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25 The History ofWomen inNeuroradiology inLatin America
Fig. 25.7 Dr. Romy Ames
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Dr. Lourdes Simbron Ribbeck (Fig.25.8) graduated from Universidad Nacional Mayor de San Marcos, the most ancient Latin American University, where she obtained both her MD and Radiologist Diploma after completing her training in Hospital Nacional Edgardo Rebagliati Martins. During residency, she was awarded the SILAN MCG Visiting Scholarship and trained under Dr. Ramon Figueroa at Augusta University. Her passion toward the eld and lack of opportunities for fur­ther specialization in Peru made her move to Mexico City, where she trained for 2years in the Instituto Nacional de Neurologia y Neurocirugia “Manuel Velasco Suarez.” Coming back to Peru, she settled in the Instituto Nacional de Ciencias Neurologicas (INCN), the oldest neurological and neurosurgical institute of the country, where people from the nation come seeking treatment and relief. Dr. Simbron serves as Head of the MRI Unit and has established a very active academic practice working with residents from Radiology, Neurology, and Neurological Surgery as well as active participation in the case boards of the Neurovascular and Neuroinfectious working groups. She is a recurrent lecturer both at local and national meetings. Her passion includes traveling and coffee tasting.
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Fig. 25.8 Dr. Lourdes Simbron Ribbeck
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History ofWomen Neuroradiologists inColombia
Most Inuential Female Colombian Neuroradiologist Doctors
The rst radiology equipment arrived in Medellin, Colombia, in 1901, and the rst radiography (a hand) was taken in June 1902 by Juan Bautista Montoya y Flórez, who had trained in Paris.
The rst radiology residency started in 1928 at the Hospital San Juan de Dios in Bogotá, with Gonzalo Esguerra as the Head of the Radiology Department. On July 12, 1945, Gonzalo Esguerra also founded the Sociedad Colombiana de Radiología, one of the rst scientic medical societies in the country. The rst Colombian Radiology Congress was held in March 1950 (Jornadas Radiológicas Colombianas), and even though the photographs from the Congress show some women, they were the wives of the radiologists. So up to that time, no women appeared in the history of Colombian Radiology. Women started to appear in the eld of radiology in the 1970s. Though it is not completely documented, the rst woman radiologist in Colombia appears to have been Ms. Ana Elvira Prada from Medellin.
Women in neuroradiology appear later, one of the rst being Ms Aleyda Rodríguez, who was trained at the Military Hospital and later worked as a neuroradiologist at the Instituto Neurológico de Colombia in the late 1980s. Ms. Sonia Bermudez, also
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a neuroradiologist, was part of the Editorial Board of the Revista Colombiana de Radiología since its foundation and has been directing the journal since 1996. As there was no formal neuroradiology training in Colombia, in the 1990s, some of our colleagues went to the USA to train, and some took up residence there (Esperanza Pacheco, Martha Ballesteros, Maria Olga Patiño), while some trained in the USA and Canada and came back (Ana María Granados, María Teresa Mantilla). Elcy Medina was the rst woman neuroradiologist trained formally in Colombia, at the Hospital Universitario Medellin. Later, many of us followed their example and dedicated our studies and our work to neuroradiology. Now, even though we have no neuroradiological society in Colombia, three women of the neuroradiology committee of the Asociación Colombiana de Radiologia (Feliza Restrepo, Ana Maria Granados, Carolina Tramontini), with help and support from many other members of the Society, are on our way to creating a Neuroradiology Chapter.
The European Society of Neuroradiology had a great inuence on neuroradiol­ogy in Colombia, especially on us women. The rst three Colombian radiologists, all women, who received the European Neuroradiology Diploma in 2013 were Carolina Tramontini, Sonia Bermúdez, and Sara Nuñez . Since then, there has been a close collaboration between the ESNR and the Asociación Colombiana de Radiologia. The European course, ECNR, held in Colombia since 2017, inuenced many of our younger colleagues to take the path of neuroradiology. In 2023, Carolina Tramontini (Fig.25.9) was granted Honorary Membership of the ESNR,
Fig. 25.9 Dr. Carolina Tramontini
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being the rst Colombian or Latin American neuroradiologist to be awarded this honor. Currently, there are approximately 30–40 women neuroradiologists working in Colombia, and many more are working abroad, mainly in the USA, Canada, and Spain.
