Clinical care is vital to medical training and education at Indiana University School of Medicine, and radiology experts and trainees play a crucial role to the care of patients throughout the state of Indiana and beyond. From patients examined in Tipton with complex conditions to children admitted at Riley Hospital for Children in Indianapolis whose illness defies diagnosis, each clinical case represents a unique opportunity for radiology faculty and trainees to learn and help those who walk in each clinical site.
Subspecialty areas, or divisions, within the Department of Radiology and Imaging Sciences at IU School of Medicine are defined by technical, anatomic and age considerations. Close coordination between the subspecialties is necessary in consulting and managing individual patient problems. Using advanced radiology equipment and techniques, recognized specialists in different areas of medicine combine their talents to provide diagnosis and treatment, making major contributions to the discoveries and techniques that will save lives tomorrow.
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Temel Tirkes, MD, professor of radiology and imaging sciences, and Michael Koch, MD, chair of the Department of Urology, became the first within Indiana University Health to perform a new procedure in an intra-operative MRI suite that uses the TULSA-PRO® (Transurethral Ultrasound Ablation) system to ablate prostate tissue.
This minimally invasive procedure uses directional ultrasound to produce very high temperatures to ablate (destroy) targeted prostate tissue. The procedure combines real-time MRI with robotically-driven directional thermal ultrasound to deliver predictable, physician-prescribed ablation of whole-gland or partial prostate tissue. The TULSA procedure is radiation-free, incision-free and FDA-cleared. Once recovered from general anesthesia, patients are discharged. Radiologists and urologists can customize the procedure depending on the location of the biopsy-proven malignancy and can avoid essential nerves, and other structures, around the prostate. Based on five-year follow-up data, this procedure has a relatively higher quality of life compared to prostatectomy. Collaborative efforts like this enable future physicians to uncover new procedures that will, in turn, generate better outcomes for patients.