Aghiad Al-Kutoubi MD, FRCR, DMRD Professor & Head IR Division, AUBMC Middle East Editor, CVIR Founding President PAIRS President, Arab Board of Radiology & Medical Imaging

Antalya

Lebanon  Population : just under 4 million  Strongest educational system  Recognized for pioneering medical facilities in the Region  Strong medical links with neighbouring countries  Medical tourism destination

AUBMC Hotel Dieu St George

The American University of Beirut  Established in 1860  Protestants & Quackers  Radiology service became available in 1895 less than six months after the discovery of X-rays  Medical Center is a tertiary & quaternary referral center

Hotel Dieu Du France  Established in 1875  Jesuits  St Joseph University  Tertiary referral center

St George’s Hospital Established in 1887 Orthodox Community University of Balamand Secondary & some Tertiary referral center The only hospital with a helipad

Radiology in Arab World 1999

Health Care in Lebanon  Estimated expenditure 12.3% of GDP ( compared to average “third world” 5.7% )  Radiology & Lab billing 17-18% of total  1 MRI / 60,000 population  1 CT/ 40,000 population

Radiology Residency Education  1934 Hotel Dieu Du France  1950 AUB

Many “Firsts” in the Arab World  First open heart  First renal transplantation  First IR programme  First endovascular aortic repair  First intracranial aneurysm treatment

Interventional Radiology  “Invasive Radiology” : Angiography, AEG etc. mid 50’s  Procedures in the early 70’s : Simple biopsies, AVM management, Active bleeding treatment  Early 80’s: Angioplasty; nephrostomies & biliary drainage, stenting & other complex procedures  Mid 90’s : Neurointervention  Late 90’s : Endovascular aortic programme

Interventional Radiology  25 registered interventionalists ; 1:160,000  Multi system intervention  Full Gamut of intervention  Endovascular & neurointerventional surgeons  Cardiologists

1992

2000

Parliament square, Beirut 4.25 am pm