Interventional Radiology needs to evolve or will disappear
Bibliographic record
Abstract
Interventional Radiology needs to evolve or will disappear A few years ago in Vancouver, Canada, we heard from Dr. Scott Teratola 1 , at the Charles Dotter lecture, in which he invited all interventional radiologists (IRs) around the world to take action.IRs spend too much time complaining about other specialties want to take over their practices, and procedures which in their opinion is very unfair.Unfair?It is possible, but this is the current reality of the world today.This competition exists (the survival of the fittest), and it has been observed through many decades in our daily work.As Sir William Osler said, "By far the most dangerous foe we have to fight is apathy -indifference from whatever cause, not from a lack of knowledge, but from carelessness, from absorption in other pursuits, from a contempt bred of self-satisfaction".I invite the readers of this letter to read with consciousness the article published by Dr. Gregory Markris and Dr. Raman Uberoi in CVIR 2016 2 .They could not say it better or clearer.These two brilliant IRs point out two fundamental ideas.The first is that IRs being in the heart of Diagnostic Radiology is detrimental to Interventional Radiology, and the second is that we, IRs, must dedicate ourselves with all our enthusiasm and effort to the patients.Outside of these ideas, our endeavor is sterile or unproductive.They, Dr. Makris and Dr. Uberoi with great success invite us not to shoot ourselves in our own foot, wasting time on other matters that are not the Interventional Radiology subspecialty even better, to become an independent specialty.Both, one or the other, will not completely solve the problem of competition, but they will facilitate part of the problems which affects Interventional Radiology: training, procedures portfolio, clinical privileges, outpatient consultation, hospitalization, etc.This is the path that the US has already taken, and some other countries in Europe are trying.But it is clear that almost all of us want and see this evolution and recognition of the specialty as an essential matter.The two biggest medical societies, the American (SIR) and the European (CIRSE) are making a great effort in this regard, but no one expects that from outside they will solve our domestic problems or impose the specialty in each country.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.021 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".