NEURORADIOLOGY

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NEURORADIOLOGY

NEURORADIOLOGY ROTATION

Faculty Representative: Dr. Gordon Heller

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

Location:

Mount Sinai DUS (PACC), Radiology Suite 3P

PACS Worklist: NEURO > MS Dtwn-PACC

Mount Sinai Beth Israel (MSBI Petrie building (2nd floor next to MRI)

PACS Worklist: NEURO > MS Dtwn-PACC

Mount Sinai Morningside (Clark 3, radiology reading room)

PACS Worklist: NEURO > MSSL

Mount Sinai West (4th Floor Neuroradiology reading room)

PACS Worklist: NEURO > MS WEST & SPINE MS SLW

Schedule: Please see Qgenda for attending schedules

Conferences:

West Side Conferences:

Neurosurgery - Mondays 4 pm

East Side Conferences:

ENT Tumor Board - Wednesdays 7 am
Thyroid Tumor Board - Thursdays 5 pm
Thyroid Journal Club - Fridays 8 am

Communication

MSBI ER: 212-420-3505

MSBI MRI Tech: 212-420-2563

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.
Lumbar punctures will be performed with the attending.
West:

Protocol CT studies at least 3 days in advance. MRI studies will be protocolled manually
Attend West Side Conference

South:

8 am arrival & email neuro group with location/phone ext

Drs. Khorsandi, Starc & Sundaram

Mondays & Tuesdays: Read from PACC & Perform MBS

Tuesdays: until MEGA Conference

Wednesdays - Fridays: Read from BI Neuro Reading Room
Contact MSBI MR & CT Techs with your contact information
Zoom readout/review sessions throughout the day (will get periodic emails)
Attend East Side Conferences (links to these conferences with cases will be emailed to you)
Attend West Side Conference (link will be emailed to you)

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

Websites

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

Multidetector CT of Blunt Cervical Spine Trauma in Adults
Traumatic Thoracolumbar Injuries: What the Spine Surgeon Wants to Know
Lumbar disc nomenclature: version 2.0
Lumbar puncture checklist
Magnetic Resonance Imaging of the Lumbar Spine in People without Back Pain

Please read this article and be prepared to summarize the important points with Dr. Kagetsu

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/