Anna-Maria Belli

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Anna-Maria Belli, MD, FCIRSE is a British interventional radiologist known for her work in vascular interventional radiology and for holding leadership positions in interventional radiology societies in Britain and Europe.

Contents

Training and career

Belli received her medical degree from the Middlesex Hospital Medical School (London, England) in 1980. She then completed her diagnostic radiology residency and interventional radiology fellowship at St. George’s Hospital (London, England). After completing her fellowship, Belli worked as an honorary consultant radiologist at the Royal Hallamshire Hospital (Sheffield, England), followed by the Hammersmith Hospital (London, England), before returning to St. George’s Hospital where she continued to work until her retirement.

Since 2008 Belli has been Professor of Interventional Radiology at St. George’s Hospital. [1] [2]

Belli was the first female president of the British Society of Interventional Radiology (BSIR) from 2001 to 2003, [3] and from 2014 until 2015 was the first female president of the CardioVascular and Interventional Radiology Society of Europe (CIRSE). [4] Belli has been an advocate for women in interventional radiology [5] [6] and a proponent of the role of an interventional radiologist as a clinician. [7]

Research

Belli's work covered a variety of topics from interventional radiology training to procedures. [8] [9] [10] She has been involved in research looking at the efficacy of drug eluting balloons for peripheral arterial disease [11] and co-authored the FUME trial, the only randomized control trial comparing abdominal myomectomy and uterine artery embolization. [12] She was also a co-applicant for FEMME, a multicenter randomized control trial looking at myomectomy and uterine artery embolization, [13] [14] and has been involved in other work regarding uterine artery embolization. [15] During her career, Belli was a member of the National Institute for Health and Clinical Excellence (NICE) Guidelines Development Group for heavy menstrual bleeding and served on the committee of safety for devices for Medicines and Healthcare products Regulatory Agency from 2000 to 2009. [3]

Selected publications

Awards

Belli has been recognized by national and international societies for clinical excellence. Some of her notable awards include the Gold Medal from the British Society of Interventional Radiology (BSIR) in 2015, [16] the Gold Medal of the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) in 2018, [17] and the Gold Medal of the European Society of Radiology in 2019. [2] She has additionally received honorary fellowships to the German Society of Interventional Radiology and Minimally Invasive Therapy (Deutsche Gesellschaft für Interventionelle Radiologie und Minimal-Invasive Therapie), the Seldinger Society of Interventional Radiology of Sweden, and the Société Française de Radiologie. [2]

Related Research Articles

<span class="mw-page-title-main">Stent</span> Type of medical device

In medicine, a stent is a tube usually constructed of a metallic alloy or a polymer. It is inserted into the lumen of an anatomic vessel or duct to keep the passageway open. Stenting refers to the placement of a stent. The word "stent" is also used as a verb to describe the placement of such a device, particularly when a disease such as atherosclerosis has pathologically narrowed a structure such as an artery.

<span class="mw-page-title-main">Interventional radiology</span> Medical subspecialty

Interventional radiology (IR) is a medical specialty that performs various minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound. IR performs both diagnostic and therapeutic procedures through very small incisions or body orifices. Diagnostic IR procedures are those intended to help make a diagnosis or guide further medical treatment, and include image-guided biopsy of a tumor or injection of an imaging contrast agent into a hollow structure, such as a blood vessel or a duct. By contrast, therapeutic IR procedures provide direct treatment—they include catheter-based medicine delivery, medical device placement, and angioplasty of narrowed structures.

<span class="mw-page-title-main">Vascular surgery</span> Medical specialty, operative procedures for the treatment of vascular disorders

Vascular surgery is a surgical subspecialty in which vascular diseases involving the arteries, veins, or lymphatic vessels, are managed by medical therapy, minimally-invasive catheter procedures and surgical reconstruction. The specialty evolved from general and cardiovascular surgery where it refined the management of just the vessels, no longer treating the heart or other organs. Modern vascular surgery includes open surgery techniques, endovascular techniques and medical management of vascular diseases - unlike the parent specialities. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system excluding the coronaries and intracranial vasculature. Vascular surgeons also are called to assist other physicians to carry out surgery near vessels, or to salvage vascular injuries that include hemorrhage control, dissection, occlusion or simply for safe exposure of vascular structures.