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History ofWomen Neuroradiologists inCosta Rica
Most Inuential Female Costa Rican Neuroradiologist Doctors
The rst doctor of African descent and rst radiologist in Costa Rica was Dr. Grace Curling Rodriguez, who later pursued her subspecialty in neuroradiology, becom-
ing a pioneer in that area in the country. It should be noted that Dr. Curling, during the 1990s, served as Head of Service at one of the country’s National Social Security Hospitals until her retirement. Subsequently, in 2015, Dr. Carolina Mejías Soto returned from Mexico as a subspecialist, becoming the second female neuroradiolo­gist in Costa Rica. Currently, Dr. Mejías Soto serves as Director of the National Center for Medical Imaging of the Costa Rican Social Security. These are the only two neuroradiologists that Costa Rica has, leaving evidence that not only for this area but for many other subspecialties of radiology, it is necessary to continue pro­moting subspecialized training among colleagues, which allows facilitating devel­opment and gender equity, as well as to optimize adequate and timely patient care.
History ofWomen Neuroradiologists inArgentina
Most Inuential Female Argentinian Neuroradiologist Doctors
In Argentina, as in the rest of the world, there has been an increasing number of women with a major role in neuroradiology. One early and prominent member of this group was Professor Dr. Gloria E.Díaz (1930–2011), who, after a period of specialization in Paris during the sixties, performed over a period of 15years as Chief of Radiodiagnostics at the Hospital Ramos Mejía, in Buenos Aires. She was also an Associate Professor of Diagnostic Imaging at Buenos Aires University and stood out in the interventional neuroradiological eld, being a professor to many undergraduates who have never forgotten her. More recently, there is a group of prominent gures in the eld who have achieved important positions in several pri­vate centers in Argentina. Such are the cases of Claudia Cejas MD, (chief of Imaging Diagnostic at FLENI and vice-president of the Argentine Radiological Society), Adriana Ojeda, MD (head of Neuroradiology at Oroño Institute in Rosario and recently designated co-editor of the Argentine Radiological Magazine), Inés Tamer MD (neuroradiologist of the SWISS medical group), and Cristina Besada, MD (Chief of Neuroradiology at the Hospital Italiano in Buenos Aires). In the eld of
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Pediatric Neuroradiology, we must mention Susana Persico, MD, who, after a train- ing period in France, has been performing as a neuroradiologist at the Hospital Garrahan in Buenos Aires. Last, but not least, there are some outstanding contem­porary interventional neuroradiologists, such as Silvia Garbullino MD. and Roxana Ceratto MD, who are working in the Hospital Británico and ENERI, respectively.
Juan M.Taveras (1919–2002) was a Dominican neuroradiologist who is remem­bered chiey for his work in establishing neuroradiology as a separate subspecialty in the United States. He was the principal mover behind the founding of the American Society of Neuroradiology and its primary publication, the American Journal of Neuroradiology as well as SILAN (Ibero Latin American Society of Neuroradiology), in which one of the authors (GT) was a President. In 1964, Juan Taveras and Ernest Wood co-authored the textbook Diagnostic Neuroradiology, the rst American textbook on neuroradiology, which became a reference book in the specialty. When you analyze the contents of this book, you nd out that the modali­ties listed were plain lms, intracranial pneumography, angiography, and ventricu­lography. General radiologists were reading the plain lms, but the remainder of the procedures were performed by neurosurgeons.
Many women neurosurgeons used those procedures, some of them with multiple publications in the eld of neuroradiology:
Dr. Maria Luisa Morete de Pardal (Chair of Neurosurgery-Costa Buero Neurosurgical Institute) published an update on iodoventriculogram in the presti­gious journal Acta Radiologica from Sweden in 1958.
Dr. Alejandra Teresa Rabadán was a prominent neurosurgeon, researcher, teacher, and scholar in Argentina. She graduated from the Faculty of Medicine of the University of Buenos Aires in 1977 with honors. She was head of the Neurosurgery Division of the A.Lanari Medical Research Institute of the University of Buenos Aires and former head of the Neurosurgery Service of the Italian Hospital of Buenos Aires. She was also an associate professor of Neurosurgery at the School of Medicine of the University of Buenos Aires and head of the Neurosurgery Service at the Juan P.Garrahan Pediatric Hospital.
