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Thoracic Imaging - Pulmonary And Cardiovascular Radiology



The Cardiac and Pulmonary Imaging Section at UCSF Radiology is dedicated to safely performing the most current clinical imaging exams of both the respiratory and cardiovascular systems using advanced imaging modalities, such as detailed CTA and CT exams.




Thoracic Imaging - Pulmonary And Cardiovascular Radiology




DiReCCT is a working group of imaging specialists interested in (1) assessing advanced imaging techniques for imaging of the cardiovascular and pulmonary systems and (2) application of advancing technology on diagnosis and treatment of cardiovascular and oncologic disease. Through collaborations with surgical and medical colleagues throughout Duke University Medical Center and industry partners we work to advance technology to better understand its application to cardiovascular and thoracic oncologic disease.


The Cardiothoracic Imaging Division provides advanced diagnostic imaging services, using the latest CT and MRI. Directed by Suhny Abbara, M.D., the division includes subspecialty-trained faculty members with expertise in all aspects of modern clinical cardiac and thoracic imaging, who perform leading-edge imaging research and are recognized leaders in local, national, and international medical education. The specialty journal, Radiology: Cardiothoracic Imaging, published by the Radiological Society of North America (RSNA), is directed by Division faculty members, who serve as Editor and Associate Editor, in addition to a Department statistician, who also serves as an Associate Editor, and administrative support.


Our mission is to improve local, regional and global health through patient-centered state-of-the-art quality cardiothoracic imaging care, through meaningful intramural and extramural education, through innovative research, and through development of national and international guidelines and standards.


Our vision is to be a world-leading cardiothoracic imaging division that innovates, translates innovations into clinical care, inspires new generations of leaders and locally and globally positively impacts patient outcomes and quality of care.


To ensure the best possible diagnostic imaging services for optimal patient care, we work closely with our colleagues in other services, including cardiology, cardiothoracic surgery, pulmonary medicine, oncology, radiation oncology, interventional radiology, and pathology. These multidisciplinary teams work cohesively to identify best therapeutic options, to plan minimally invasive image-guided procedures, and to optimally and continually educate trainees and faculty.


In addition to providing clinical services, our faculty members are active in all aspects of academic medicine, with publications in radiology, cardiology, and pulmonary medicine literature. Scholarly contributions include original research papers in peer-reviewed scientific journals, educational contribution in referenced journals, book chapters and major textbooks, as well as contributions to several national guidelines.


The Cardiothoracic Imaging Division provides clinical and academic training for residents and fellows in the Department of Radiology. Our one-year Cardiothoracic Imaging Fellowship training program is intended to prepare radiologists for successful careers in either academic or private practice settings by progressively training them to manage a dedicated cardiothoracic imaging service.


There are a few signs in radiology which are based on many common objects or patterns that we come across in our routine lives. The objective behind the association between such common objects and the corresponding pathologies is to make the reader understand and remember the disease process. These signs do not necessarily indicate a particular disease, but are usually suggestive of a group of similar pathologies which will facilitate in the narrowing down of the differential diagnosis. These signs can be seen in different imaging modalities like plain radiograph and computed tomography. In this essay, we describe 24 classical radiological signs used in chest imaging, which would be extremely helpful in routine clinical practice not only for radiologists but also for chest physicians and cardiothoracic surgeons.


NYU Grossman School of Medicine offers a one-year fellowship in cardiothoracic imaging in the Department of Radiology. Cardiothoracic imaging fellows develop expertise in the thoracic surgical, oncology, and pulmonary services and encounter a rich volume of imaging that pertains to open and robotic surgical interventions, medical and radiation therapies for lung cancer, infection, interstitial lung disease, pulmonary arterial, and aortic and vascular diseases, as well as in the care of the acutely ill.


The fellow gains in-depth experience in preoperative and postoperative imaging for open and minimally invasive valve surgery, cardiopulmonary bypass, cardiac ablation therapies, and congenital heart disease. Clinical experience also spans a wide range of cardiac diseases including cardiomyopathies, inflammatory conditions, and cardiac masses.


Our thoracic imaging and cardiac imaging faculty offer in-depth fellowship training and clinical experience and hold leadership positions in national societies such as the Society of Thoracic Radiology, American College of Radiology, Radiological Society of North America, North American Society for Cardiovascular Imaging, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and Fleischner Society.