<span class="mw-page-title-main">Cerebral angiography</span> Angiography that produces images of blood vessels in and around the brain

Cerebral angiography is a form of angiography which provides images of blood vessels in and around the brain, thereby allowing detection of abnormalities such as arteriovenous malformations and aneurysms. It was pioneered in 1927 by the Portuguese neurologist Egas Moniz at the University of Lisbon, who also helped develop thorotrast for use in the procedure.

<span class="mw-page-title-main">Embolization</span> Passage and lodging of an embolus within the bloodstream

Embolization refers to the passage and lodging of an embolus within the bloodstream. It may be of natural origin (pathological), in which sense it is also called embolism, for example a pulmonary embolism; or it may be artificially induced (therapeutic), as a hemostatic treatment for bleeding or as a treatment for some types of cancer by deliberately blocking blood vessels to starve the tumor cells.

Transcatheter arterial chemoembolization (TACE) is a minimally invasive procedure performed in interventional radiology to restrict a tumor's blood supply. Small embolic particles coated with chemotherapeutic drugs are injected selectively through a catheter into an artery directly supplying the tumor. These particles both block the blood supply and induce cytotoxicity, attacking the tumor in several ways.

<span class="mw-page-title-main">Uterine fibroid</span> Medical condition with benign tumors of uterus

Uterine fibroids, also known as uterine leiomyomas or fibroids, are benign smooth muscle tumors of the uterus. Most women with fibroids have no symptoms while others may have painful or heavy periods. If large enough, they may push on the bladder, causing a frequent need to urinate. They may also cause pain during penetrative sex or lower back pain. A woman can have one uterine fibroid or many. Occasionally, fibroids may make it difficult to become pregnant, although this is uncommon.

<span class="mw-page-title-main">Uterine myomectomy</span> Surgical removal of uterine fibroid

Myomectomy, sometimes also called fibroidectomy, refers to the surgical removal of uterine leiomyomas, also known as fibroids. In contrast to a hysterectomy, the uterus remains preserved and the woman retains her reproductive potential. It still may impact hormonal regulation and the menstrual cycle.

<span class="mw-page-title-main">Uterine artery embolization</span>

Uterine artery embolization is a procedure in which an interventional radiologist uses a catheter to deliver small particles that block the blood supply to the uterine body. The procedure is primarily done for the treatment of uterine fibroids and adenomyosis. Since uterine fibroids are the most common indication, it is also often referred to as uterine fibroid embolization. Compared to surgical treatment for fibroids such as a hysterectomy, in which a woman's uterus is removed, uterine artery embolization may be beneficial in women who wish to retain their uterus. Other reasons for uterine artery embolization are postpartum hemorrhage and uterine arteriovenous malformations.

<span class="mw-page-title-main">Carotid-cavernous fistula</span> Medical condition

A carotid-cavernous fistula results from an abnormal communication between the arterial and venous systems within the cavernous sinus in the skull. It is a type of arteriovenous fistula. As arterial blood under high pressure enters the cavernous sinus, the normal venous return to the cavernous sinus is impeded and this causes engorgement of the draining veins, manifesting most dramatically as a sudden engorgement and redness of the eye of the same side.

<span class="mw-page-title-main">Uterine artery</span>

The uterine artery is an artery that supplies blood to the uterus in females.

The Society of Interventional Radiology (SIR) is an American national organization of physicians, scientists and allied health professionals dedicated to improving public health through the use of minimally invasive, image-guided therapeutic interventions for disease management.

Percutaneous intentional extraluminal revascularization is a percutaneous technique used in interventional radiology for limb salvage in patients with lower limb ischemia due to long superficial femoral artery occlusions. This method is intended for those patients who make poor candidates for infrainguinal arterial bypass surgery. A guide wire is intentionally introduced in the subintimal space, after which balloon dilatation is performed to create a new lumen for the blood to flow through. The technique is not without complications but may serve as a "temporary bypass" to provide wound healing and limb salvage.