Dr. Graciela Noemi Zuccaro grew up in La Ciudad de la Plata, Buenos Aires, Argentina, obtaining her degree in medicine with honors at the Universidad de la Plata in August of 1973. In 1974, Dr. Zuccaro moved to the city of Buenos Aires and initiated her rst steps in pediatric neurosurgery under the tutorial of Dr. Raul Carrea at the Children’s Hospital Ricardo Gutierrez. She graduated as a pediatric neurosur­geon in 1978. Upon nishing her residency, Dr. Zuccaro did a fellowship in micro­surgery in 1985 at the Henry Ford Institute in Detroit and continued her formation with base of skull surgery training at the University of Cincinnati and at the University of Virginia. She then became a fellow at the Children’s Hospital of Philadelphia under the guidance of Professor Luis Schut. Later on, in 2000, she specialized in neuroendoscopy under the tutelage of Professor Fernando Rueda Franco at the National Institute of Pediatrics in Mexico City. Dr. Zuccaro assumed her rst faculty position in 1979 at the Children’s Hospital “Ricardo Gutiérrez” in Buenos Aires, a position she maintained until 1987 when she transferred to the National Pediatric Hospital “Prof. Dr. Juan P. Garrahan” where Dr. Zuccaro was appointed Chief of Neurosurgery from 2003 to 2014; simultaneously, she was a
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professor of pediatric neurosurgery at the Faculty of Medicine of the University of Buenos Aires, where she continues to be an honorary faculty. Dr. Zuccaro has been part of the editorial board of multiple scientic publications; they include La Revista Argentina de Neurocirugía, Child’s Nervous System, Journal Brasileiro de Neurocirugía, Surgical Neurology, and Journal of Hydrocephalus. She was the rst President of the International Society of Pediatric Neurosurgery.
Dr. Silvia Berner and Beatriz Pazos were also neurosurgeons performing inva­sive procedures.
Silvia Berner received her MD from the University of La Plata. She is a Board­Certied Neurosurgeon and was the Neurosurgery Chair at Ophthalmologic Hospital Santa Lucia, playing a key role in preserving that hospital. She was Head of Neurosurgery at Sanatorio Santa Isabel. She published important papers related to molecular analysis of pituitary pathology. Dr. Berner is a member of numerous Neurosurgical Associations: Asociación Argentina de Neurocirugía, Sociedad de Neurocirugía de la Provincia de Buenos Aires, Sociedad de Neurocirugía del Cono Sur, Federación Latinoamericana de Neurocirugía, Federación Mundial de Neurocirugía. She is a past president of the Asociación Civil de Neurocirujanos de la Ciudad de Buenos Aires, Sociedad Argentina de Neurocirugía, Sociedad Argentina de Neurociencias. She received a fellowship in Berlin (Grant) University Hospital Klinikum Steglitz under Professor Mario Brock and a fellowship in Zurich under Professor G. Yasargil. She is the recipient of numerous awards including the Annual Prize of The National Academy of Medicine. She has 194 peer-reviewed papers and has participated in 193 national and international meetings.
Dr. Beatriz Pazos was the Head of Neurosurgery at the Hospital Alejandro Posadas.
When digital imaging started, new radiologists took over neuroradiology. Invasive methods were handled by interventional neuroradiologists, and diagnostic methods were managed by diagnostic neuroradiologists. In this stage, many impor­tant names surfaced:
Dr. Cristina Besada graduated from the University of Buenos Aires School of Medicine. She completed a Diagnostic Imaging Residency Program at Hospital Frances in Buenos Aires and the Superior Course in Diagnostic Imaging at the Argentine Society of Radiology (SAR). She completed a fellowship in Magnetic Resonance Imaging at Centre Hospitalier Universitaire Robert Debre in Reims, France, and the Superior Course in Diagnostic Imaging at Hôpital Bicêtre in Paris, France. She was an attending physician at the Neurological Center, Hospital Frances Buenos Aires, Head of the Neuroimaging Section at Hospital Italiano Buenos Aires, and Professor of Diagnostic Neuroradiology at Universidad de Ciencias Empresariales y Sociales, Sociedad Argentina de Radiología, and Universidad del Hospital Italiano. She was the Director of the Neuroradiology Chapter at Sociedad Argentina de Radiología. Dr. Besada is a member of the Sociedad Argentina de Radiología, American Society of Neuroradiology, European Society of Radiology, and Société Française de Radiologie. She is the author of many peer-reviewed papers and has contributed to many national and international meetings as a guest
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speaker and moderator in workshops. She was the rst Chair of the Neuroradiology Section at Sociedad Argentina de Radiología.
