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NEURORADIOLOGY


NEURORADIOLOGY ROTATION

Faculty Representative: Dr. Gordon Heller

Hours: 8am – until attending dismissal (approximately 5:00 pm)

Location: 
Mount Sinai Beth Israel (MSBI Petrie building (2nd floor next to MRI)
Mount Sinai West (4th Floor Neuroradiology reading room)
Mount Sinai St. Luke's (Clark 3, radiology reading room)

Schedule: Please see Qgenda for attending schedules

Conferences: 
Neurosurgery Conference - Mondays 4pm @ Mount Sinai West, 4th Floor Radiology Conference room


Goals and Expectations

Goals:
Residents will be introduced to the science that underlies clinical neuroradiology, in particular neuroanatomy and neuropathology.
 
Residents will be taught the practical clinical skills necessary to interpret neuroradiologic studies, including plain radiographs, computed tomography (CT) scans, magnetic resonance (MR) imaging and ultrasound examinations of: 1) brain and skull; 2) head and neck; and 3) spinal cord and vertebral column. They will learn the relative value of each modality, enabling them to choose the appropriate study and the appropriate protocol for each patient.

Expectations:
  • Always dress in a business casual attire and arrive in a timely manner. 
  • Report any critical/urgent findings directly to the primary team. 
  • Complete accurate dictations in a timely manner. 
  • Field phone calls related to Neuroradiology.
  • West: Protocol CT studies at least 3 days in advance. MRI studies will be protocoled manually
  • MSBI: Protocol MSBI & PACC MRI cases at least 3 days in advance
  • Lumbar punctures will be performed with the attending.

FACULTY

Dr. Daniel Lefton

Dr. Gordon Heller

Dr. Nolan Kagetsu

Dr. Azita Khorsandi

Dr. Daniel Meltzer

Dr. Manzar Rizvi

Dr. Michael Starc

Not Pictured:
Dr. Mika Lidov
Dr. Charles Pfaff


RESOURCES

ASPECT Scoring (effective 1/2018) 
  • Unified macros need to be used for stroke codes
    • ACUTE STROKE --> "macro stroke"
    • CT PERFUSION --> "macro stroke perfusion" 
  • Please review this video


Books
  • Brant and Helms Fundamentals of Diagnostic Radiology, Neuro section
  • Neuroradiology: The Requisites by Robert l. Grossman 
    • May be a lot to read cover to cover but can read selected sections

Articles

Mandibular Condyle Fractures: 
Describing the fracture appropriately is important because there are different treatment implications. With a medial pole shear the height of the ramus/condyle complex is maintained as is at least some of the articular surface; with a subcondylar fracture the mandible is “shortened” on the affected side. In both cases the fracture sites are enveloped in a well vascularized soft tissue envelope and usually amenable to closed management, however when the ramus/condyle height is maintained, closed management is even more straightforward. (Dr. Kim Goldman, DMD OMFS) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4251730/









Quick Neuro Anatomy
 
ĉ
CTPerfusionReconstructionInstruction.doc
(26k)
RadRez Administrator,
Aug 23, 2016, 3:22 PM
v.1
Ċ
cervical_spine_clearance_guidelines.pdf
(55k)
RadRez Administrator,
May 28, 2013, 5:09 PM
v.1