Interventional neuroradiology (INR) also known as neurointerventional surgery (NIS), endovascular therapy (EVT), endovascular neurosurgery, and interventional neurology is a medical subspecialty of neurosurgery, neuroradiology, intervention radiology and neurology specializing in minimally invasive image-based technologies and procedures used in diagnosis and treatment of diseases of the head, neck, and spine.

Interventional oncology is a subspecialty field of interventional radiology that deals with the diagnosis and treatment of cancer and cancer-related problems using targeted minimally invasive procedures performed under image guidance. Interventional oncology has developed to a separate pillar of modern oncology and it employs X-ray, ultrasound, computed tomography (CT) or magnetic resonance imaging (MRI) to help guide miniaturized instruments to allow targeted and precise treatment of solid tumours located in various organs of the human body, including but not limited to the liver, kidneys, lungs, and bones. Interventional oncology treatments are routinely carried out by interventional radiologists in appropriate settings and facilities.

Radiation lobectomy is a form of radiation therapy used in interventional radiology to treat liver cancer. It is performed in patients that would be surgical candidates for resection, but cannot undergo surgery due to insufficient remaining liver tissue. It consists of injecting small radioactive beads loaded with yttrium-90 into the hepatic artery feeding the hepatic lobe in which the tumor is located. This is done with the intent of inducing growth in the contralateral hepatic lobe, not dissimilarly from portal vein embolization (PVE).

Endovascular and hybrid trauma and bleeding management is a new and rapidly evolving concept within medical healthcare and endovascular resuscitation. It involves early multidisciplinary evaluation and management of hemodynamically unstable patients with traumatic injuries as well as being a bridge to definitive treatment. It has recently been shown that the EVTM concept may also be applied to non-traumatic hemodynamically unstable patients.

Anne Christine Roberts is an American interventional radiologist who is credited with the invention of the Roberts Uterine Catheter (RUC), a catheter designed to facilitate navigation through the uterine arteries and currently used widely for uterine artery embolization procedures. She also served as president of the Society of Interventional Radiology (SIR) (1996-1997) and was the second woman to become president of the society.

Katharine Legg Krol, M.D., FSIR, FACR, is an American interventional radiologist. She was part of the original Palmaz and Wallstent trials for the treatment of peripheral arterial disease (PAD). She served as the president of the Society of Interventional Radiology (SIR) (2006-2007) - becoming the fourth woman to have held this position.

<span class="mw-page-title-main">Ali A Haydar</span> Lebanese physician

Ali A Haydar is Lebanese physician who is an emeritus professor at the American University of Beirut and is the Chief Medical Officer at Aman Hospital, Doha, Qatar and previously the Chairman of radiology at the Clemenceau Medical Center affiliated with Johns Hopkins International since 2018. He is also a member of the Radiological Society of North America, British society of Interventional and Cardiovascular Radiology and the Cardiovascular and Interventional Radiological Society of Europe and fellow of the Pan Arab Interventional radiology society.