Our fellowship offers intensive exposure to both thoracic and cardiac imaging techniques such as radiography, chest CT including dual energy and spectral photon counting technology, cardiac CT angiography, and MRI, as well as the full range of thoracic and cardiac imaging pathologies.


Fellows work with dedicated teaching attendings in the Division of Thoracic Imaging and Division of Cardiac Imaging interpreting a large number of imaging studies encountered on a daily basis. Fellows are exposed to a high volume of chest radiographs, chest CTs and chest CT angiograms, cardiac CT exams, and cardiac MRIs from our inpatient and outpatient sites. They also receive training in thoracic interventional procedures including biopsy and percutaneous ablative therapies with supervision from thoracic imaging faculty and learn protocol development for cardiothoracic imaging applications, including for dual-energy technology. Our faculty emphasize patient safety parameters and appropriate exam and protocol selection, which are important aspects of daily clinical care.


Cardiothoracic imaging fellows attend and present at weekly multidisciplinary lung cancer and interstitial lung disease conferences. Fellows can also attend the weekly pulmonary conference at Bellevue and monthly lung cancer pathology conference in addition to echocardiography, nuclear medicine, and adult and congenital cardiothoracic surgery conferences.


To supplement knowledge gained on daily clinical service, biweekly thoracic and cardiac imaging case conferences are complemented by didactic teaching conferences held throughout the year and biweekly one-on-one tailored teaching sessions with attending faculty.


The cardiothoracic imaging fellows are encouraged to participate in teaching medical students and residents. Fellows also take part in journal clubs to practice critically evaluating research and presenting research findings to groups.


Our fellows are encouraged to participate in Department of Radiology research, present cardiothoracic imaging research at scientific meetings, and publish research in leading imaging journals. Areas of interests for our researchers include dual-energy and photon-counting multi-detector row CT scanning, artificial intelligence and quantitative evaluation of thoracic diseases, lung interventional procedures, cardiac MR-image acquisition techniques (including XD-GRASP), artificial intelligence, medical informatics, and cardiothoracic imaging education.


UR Medicine Cardiothoracic Imaging provides comprehensive noninvasive evaluation of both the pulmonary and cardiovascular systems. Our physicians are dedicated to the safe performance of clinical imaging exams and interpreting these exams with a subspecialty level of experience and knowledge. Our consultation is critical in the clinical evaluation of the diseases and disorders of the heart and lungs.


The cardiovascular subspecialists utilize the latest magnetic resonance and computed tomography technology for the noninvasive imaging of the heart and vascular system in adults and, in some cases, children.


The Thoracic and Cardiac Imaging Fellowship accepts five fellows per year for a one-year fellowship in thoracic imaging, thoracic intervention and cardiac imaging. It consists of nine months of fellowship training in diagnostic thoracic imaging and intervention and three months of dedicated fellowship training in cardiac imaging.


The fellowship offers extensive training in digital inpatient chest radiography, digital outpatient chest radiography, thoracic CT, lung cancer screening, dual energy CT of the thorax, 3D imaging, thoracic PET/CT, thoracic MRI, thoracic PET/MRI, thoracic intervention (thoracic biopsy and ablation), cardiac CT, cardiac CTA and cardiac MRI. The Divisions of Thoracic and Cardiac Imaging are supported by a dedicated 3D lab that provides 3D data sets for advanced visualization and diagnosis. The thoracic imaging training occurs in the Division of Thoracic Imaging under the direction of Jo-Anne Shepard, MD, Matthew Gilman, MD, and the dedicated thoracic imagers of the Division of Thoracic Imaging. The cardiac imaging training occurs under the direction of Nina Meyersohn, MD; Brian Ghoshhajra; MD, and the dedicated cardiac imagers of the Division of Cardiovascular Imaging.


Mass General is a 1,057-bed tertiary care hospital, with multiple intensive care units, including a burn ICU, neuro ICU, medical ICU, surgical ICU, cardiac surgical ICU and cardiac ICU. In addition, Mass General is a Level 1 trauma center, burn center and transplant center, including heart and lung transplantation. Mass General is a major oncology referral center with high volume medical thoracic oncology, pulmonary interventional and general thoracic surgical services. The Division of Thoracic Imaging performs more than 100,000 imaging examinations per year and provides a concentrated experience in both usual and unusual medical and surgical conditions of the thorax. The Divisions of Thoracic and Cardiovascular Imaging work collaboratively with exceptionally strong medical, surgical and subspecialty services. 2ff7e9595c


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