With only about 150 of these specialists in the entire nation, you’re probably more likely to meet an astronaut than a physician who specializes in pediatric interventional radiology. However, in this issue of Radiology Insights, we’re honored to introduce you to Dr. Adeka McIntosh, who joined our group about two years ago. Dr. McIntosh came to us from Philadelphia after hearing about the ambitious pediatric interventional radiology program being developed by Radiology Associates of North Texas.
Interventional Radiology (IR) has been used for decades to treat adult
patients for everything from varicose veins to heart and lung conditions to targeted radiation treatments for cancer. As smaller, more flexible catheters were developed for more precise adult cardiac procedures, the benefits of their use – combined with advanced imaging technologies – in the much smaller anatomies of children began to be realized.1
Children were soon able to experience some of the same benefits of interventional procedures as adults, such as less trauma, lower risk and shorter recovery times. The specialty began to see significant growth, and in 2008 the Society for Pediatric Interventional Radiology was formed.
“We perform a lot of vascular access procedures in children, where we’re accessing veins and arteries for the treatment of cancer, infections and other ongoing conditions or diseases,” said McIntosh.
Dr. McIntosh also partners with surgeons and other physicians to treat children born with malformed veins or arteries as well as abnormal growths called lymphatic malformations (previously called cystic hygromas). These growths are often present at birth (congenital) but can also develop after birth, appearing on areas of the head and neck. Because the growths can be disfiguring and result in serious complications, a pediatric interventional radiologist is called in to treat and shrink these deformities until they are small enough to be removed surgically.
Dr. McIntosh’s patients range in age from premature babies to infants, young children and teenagers. “I’ve always enjoyed working with the pediatric population,” explained McIntosh. “It’s wonderfully rewarding, because these are kids who have done nothing to bring disease or harm to themselves. They just happened to be born with an underlying disorder or genetic problem.”
“When I first joined RADNTX two years ago, adult radiologists were called in to handle pediatric cases as needed,” said McIntosh. “We were doing maybe 100 cases a year; now we’re doing about 1,000 cases each year.”
Pediatric interventional radiology is still a young field, and there only about 200 doctors worldwide currently performing such procedures. The Dallas-Fort Worth area is certainly fortunate to have someone with the skills of Dr. McIntosh available to us.
Dr. McIntosh began his journey in medicine when he graduated from Baylor College of Medicine. He completed residency programs in general surgery and diagnostic radiology at the University of Michigan and the University of Minnesota. Dr. McIntosh then went on to complete two fellowships in pediatric radiology and pediatric interventional radiology at the Children’s Hospital of Philadelphia. He is also board certified by the American Board of Radiology.
Celebrating our 80th anniversary, Radiology Associates of North Texas is the largest and fastest growing private radiology physician group in the nation, and we look forward to expanding our pediatric interventional radiology program.