Radiology and Imaging Sciences

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Neuroradiology Fellowship

The neuroradiology fellowship at IU School of Medicine is an ACGME accredited one-year program that offers an option for a second year focused on research and subspecialty training in advanced imaging, head and neck imaging, or pediatric neuroimaging. This fellowship is designed to intensively train radiologists to become adept at all aspects of diagnostic neuroimaging. One of the program’s strengths is providing an abundant and diverse caseload where fellows can experience the full range of neuropathology.

Program faculty are fellowship trained, ABR CAQ-certified neuroradiologists who present weekly didactic lectures and case conferences. Mentorship in both the clinical and academic settings is available for future neuroradiologists as part of this fellowship.

Program Requirements

Fellows choose a faculty mentor for one mandatory research project per ACGME requirements. This project is presented at the annual Campbell-Klatte conference in the spring of each academic year and submitted for presentation at a national meeting or publication in a peer-refereed journal. Fellows have 20 academic days in their first year and 40 academic days in the second year to complete these research projects.

Educational development for fellows occurs daily at the workstation, where they are encouraged to teach residents. Fellows are also responsible for presenting case conferences and journal club discussions throughout the year. This program is designed to help fellows solidify their knowledge and future practice habits by adequately preparing and teaching subjects in neuroimaging.

Clinical rotations consist of 13 four-week blocks that include coverage at tertiary-care hospitals, where advanced diagnostic imaging occurs, and neurointerventional procedures. Rotations occur at a large private hospital with a level I trauma center, a tertiary adult hospital, a tertiary children’s hospital with a level I trauma center, head and neck imaging, and advanced neuroimaging.

Below is an example of the 2015-16 neuro rotation schedule.

Neuroradiology

Facilities and Equipment

Fellows in the neuroradiology program train at the following clinical care sites in Indianapolis:

  • Neuroscience Center: Connected to Methodist Hospital, the central Neuroradiology reading room for the IU Health system serves more than five major Indiana hospitals and several imaging centers. Methodist Hospital houses one of the two Level 1 trauma centers in Indiana as well as a Comprehensive Stroke Center. Methodist Hospital has the largest neuroscience critical care unit in the country. While at this site, fellows help to manage a busy neuroradiology service along with faculty while making critical advanced-imaging decisions under guidance of Indiana University School of Medicine’s experienced neuroradiology faculty. Fellows serve the needs of several service lines managing oncology, seizure and neurodegenerative patients at the Neuroscience Center and at IU Health University Hospital through multidisciplinary collaboration and tumor boards.
  • Sidney & Lois Eskenazi Hospital: Fellows train at this large county hospital with a level 1 trauma center for the neurointerventional rotation and work with accomplished neurointerventionalists to become proficient at diagnostic brain and spine angiography, vertebroplasty and kyphoplasty, and CT guided biopsies.
  • Riley Hospital for Children: Fellows rotating at this top ranked, nationally recognized pediatric tertiary care center have the opportunity to learn from accomplished pediatric neuroradiologists and interact closely with expert clinicians in the care and imaging of pediatric CNS tumor imaging, genetic and metabolic disorders affecting the CNS, and the range of CNS pathology affecting the pediatric population. Physicians interested in focused training on pediatric neuroimaging can explore IU School of Medicine’s one-year pediatric neuroradiology fellowship.

Curriculum

Neuroradiology fellows participate in four-week clinical rotations, including advanced/general neuroimaging, neurointerventional, pediatric neuroradiology, evening neuroradiology and head and neck imaging.

While at the Neuroscience center, fellows work side-by-side with residents, students and nationally renowned neuroradiology faculty educators to build upon knowledge in neuroradiology and advanced neuroimaging principles. The rotation focuses on the mastery of modern imaging technology and covers potential imaging techniques for CNS imaging in the future, including Dynamic Susceptibility Contrast (DSC) MR perfusion, Dynamic Contrast Enhanced (DCE) MR perfusion, Arterial Spin Labeling (ASL) MR perfusion, diffusion tensor imaging (DTI) and tractography, functional MRI, MR spectroscopy, and CT perfusion. A second year of neuroradiology fellowship focusing on advanced neuroimaging is available.

The neurointerventional rotation is based at Eskenazi Hospital, where fellows work to become proficient at diagnostic brain and spine angiography, vertebroplasty and kyphoplasty, and CT-guided biopsies through the guidance of teaching neurointerventionalists. As part of this rotation, fellows become familiar with neurointerventional procedures, including aneurysm coiling, extracranial and intracranial angioplasty and stenting, AVM and dural AV fistula embolization, tumor embolization, and intraarterial therapy for acute stroke.

While on the Pediatric Neuroradiology rotation at Riley Hospital, fellows have a large degree of responsibility for a service that serves the largest statewide patient population with diversity of common and rare pediatric neurologic illnesses under the guidance of pediatric neuroradiologists including Dr. Chang Ho. IU School of Medicine offers a one-year subsequent dedicated pediatric neuroradiology fellowship.

The evening neuroradiology rotation offers fellows an immersion in new diagnoses and inpatient emergencies. The rotation takes place in the afternoon and until 9pm—side-by-side with faculty neuroradiology in an exciting and fast-paced work environment.

During the head and neck imaging rotation, fellow work with dedicated head and neck faculty, including Dr. Kristine Mosier and covers head and neck imaging across the enterprise. Fellows learn detailed anatomy and how diagnostic imaging helps treat patients, interacting closely with clinical faculty on a range of head and neck pathology. Fellows also assist in imaging-guided head and neck biopsies. This rotation offers exposure to neuropathology, including brain cutting and radiologic-pathologic correlation. For physicians interested in gaining further expertise in this complex field, IU School of Medicine also supports a one-year head and neck imaging fellowship.