Dr. Claudia Cejas is a graduate of the Faculty of Medicine at the University of Buenos Aires. She completed her residency in Diagnostic Imaging at Htal. Mariano Castex for 4years and a Fellowship in Neuroradiology and Head and Neck for 1year at Hôpital Civil, Université de Strasbourg, France, under the mentorship of Prof. Jean Louis Dietemann. Currently, she is the President of the Argentinian Society of Radiology (SAR). Among her awards, she is an Honorary Member of the American Society of Neuroradiology (ASNR) in 2022. She is a member of the French Society of Radiology (SFR) and the European Society of Radiology (ECR). Her credentials in medical journalism are impressive: she received a scholarship from the American Roentgen Ray Association (ARRS) as the “2016 Lee F.Rogers International Fellow in Radiology Journalism.” She excels in teaching and was the Editor-in-Chief of the Revista Argentina de Radiología (RAR) from 2010 to 2018. She is a Professor of Pre-graduate Training at Buenos Aires University, Director of the Radiology Specialist Course at Buenos Aires University, and Director of the Radiology Specialist Course in the Argentinian Society of Radiology (SAR). She serves as a Scientic Consultant for prestigious radiology journals such as Radiology (USA), Radiología (Spain), Stroke (USA), Muscle & Nerve, and Revista Uruguaya de Radiología. To date, she has won 14 awards, given over 100 lectures at national and international courses and conferences, presented over 100 papers (poster-free topic) at national and international conferences, written 48 scientic papers on spe­cialty topics in national and international journals, published a book as the rst author, authored chapters in four specialty books, and written over 30 editorials. She chairs the Imaging Department at FLENI, a prestigious neurological center in Argentina. Currently, her area of interest is Magnetic Resonance Imaging in the study of neuromuscular diseases, having developed Nerve and Plexus Magnetic Resonance Neurography at FLENI.
Dr. Adriana Ojeda received her Medical Degree from the University of Buenos Aires. She is a Specialist in Diagnostic Imaging in Santa Fe Province, as well as certied by the National Academy of Medicine and recertied with honors (Argentine Board Certication). She has a Diplome d’Université Radiologie et Imagerie Diagnostique du Système Nerveux from Université Paris IV, Unité de Formation et de Recherche de Médecine Pierre et Marie Curie–France, and Formation Spécialisée en Radiodiagnostique et Imagerie Médicale from CHU Amiens, France. She also has a Diplôme d’Université d’Imagerie par Résonance Magnétique from Faculté de Médecine Paris Sud—Université de Paris XI, France. Dr. Ojeda is a Professor of Neuroradiology for the Argentine Federation of Radiological Societies and a Professor of Neuroradiology in the Chair of Psychiatry at the National University of Rosario. She was Editor-in-Chief of Revista Argentina de Radiología. She was active in 100 national courses and meetings, 29 interna­tional meetings, 22 peer-reviewed national publications, and ve international pub­lications. She was awarded Magna cum Laude at the RSNA meeting for her work on percutaneous vertebroplasty with methyl-methacrylate. Dr. Ojeda was the pio­neer of percutaneous vertebroplasty in Argentina.
