Body Imaging Fellowship Program

Curriculum

Our fellows rotate through the various modalities in 13 four-week rotations (see below). In addition to more traditional diagnostic cross-sectional body imaging (CT, MR, and ultrasound), they will receive training in advanced CT imaging and reconstruction, and image-guided procedures. Fellows are assigned a weekly procedure day, during which they perform US and CT guided procedures, including fluid aspiration, drainage, and biopsies. When on US, they perform thyroid nodule FNAs, cervical lymph node and superficial mass biopsies, and hysterosonography, under direct supervision of body imaging faculty. The elective block offers significant flexibility and fellows can choose to supplement their training in their choice of field. In the past, our fellows have selected additional training in routine/high-risk OB imaging, mammography, cardiovascular, informatics, musculoskeletal, nuclear medicine, and image-guided interventional procedures.

• Body MRI (4 blocks) – Our MR service has a robust volume of abdominal, pelvic, and vascular studies, with a wide variety of pathology, including hepatobiliary, pancreatic, and renal disease; gastrointestinal disease including IBD, gastric and colorectal cancer; pre/post-transplant imaging of liver, renal, pancreas, and multivisceral transplants; female pelvis imaging of gynecologic and pelvic floor dysfunction; and male pelvis imaging for prostate cancer (diagnosis, active surveillance, post-treatment recurrence).
• CT (4 blocks) – Our CT service is relatively busy with our complex inpatient and outpatient population, including emergency, oncologic, postoperative, and post-transplant patients.
• Advanced CT (1 block) – During this rotation, our fellows are involved in advanced CT imaging, including CT colonoscopy, cardiac CT/MR, CT angiography, and CT/MR volumetry, and gain proficiency with post-processing software.
• US (3 blocks) – On US, there is exposure to complex inpatient and routine outpatient hepatobiliary, gynecologic, transplant, oncologic, and emergent studies. Fellows perform US-guided procedures, including thyroid FNA, lymph-node FNA/core biopsies, superficial soft tissue mass biopsies, and hysterosonography. Our fellows are also involved with intraoperative ultrasound guidance for surgical procedures.
• Elective (1 block) – Flexible rotation during which fellows can choose how to best complement their training before initiating employment.

Equipment

Our imaging equipment is state-of-the-art and includes:

• 3.0T and 1.5T Siemens MR scanners for clinical imaging, including cardiac, prostate, perianal, and dynamic pelvic floor imaging.
• Siemens dual source, 128-slice, and 16-slice CT scanners in addition to a 64-slice PET-CT scanner.
• GE Logicview US machines, with the latest technology including 3D, elastography, B-flow, and contrast enhanced capabilities.
• Post-processing is performed on Tera-recon and DynaCAD workstations, including aortic and peripheral vascular angiography, cardiac CT and MR, CT and MR enterography, CT colonography, and solid-organ volumetry.