Name: 職業之戰 💥 放射科醫生：診斷與介入 (Career Battle 💥 Radiologist: Diagnostic vs Interventional)
Uploaded: 2025-10-08T18:24:07.000Z
Duration: 11 min 44 s

What's the difference between Diagnostic and Interventional Radiology?

診斷放射學和介入放射學有什麼不同？

We're back with our brand new Career Battle series where we compare two different medical career options to help you decide which is the best path for you.

我們回來啦！全新「職業對決」系列，要來比較兩種不同的醫學職涯選項，幫助你決定哪條路最適合你。

We'll break down compensation, lifestyle, length of training, and the pros and cons of pursuing each career path.

我們會深入分析每種職涯的薪酬、生活方式、訓練時長，以及優缺點。

Dr. Jubbal medschoolinsiders.com in our first video, we covered the differences between doctors and surgeons.

Dr. Jubbal medschoolinsiders.com 在我們第一支影片中，我們討論了醫師和外科醫師的差異。

Next up in the battle arena, by popular request from our subscribers, is diagnostic radiologist versus interventional radiologist.

接下來在對決擂臺，應我們訂閱者的大力要求，要來 PK 的是診斷放射師對決介入放射師。

The basic difference is that diagnostic radiology primarily deals with diagnosing disease and interventional radiology primarily deals with treating disease.

基本的差別在於，診斷放射學主要負責診斷疾病，而介入放射學主要負責治療疾病。

Diagnostic radiology involves using medical imaging technology such as x Ray, CT MRI, ultrasound, mammography, and

診斷放射學會運用醫學影像技術，像是 X光、CT、MRI、超音波、乳房攝影，還有

various nuclear studies to diagnose disease.

The diagnostic radiologists don't usually take the images themselves, but

診斷放射師通常不會自己操作儀器拍攝影像，而是

instead spend the majority of their time looking at the finished scans and providing interpretations of them for the clinical physician who ordered the scan.

大部分時間都在看診斷完成的掃描影像，並為開立檢查單的臨床醫師提供判讀報告。

Interventional radiology, on the other hand, involves using medical imaging technology to treat and sometimes diagnose conditions using imaging guidance, which is typically a kind of real time X ray called fluoroscopy.

另一方面，介入放射學則是利用醫學影像技術，在影像導引下進行治療，有時也會診斷病情，這通常是利用一種即時的 X光，稱為透視攝影。

And interventional radiologists often manipulate long thin wires called catheters to the site or organ of interest to then perform a procedure.

介入放射師通常會操控細長的導管，將其導引至目標部位或器官，然後進行手術。

These procedures are known as minimally invasive, as traditional invasive surgeries require far more cutting than a needle stick or small incision.

這些手術被稱為微創手術，因為傳統的侵入性手術需要比針刺或小切口大得多的切割。

So how is training different between diagnostic and interventional radiologists?

那麼，診斷放射科醫師和介入放射科醫師的訓練有什麼不同呢？

Training for both paths begins with the same four years of medical school.

兩條訓練路徑都從相同的四年醫學院開始。

差異出現在住院醫師訓練階段。

Overall, training is longer for interventional radiologists.

總體來說，介入放射師的訓練時間更長。

Residency is typically five years for diagnostic radiologists, whereas interventional radiology residency lasts six to seven years.

診斷放射師的住院醫師訓練通常是五年，而介入放射學的住院醫師訓練則為六到七年。

For context, the longest residency path, neurosurgery, is also seven years.

作為參考，最長的住院醫師訓練路徑是神經外科，也需要七年。

Diagnostic radiology residency begins with an intern year, where you obtain clinical training focused on various internal medicine or surgical rotations.

診斷放射學的住院醫師訓練從 intern year 開始，你將會獲得專注於不同內科或外科輪調的臨床訓練。

This internship is often performed at a different institution.

這個 intern year 通常會在不同的醫院進行。

The subsequent four years are dedicated to your radiology training.

接下來的四年將專用於你的放射學訓練。

This means as a PGY1 or postgraduate year one, you'll be an intern and as a PGY2 you'll be in your second year out of medical school, but

這表示作為 PGY1 或 postgradute year one，你將是 intern，而 PGY2 則是醫學院畢業後的第二年，

in your first year of radiology training, also known as R1.

也是你放射學訓練的第一年，也就是 R1。

On the other hand, there are three possible pathways to becoming an interventional radiologist.

另一方面，有三種可能的途徑可以成為介入放射師。

The first is the integrated pathway, which includes one intern year, three years of diagnostic radiology training, and

第一種是整合途徑，包括一年的 intern year、三年的診斷放射學訓練，以及

two years of dedicated interventional training.

Since the path begins with diagnostic training.

由於這條路徑從診斷訓練開始。

It's helpful for those who are still unsure which path they want to pursue.

對於那些還不確定自己想走哪條路的人來說很有幫助。

You can keep your options open for a few more years after medical school.

