Society of Interventional Radiology: Guidelines and Statements Topic Submission Form
First Name
Last Name
Phone Number
Email Address
Sponsoring committee, council, division, or other group (if applicable)
SIR Member?
Yes
No
For additional details about the document development process or document types, please visit the
SIR Guidelines and Standard's web page
Title of Proposed Topic
Synopsis of proposed topic
(<500 words; include current variations in practice, gaps in care, rationale why topic is timely, how this topic addresses underserved or disproportionately affected patient populations, and any additional relevant information):
How will this document benefit the SIR and practicing interventional radiologists?
Is there a body of evidence available upon which to base recommendations?
Yes
No
If yes, please provide 3-5 citations or links to citations of representative research that will be used in formulating this document
Clinical Focus Area of the Topic (Select all that apply)
Neurovascular Disorders
Pediatrics
Peripheral Arterial Disease
Cardiac
Interventional Oncology
Aortic Disease
Portal and mesenteric vascular disease
Practice Development and Safety
Renal failure/hemodyalisis
Spine and musculoskeletal disorders
Venous disease
Pain Management
Women's Health
Other
Will this topic benefit from collaboration with other specialties or external organizations?
Yes
No
If yes, please provide examples
Contact Information