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History & Growth Of
Neuroradiology In The Last Decade
The specialty of
Neuroradiology has shown spectacular growth in the country in the last 10
years, establishing its merit as a sub-specialty deserving a unique status
among the different neurological sciences. This is largely due to the
endeavors of individuals and institutions in the country to international
standards but also to ensure a sustained growth of the discipline. This has
been achieved by improving the technological platform of neuroimaging to the
expertise and knowledge of neurointervention. The number of diagnostic and
therapeutic neuroradiologists have increased in all parts of India, with
almost all major institutions and diagnostic centres in India engaged in the
practice of neuroradiology. It was only a matter of time that separate
chairs and departments of neuroradiology were created in some major
institutions in the country. Some of the larger centres practicing
Neuroradiology in the northern of the country include All India Institute of
Medical Sciences, New Delhi; Apollo Hospital, New Delhi, Institute of
Nuclear Medicine & Allied Sciences, New Delhi; Army Hospital, New Delhi;
Sanjay Gandhi Postgraduate Institute; Lucknow and in the East, Institute of
Neurological Sciences; Gujarat. Some of the centres in the west include the
Post Graduate Institute of Medical Education and Research, Chandigarh; KEM
Hospital Mumbai; Jaslok Hospital Mumbai; Breach Candy Hospital, Mumbai;
Hinduja Hospital, Mumbai; JJ Hospitals, Mumbai; Nanavati Hospital, Mumbai;
Tata Memorial Hospital. Mumbai. Some centres in the southern part of the
country include the Sree Chitra Tirunal Institute of Medical Sciences and
Technology, Thiruvnanthapuram; the National Institute of Mental Health and
Neurosciences, Bangalore; Manipal Hospital, Bangalore; Christian Medical
College Hospital, Vellore; Bernard Institute of Radiology, Chennai; Apollo
Hospital, Chennai; Nizams Institute of Medical Sciences, Hyderabad.
The technological progress in
India has been in consonance with the rest of the world. All the major
centres are currently equipped with high profile imaging facilities like
super-conducting magnets and spiral scanners. This has enabled these centres
to work at a cutting level of technology and research.
In addition to neuroimaging,
interventional neuroradiology has also grown leaps and bounds. All the major
centres in the country are currently engaged in endovascular management of
various vascular anomalies of the head & neck including the brain and the
spinal cord like arterial-venous malformations and fistulae. Coiling of
aneurysms has become a part of routine clinical practice in many centres of
India. Stroke management is becoming increasingly recognized with many
centres already having an interventional neuroradiologist as a pert of acute
stroke management teams.
The true growth of the
specialty cannot be more truly reflected than by the fat that there are
already three centres in the country running a three year super specialty
post graduate DM programme in neuroradiology. These include Sree Chitra
Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram,
NIMHAS, National Institute of MentalT Health and Neurosciences, Bangalore
and All India Institute of Medical Sciences, New Delhi which would
facilitate the systematic growth of neuroradiology in the country. This is
in addition to the courses in neuroimaging technology being provided for
radiation technologists in many centres of the country.
The need for a separate
society of neuroradiologists in the country was felt a few years back. It
was soon resolved to form an Indian Society of NeuroRadiology (ISNR). This
Society was formed with the broad objective of providing a platform for
exchange of knowledge and sharing of experiences for those interested in the
specialty of neuroimaging and interventional neuroradiology. Hence the
Indian Society of Neuroradiology was formally formed in the year 1999. The
society has grown at a rapid pace and there are now 34 members. The society
has now become a member of World Federation of Neuroradiology and is in the
process of becoming a member of the Asian Oceanic Society of
Neuroradiological and Head and neck Radiology.
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