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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


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/

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RadRez Administrator,
Aug 23, 2016, 3:22 PM
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RadRez Administrator,
May 28, 2013, 5:09 PM