Dr. Richard Owen’s specialty of Interventional Radiology is the newest specialty of the Royal College and has a bright future ahead of it. Involvement in the HHT group has allowed him to develop his clinical interest and procedural skills in this unusual and fascinating area as well as develop understanding in the genetics and varied clinical presentation of this disease. As a diagnostic imager, there are many areas of HHT that deserve special attention and allow us, as we develop more sensitive tools, to better understand and hence treat this disease.