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Dr. Ines del Valle Tamer is a Diagnostic Imaging specialist from the University of Buenos Aires. She trained in neuroradiology as an Assistant étrangère at Hôpital Lariboisière, Paris, France. She is a neuroradiologist at many institutions in Buenos Aires, Argentina, including Instituto Argentino de Diagnóstico y Tratamiento and Swiss Medical Group. She was in charge of the Neuroradiology Specialists Course at Universidad de Ciencias Sociales y Empresariales. She is very active in SILAN (Iberolatinoamerican Society of Neuroradiology), lecturing and contributing articles, one of which was awarded the Taveras Award for Diagnostic Radiology excellence.
Dr. Rosana Salvatico is a diagnostic radiologist with a medical degree from the School of Medicine, University of Buenos Aires. She is a Diagnostic Imaging Specialist from the Ministry of Health through her residence at Hospital Durand. She has a fellowship and certication in Diagnostic Imaging from SAR (Argentine Radiological Society) and was the rst Neuroradiologist in Argentina from the European Society of Neuroradiology. She is an Associate Professor of Diagnostic Imaging and Psychiatry at USAL (University of Salvador, Argentina). She works as a staff radiologist in the most important Neuroradiological Centers: ENERI-FLENI, Clínica La Sagrada Familia (under Prof. Pedro Lylyk MD), and Centro de Diagnóstico Dr. Enrique Rossi. She is also a Consultant at INOVA Center in Bahia Blanca (Buenos Aires Province). She is very active in teaching and is a member of the Neuroradiology staff at SAR.Among her publications, “Diffusion tensor MRI: clinical applications” is in the International Nuclear Information System.
Dr. Gloria Egenia Diaz was a pioneer in catheter angiography. She started at the Instituto Modelo de Clínica Médica, Hospital Rawson. One of the authors (GT), working in the Nuclear Medicine Department at the same institute, witnessed her working late into the night. She was a Professor of Radiology at the School of Medicine (UBA). She joined the exchange program chaired by one of the authors (GT) with the Faculty of the University of California, Los Angeles, and Clínica Modelo de Lanús as Chair of Radiology. She served as President of SAR (Sociedad Argentina de Radiología), being the rst woman to hold that position.
Dr. Silvia Garbugino received her MD from the University of Buenos Aires, School of Medicine. She was a resident of neurosurgery at the prestigious Hospital de Clínicas. She is a member of the Argentinian Neurosurgical Association and founder of the Argentinian College of Neurointerventionism, where she served as President. She is also a member of the World Federation of Interventional and Therapeutic Neuroradiology.
Dr. Rosana Ceratto is an interventional neuroradiologist and a pioneer in the eld of diagnostic and interventional neuroradiology. She was a staff member at ENERI, the leading institution in Argentina, where interventional neuroradiology started. She taught neuroradiologists from all over the world. Her vast experience is reected in articles in national and international peer-reviewed journals.
These women neuroradiologists in Argentina published more than 70 important scientic articles around the world.
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History ofWomen Neuroradiologists inParaguay
Most Inuential Female Paraguayan Neuroradiologist Doctors
In Paraguay, radiology was an exclusively male specialty for many years. The rst women radiologists began practicing in the 90s, dedicating themselves mainly to ultrasound and then to radiology. This trend continues to a certain extent, but cur­rently, there are three women trained in and dedicated to neuroradiology and who are members of the Paraguayan Diagnostic Imaging Society.
Dr. Carolina Servin Zardini (Fig.25.10), a student at the National University of Asuncion and a resident at the Hospital de Clínicas, received her neuroradiology training rst with a SILAN scholarship at MCG USA in 2003 with Professor R. Figueroa, where she fell under the charm of this subspecialty. She was then studying at the CHU Limoges, France. She continued her training in subsequent years with the European Neuroradiology course in Cartagena, Colombia, being a member of the European Society of Neuroradiology. She works in the private sector in the Centro Medico La Costa, in Asunción.
Dr. Rosanna Meza Lopez is also from the National University of Asunción. She originally opted for the specialty of pediatrics and then, in 2009, nally specialized
Fig. 25.10 Dr. Carolina Servin Zardini
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in Imaging Medicine, with a postgraduate degree in Argentina from the Hospital Sor Maria Ludovica La Plata. She is a member of the Argentine Society of Diagnostic Imaging. She works in the private sector in the Instituto Codas Thompson and, faithful to her beginnings as a pediatrician, is dedicated to performing radiology and neuroradiology on children.