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IRIA National Fetal Radiology Conference, Kochi 2018

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22 Sept, Sat @ IMA HOUSE

Pre Conference Live Workshop by Eminent Faculties

23 Sept, Sun @ GRAND HYATT

Conference by Eminent National Speakers

Fetal Radiology in India-Building a Path Forward

Fetal Radiology has been making great strides in India and is carving its own niche in the field of Radiology and Imaging. We are privileged to have the opportunity to guide the speciality on its path towards sustained excellence. We are privileged to have the opportunity to seek guidance and direction from our seniors in the field of Radiology and Imaging who have set very high standards for the speciality in India.

Moving forward, we are looking at a systematic approach and dynamic framework that focuses on all aspects of Fetal Radiology and Imaging and will consider issues relevant to India

Some India Specific Statistics Relevant for Fetal Radiology

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  • Estimated 27 Million Live Births in India in 2017.
  • Estimated 75,658 Live Births average per day in India in 2018.
  • 9% Institutional Deliveries in India (NFHS-4); 75.1% in Rural India and 88.7% in Urban India.
  • Hypertensive Disorders of Pregnancy major cause of Maternal Mortality in India.
  • Incidence of Hypertensive Disorders in Pregnancy: 10.08%.
  • Incidence of Pre-eclampsia ranges from 8-10%.
  • Incidence of Eclampsia ranges from 1-5%.
  • Estimated 3.5 million premature births out of 27 million babies born every year in India.
  • Prevalence of congenital malformations in newborns range from 1.9% to 2.72%.
  • Approximately 6,21,000 babies born every year in India with Congenital Anomalies.

  • Congenital Heart Defects most commonly Reported with prevalence of 65.86 (range 37.72-114.77) per 10,000 births.
  • Prevalence of Neural Tube Defects reported as 27.44 (11.73-64.08) per 10,000 births.
  • The Congenital Anomaly Prenatal Diagnosis prevalence was 10.98 per 10,000 births.
  • The Congenital Anomaly Termination of Pregnancy Rate was 4.39 per 1000 births.
  • Prevalence of SGA 36.5%.
  • Attributable Neonatal Deaths (1000s) was 202.3 for all SGA; 126.3 for term SGA and 76 for preterm SGA.
  • India has the highest neonatal death rates attributable to babies born with SGA.
  • The prevalence of Intrauterine Growth Restriction is reported at 54%.
  •  The prevalence of Low Birth Weight Babies is 26%.

We are looking at several approaches to strengthen and systematize Fetal Radiology and Imaging.

These include, but are not limited to,

Strengthening the Base of the Clinical Care Pyramid

  • This initiative will focus on skill and competency development including refresher programs focused on
    • Targeted Imaging for Fetal Abnormalities (TIFFA),
    • A systematic and organ systems based approach to evaluation of structures,
    • Fetal Magnetic Resonance Imaging and
    • Interventional Radiology Training- Amniocentesis and Guided Interventions focused on Fetal Therapy and Diagnosis
    • Synergistic Fetal Imaging
    • Developing a National Pool of Trainers and Experts in Fetal Radiology and Imaging
    • Organize 20 such programs nationwide
    • Develop a pool of trained counsellors for Fetal Radiology to interact with parents and family including grief counselling and genetic counselling

Develop a National Pool of Trainers and Experts for Fetal Radiology and Imaging

  • A Pool of Experts and Trainers for each state and Union Territory
  • Developing Training Manuals
  • Developing Evaluation and Assessment Methods
  • Developing a State/Union Territory wide Road Map
  • Developing Program Audit tools

Developing India Specific Protocols and Guidelines

  • Factor in data relevant to the Indian Context
  • Evaluate use of Data derived from Caucasian populations for fetal parameters of growth and other indices
  • Develop India Specific pragmatic testing guidelines that can be applied widely and at different levels (primary, secondary and tertiary)- note biochemical tests and genetic markers are not widely available.
  • Develop India Specific Guidelines for data documentation and reporting
  • Develop India Specific Guidelines for Fetal Radiology and Imaging Counselling
  • Develop a National Registry for Fetal Abnormalities

Academic Programs

  • Develop a specific Fetal Radiology and Imaging Fellowship Program
  • Competency and Skill Development focused on practical, hands on approaches rather than a theoretical framework
  • Develop a specific Fetal Radiology and Imaging Research Mentorship Program
    • Build Research Competencies- Designing Studies, Doing Studies, Analyzing Results
    • Build Research Communication Competencies- Publications and Presentations
    • Mandatory Dissertations Focused on a specific area of Fetal Radiology and Imaging- Dissertations have to be value additions to existing knowledge
    • Build a pool of Research Competency Building Exercises and Research Ideas focused on Fetal Radiology and Imaging
    • Develop Nationwide Collaborative Research Programs
  • Develop Fetal Radiology and Imaging Ethics Guidelines
  • Build Basic Administrative competencies including leading a team, basic financial management, documentation and audits of performance
  • Build a pool of case studies and reports that be used to inform on diagnostics, interpretations, pitfalls, management

Build a Career Assurance Program

  • Look at three streams
    • A Diagnostic or Clinical Fetal Radiology and Imaging Cadre
    • A Research Fetal Radiology and Imaging Cadre
    • A Clinician Researcher Cadre
  • Identify Institutes for Placement
  • Develop a Larger pool of Institutes for Placement

Explore Synergistic Collaborations

  • Synergy with other medical specialties including basic sciences that aims to improve care for the subject as well as to improve learning for practitioners
  • Synergy with the public that aims to conduct public awareness programs and create public awareness material that highlights the importance of Fetal Radiology and Imaging

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