醫學院畢業後，你還有幾年的時間可以保持彈性。

The second is early specialization in IR, also known as ESIR, which includes one intern year, four years of Dr.

第二種是早期專攻介入放射學（ESIR），包括一年的 intern year、四年的 Dr.

Residents who realize early on that they want to do IR.

早期就意識到自己想走介入放射學的住院醫師。

They will complete more IR rotations during their Dr. Years than the other two options.

他們在 Dr. 訓練期間，會比其他兩種選擇有更多的介入放射學輪調。

The final year of Dr. Training is mainly focused on IR rotations.

Dr. 訓練的最後一年主要專注於介入放射學輪調。

To go this route, you need to know early on that you want to do IR to get the required 500 IR procedures during your doctor years.

選擇這條路徑，你需要在早期就確定想走介入放射學，才能在 Dr. 訓練期間完成所需的 500 例介入放射學手術。

The last option is the independent IR residency, which takes the longest at seven years.

最後一種是獨立的介入放射學住院醫師訓練，這也是最長的，需要七年。

This training includes one intern year, four years of doctor, and two years of a separate IR fellowship.

這種訓練包括一年的 intern year、四年的 doctor 訓練，以及兩年的獨立介入放射學進修。

Residents who realize late in residency that they want to do ir.

覺得在訓練後期才想做介入放射學的住院醫師走的。

Additionally, both diagnostic and interventional radiologists may choose to further subspecialize.

另外，診斷放射師和介入放射師都可以選擇進一步的次專科訓練。

Diagnostic radiology can subspecialize with a fellowship in breast radiology, neuroradiology, pediatric radiology, body imaging, and

診斷放射學可以選擇乳房放射學、神經放射學、小兒放射學、身體影像學等次專科進修，還有

To learn more about the subspecialties within radiology, Check out our video 10 Radiology Subspecialty Career Paths Explained linked in the description.

想了解更多放射學的次專科，可以看看我們介紹「10 種放射學次專科職業道路」的影片，連結在說明欄。

Technically, interventional radiology is a subspecialty of radiology, but

技術上來說，介入放射學是放射學的一個次專科，但是

you can also further subspecialize as an interventional radiologist, e.g.

你也可以進一步專攻介入放射師，例如

腫瘤介入治療或小兒介入治療。

Next, how does the compensation compare between diagnostic and interventional radiology?

接下來，診斷放射學和介入放射學的薪酬比較又是如何呢？

Reliable salary reports such as Doximity and Medscape don't report interventional radiologists separately.

像是Doximity和Medscape這些可靠的薪資報告，並沒有另外列出介入放射師的薪資。

On average, diagnostic radiologists make $532,000 a year.

平均來說，診斷放射師一年可以賺到532,000美元。

However, this includes those who chose to subspecialize in IR or another area of radiology, as well as those in private practice who typically make more than physicians in academic or community settings.

不過，這也包含了那些選擇專攻介入放射學或其他放射學次專科的醫師，以及通常比在學術或社區機構執業的醫師賺得更多的私人執業醫師。

Recruiting websites claim that IRs make approximately $80,000 more per year than doctors, though differences in salary are likely far more dependent on whether a radiologist is in academic or private practice.

招聘網站聲稱介入放射師一年比一般醫師多賺約80,000美元，但薪資差異很可能取決於放射師是在學術界還是私人執業。

Private practice radiologists, both diagnostic and interventional, can make significantly more than radiologists in hospitals or academia.

無論是診斷放射師還是介入放射師，私人執業的放射師收入都遠高於在醫院或學術界執業的放射師。

Radiologists are currently in high demand as there is a significant and growing shortage of radiologists in the US Could AI account for this shortage?

由於美國放射師嚴重且日益短缺，目前放射師非常搶手。AI會是造成這種短缺的原因嗎？

Find out in our detailed breakdown of when artificial intelligence will replace radiologists.

在我們對人工智慧何時會取代放射師的詳細分析中找出答案。

Link in the description how do diagnostic and interventional radiology compare in terms of lifestyle?

說明欄有連結，診斷放射學和介入放射學在生活方式方面有何不同？

Diagnostic radiologists typically work 8 to 5 Monday through Friday.

診斷放射師通常是週一到週五早上8點到下午5點工作。

During residency, you'll normally have occasional weeks of nights as well as some weekends as well as occasional days of late call, which means working until 8 or 9pm as an attending.

在住院醫師訓練期間，你通常會有偶爾的夜班，以及一些週末班和偶爾的晚班，這意味著主治醫師需要工作到晚上8點或9點。

Especially in private practice, you can often take more or less call depending on how much you want to work.

特別是在私人執業，你通常可以根據自己的工作意願來決定值班的次數。

Diagnostic radiology has one of the best lifestyles in medicine.

診斷放射學在醫學界擁有最好的生活方式之一。

As you'll have adequate time off, you can practice in a variety of work settings and there is increasing flexibility for work from home and teleradiology options.

因為你會有充足的休假時間，你可以在各種工作環境下執業，並且在家工作和遠距放射學的彈性也越來越大。

Plus, if you want to work more and make more money, you can do so.