References

  1. ↑ "Professor Anna-Maria Belli". NHS Choices. NHS. Retrieved 9 June 2020.
  2. 1 2 3 "Anna-Maria Belli, London, United Kingdom". myESR. European Society of Radiology. Retrieved 10 January 2022.
  3. 1 2 "Anna Maria Belli". Interventional News. Retrieved 9 June 2020.
  4. ↑ "30 years of CIRSE". Cardiovascular and Interventional Radiological Society of Europe. CIRSE. Retrieved 28 September 2020.
  5. ↑ Belli, Anna-Maria; Englander, Meridith (208). "The Female Threat". CardioVascular and Interventional Radiology. 41 (5): 673–674. doi:10.1007/s00270-018-1915-2. PMC   5876275 . PMID   29492632.
  6. ↑ Englander, Meridith; Belli, Anna-Maria. "Women Can Lead the Way for the Future of Interventional Radiology". Endovascular Today. Endovascular Today. Retrieved 28 September 2020.
  7. ↑ "An Interview with Prof. Anna-Maria Belli, MBBS, FRCR, EBIR". Endovascular Today. Endovascular Today. Retrieved 28 September 2020.
  8. ↑ Reekers, Jim; Muller-Hulsbeck, Stefan; Libicher, Martin; Atar, Eli; Trentmann, Jens; Goffette, Pierre; Borggrefe, Jan; Zelenak, Kamil; Hooijboer, Pieter; Belli, Anna-Maria (February 2011). "CIRSE Vascular Closure Device Registry". CardioVascular and Interventional Radiology. 34 (1): 50–3. doi:10.1007/s00270-010-0004-y. PMC   3020296 . PMID   20981425.
  9. ↑ Belli, Anna-Maria; Reekers, Jim; Lee, Michael (February 2014). "The Importance of Curriculum-Based Training and Assessment in Interventional Radiology". CardioVascular and Interventional Radiology. 37 (1): 8–10. doi:10.1007/s00270-013-0750-8. PMID   24170167. S2CID   20809044.
  10. ↑ Ratnam, Lakshmi; Raja, Jowad; Munneke, Graham; Morgan, Robert; Belli, Anna-Maria (March–April 2007). "Prospective Nonrandomized Trial of Manual Compression and Angio-Seal and Starclose Arterial Closure Devices in Common Femoral Punctures". CardioVascular and Interventional Radiology. 30 (2): 182–8. doi:10.1007/s00270-006-0226-1. PMID   17200896. S2CID   24853135.
  11. ↑ Tsetis, Dimitrios; Belli, Anna-Maria (May–June 2004). "Guidelines for Stenting in Infrainguinal Arterial Disease". CardioVascular and Interventional Radiology. 27 (3): 198–203. doi:10.1007/s00270-004-0029-1. PMID   15129334. S2CID   35599005.
  12. ↑ Manyonda, Isaac; Bratby, Mark; Horst, Jessica; Banu, Nassera; Gorti, Maha; Belli, Anna-Maria (June 2012). "Uterine Artery Embolization versus Myomectomy: Impact on Quality of Life—Results of the FUME (Fibroids of the Uterus: Myomectomy versus Embolization) Trial". CardioVascular and Interventional Radiology. 35 (3): 530–6. doi:10.1007/s00270-011-0228-5. PMID   21773858. S2CID   24484885.
  13. ↑ Manyonda, Isaac; Belli, Anna-Maria; Lumsden, Mary-Ann; Moss, Jonathan; William, McKinnon; Middleton, Lee; Cheed, Versha; Wu, Olivia; Sirkeci, Fusun; Daniels, Jane; McPherson, Klim (30 July 2020). "Uterine-Artery Embolization or Myomectomy for Uterine Fibroids". New England Journal of Medicine. 383 (5): 440–451. doi: 10.1056/NEJMoa1914735 . PMID   32726530. S2CID   220877925.
  14. ↑ "An Interview with Prof. Anna-Maria Belli, MBBS, FRCR, EBIR". Endovascular Today. Endovascular Today. Retrieved 28 September 2020.
  15. ↑ Mailli, Leto; Auyoung, Eric; Angileri, Salvatore; Ameli-Renani, Seyed; Ratnam, Lakshmi; Das, Raj; Chun, Joo-Young; Das, Sourav; Manyonda, Isaac; Belli, Anna-Maria (March 2020). "Predicting the Fibroid-Migratory Impact of UAE: Role of Pre-embolization MRI Characteristics". CardioVascular and Interventional Radiology. 43 (3): 453–458. doi:10.1007/s00270-019-02348-w. PMC   6997258 . PMID   31650245.
  16. ↑ "BSIR Gold Medal Awards". BSIR Gold Medal Awards. British Society of Interventional Radiology. Retrieved 28 September 2020.
  17. ↑ "Awards and Honors". Society Awards and Honors. CIRSE. Retrieved 28 September 2020.
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