostic and imaging-guided procedural work in private and/or public settings.
  • Work as an IR or INR consultant. There are opportunities to mix public and private employment, full-time or part-time in conjunction with diagnostic work.
  • Work abroad. International professional recognition is becoming increasingly available, through initiatives such as CCINR recognition (for INRs) and the EBIR examination (for IRs).

Our Work on Interventional Radiology

In 2016, the College established the Interventional Radiology Committee (IRC) to work across the spectrum of intervention-related issues, from basic interventions performed by all radiologists to high-level complex procedures. The IRC was established to improve the recognition and support for IRs and INRs within the College structure, and to better advocate for these rapidly evolving specialties.

The IRC provides advice to the Faculty of Clinical Radiology Council and represents the interests of College members working in IR and INR – improving the flow of information, raising the voice and profile of IR and INR in key forums, interacting with stakeholders, and ensuring that decision-making is guided by the needs of patients and the best patient outcomes achievable. To view the IRC's Terms of Reference see the RANZCR Committees page.

What is the IRC working on?

The IRC is working towards achieving specialty recognition for IR and INR as a clinical radiology specialty. The pathway to achieving this is clearly defined by the Australian Medical Council and Medical Board of Australia.  Laying the groundwork for specialty recognition involves many areas of work, below is an outline of work currently being progressed:

  • Road Map for Advancing IR and INR

The Road Map for Advancing Interventional Radiology and Interventional Neuroradiology across Australia and New Zealand articulates the importance of IR and INR as clinical specialties and the widespread benefits they provide to radiology, health systems and patients, and outlines RANZCR’s commitment to achieving this.

  • Standards of Practice for Interventional Radiology

The IR and INR standards of practice document establishes the minimum acceptable practice standards for facilities and staff providing IR and INR services. They will be released for member consultation very soon

  • Clinical value of IR

An evidence-based scoping review is currently underway to articulate the clinical value of IR and INR and also facilitate improved utilisation of IR and INR in modern clinical practice.

Are you involved in any research that could be considered for this review or know of any early studies that may be concluding this year? Or are there research papers you know of that meet one or more of the categories outlined above? Would you like to contribute to this critical work? Please get in touch.

  • Advocacy

A key role for the IRC is to advocate for IR and INR by responding to government and other medical colleges and societies' consultations and submissions. Including:

  • Vascular Clinical Committee working group – to ensure that the cost-effective, cutting-edge care provided by IRs and INRs, including paediatric IR, is better reflected in a contemporary MBS.
  • RANZCR submission to New Zealand Cancer Action Plan – recommending investment in interventional radiology capabilities at tertiary level hospitals.
  • Opportunities for members to contribute to the work of the IRC can be found here.

The IRC represents and is guided by the College membership. If you would like to contact the IRC, please email This email address is being protected from spambots. You need JavaScript enabled to view it.

The aim of the Interventional Radiology (IR) and Interventional Neuroradiology (INR) Training Pathway Working Group is to develop and implement a best practice post-Fellowship training pathway to facilitate professional practice across the continuum of radiologists practicing in IR and INR.

The Interventional Radiology and Interventional Neuroradiology training pathways will be developed under RANZCR’s training framework and will utilise the AMC and MCNZ specialty program accreditation standards as the structure for the sequence of projects required to achieve RANZCR’s aim of obtaining specialty recognition for Interventional Radiology and Interventional Neuroradiology.

The training pathway will be designed to build upon the basic interventional skills gained in the core clinical radiology training program and offer a seamless, dedicated Fellowship level program for all clinical radiologists who choose to specialise in IR or INR in Australia and New Zealand.

Key Milestones

The working group is working towards key milestones agreed to by the working group, they are:

  1. Development of the RANZCR Specialist Interventional Radiology and Interventional Neuroradiology Range of Practice | RANZCR
  2. Development of the learning outcomes and curriculum framework
  3. Development of the assessment methods
  4. Identification and delivery of training to sites
  5. Selection and admission process for trainees and specialist International Medical Graduates
  6. Defining strategies for Continued Professional Development

The diagram depicts the key milestones of the IR and INR Training Pathway Working Group:

IRWG

Responsibilities

All of the Group’s work is underpinned by the College infrastructure to support the development, delivery and evaluation of a specialist medical education training program View Terms of Reference. The training pathway is being developed to meet the  Australian Medical Council standards.

Members

The Group guided by a Medical Educationalist, comprises broad and representative membership from:

  • RANZCR members who practice in interventional radiology
  • RANZCR members who practice in interventional neuroradiology
  • RANZCR trainee members
  • Interventional Radiology Committee members
  • Nominated Interventional Radiology Society of Australasia representative
  • Nominated Australian and New Zealand Society of Neuroradiology representative
  • Chief of Professional Practice
  • Deputy Chief Censor

Get involved

For enquiries on any of the above work, email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Standards of Practice

The RANZCR Standards of Practice for Clinical Radiology Version 11 are the standards by which IR and INR services are expected to be delivered in Australia and New Zealand. Please note, some sections of the standards are currently being reviewed by the IRC and key stakeholders.


InsideRadiology

InsideRadiology is a resource developed by the College on clinical radiology tests, procedures and interventions, providing up-to-date information to health consumers and health professionals and improving patient-doctor communication.

A range of Interventional Radiology and Interventional Neuroradiology procedures are detailed on the InsideRadiology website.