此外，如果你想多工作賺更多錢，你也可以這麼做。

And if you want to work less and make less, you can do that too.

如果你想少工作賺少一點，你也可以這樣做。

When it comes to interventional radiology at a busy center or large hospital, scheduled IR cases can start between 7 to 8am and run until 5 to 6pm this is in addition to call, however, less busy centers will have fewer cases.

在繁忙的中心或大型醫院，介入放射學的預定病例通常在早上7點到8點開始，一直到下午5點到6點結束，這還不包括值班，不過，較不繁忙的中心病例會比較少。

Not all interventional radiologists will be operating every day.

並非所有介入放射師每天都會執行手術。

Academic IRS may only do procedures and have a day off for admin or research and private practice.

學術界的介入放射師可能只做檢查，然後有一天休假處理行政事務或研究，而在私人執業。

Overall, the IR lifestyle is worse than Dr.

總體來說，介入放射學的生活方式比診斷放射學差。

Once you're done with training, there are IR attendings who work close to general surgery hours and others who work closer to doctor hours.

訓練結束後，有些介入放射科主治醫師的工作時間接近一般外科醫師，有些則接近診斷放射醫師。

IR call is usually home call, meaning you can be called in at any hour and on weekends for urgent interventions such as internal bleeding, trauma, stroke and pulmonary emboli.

介入放射科的輪值通常是居家輪值，這表示你可能需要在任何時間或週末因為內出血、創傷、中風和肺栓塞等緊急介入措施而被叫回醫院。

These happen often, meaning you may have to go in at 3am or multiple times a weekend.

這些情況經常發生，這意味著你可能需要在凌晨3點或週末多次進醫院。

Now, what are the pros and cons of becoming a diagnostic radiologist?

好了，那麼成為一名診斷放射師的優缺點是什麼呢？

Doctor's have a great lifestyle and compensation and the work is interesting and cerebral.

診斷放射師有很棒的生活方式和薪酬，而且工作有趣且需要腦力。

If you're naturally curious and enjoy puzzles, diagnostic radiology is just that.

如果你天生好奇，喜歡解謎，那麼診斷放射學就是這樣的工作。

All of the clues are right in front of you and all you need to do is piece together the information to find the diagnosis.

所有的線索都在你眼前，你只需要拼湊資訊來找出診斷。

You can have patient contact and do procedures if you want, and

如果你想的話，你可以接觸病人並進行操作，而且

you can practice in a variety of settings that are increasingly flexible, such as working from home and teleradiology.

你可以在越來越彈性的各種環境中執業，例如在家工作和遠距放射學。

Doctor's also don't have to deal with social work such as dealing with insurance and disposition issues, calling consults, acting as a secretary, and

醫師也不必處理社會工作，例如處理保險和處置問題、打電話諮詢、擔任祕書，以及

You're also able to leave work and not take it home with you while still helping a large number of people.

你也能下班後就不再處理工作，同時還能幫助許多人。

However, this does bring us to a con you won't have longitudinal patient contact and you will not often be involved in patient care.

然而，這也讓我們想到一個缺點：你無法長期接觸病人，而且通常不會參與病人的照護。

This means many patients won't even be aware of the key role you played in their diagnosis.

這意味著許多病人甚至不會意識到你在他們診斷中扮演的關鍵角色。

You'll also need to have a vast knowledge of all organ systems and diseases.

你也需要對所有器官系統和疾病擁有淵博的知識。

Given the nature of your work, call during residency can also be challenging at times, although note that radiology residency is more middle of the pack, not as extreme as surgery, but

考量到工作的性質，住院醫師的輪值班有時也會很有挑戰性，不過請注意，放射學住院醫師的輪值班算是中等，不像外科那麼極端，但

also not as approachable as family medicine.

也沒有像家庭醫學那麼容易親近。

Increasing imaging volume means there's often pressure to read more and as fast as possible.

影像量增加意味著經常有壓力要盡可能快速地判讀更多影像。

There can also be legal liability and potential for lawsuits.

也可能會有法律責任和潛在的訴訟。

Now let's consider the pros and cons of becoming an interventional radiologist.

現在我們來看看成為介入放射師的優缺點。

A major pro is you can help people instantly and literally save lives.

一個主要的優點是你可以立即幫助人們，並且能真正拯救生命。

There's also a huge scope of practice and you can intervene all over the body.

執業範圍也非常廣泛，你可以在全身進行介入治療。

IR is a rapidly evolving field with new interventions being developed all the time, so there are many different niches to establish yourself in.

介入放射學是一個快速發展的領域，不斷有新的介入治療方法被開發出來，所以有很多不同的利基市場可以讓你建立自己的專業。

For example, IRs are Dr. Certified so you can do part IR and part Dr.

例如，介入放射師是 Dr. Jubbal 認證的，所以你可以部分從事介入放射學，部分從事診斷放射學。

如果你願意，當主治醫師的時候也可以。