The Neuroradiology Fellowship at Mount Sinai Hospital accepts 5 fellows into each class. The fellow is exposed to a variety of cases and imaging techniques. Training is provided with the latest computed tomography (CT), magnetic resonance (MR) and positron emission tomography (PET) equipment as well via advanced post-processing software on dedicated workstations and network access platforms. Our MRI installations include PET-MR and 7T MRI scanners. There is additional exposure to a variety of neurointerventional, CT fluoroscopic, and ultrasound-guided neuroradiologic procedures.
We utilize a variety of advanced imaging techniques, including:
- Stroke Imaging including CT and MR perfusion
- Cerebrovascular reserve imaging using Diamox-challenged CT and MR perfusion
- Brain tumor advanced imaging including MR perfusion (arterial spin labeling, dynamic susceptibility contrast, dynamic contrast enhanced or DCE, and intravoxel incoherent motion)
- MRI perfusion of the spine
- MRI dynamic contrast enhancement (DCE or permeability) imaging of tumors
- 3D anatomical and vascular post-processing, advanced MR angiography techniques
- Diffusion tensor imaging and tractography
- Vessel wall imaging
- MR spectroscopy
- Functional MRI
The fellow also performs a variety of neuroradiologic procedures:
- Lumbar puncture and myelography
- CT and fluoroscopic guided spine biopsy
- CT and ultrasound biopsy of the head and neck, including thyroid
- Vertebroplasty and kyphoplasty
- Spinal pain injections (i.e., epidurals, facet injections)
- Cerebral angiography
The fellow trains in all major aspects of neuroradiology, learning to interpret a wide variety of neuroradiology cases. The fellow will additionally acquire skills in processing and interpreting advanced imaging cases, as well as gain comfort with performing multiple procedures. Through interdisciplinary conferences, each fellow learns to present the salient aspects of a case as relevant to their clinical neurosurgery, neurology and ENT colleagues. Fellows additionally gain proficiency in protocoling imaging studies appropriately, tailoring the examination to answer specific clinical questions.
The fellow gains experience through case interpretation on a daily basis on each clinical rotation:
Inpatient = exposure to emergency, hospital and neurosurgical neuroradiologic imaging (CT/MR of brain and spine, stroke CTA/perfusion)
Outpatient = exposure to all outpatient neuroradiologic imaging studies (CT/MR of brain and spine, advanced imaging including MR spectroscopy, MR/CT perfusion, MR permeability, 3D reconstructions)
Head and Neck Imaging = exposure to all inpatient and outpatient head and neck imaging studies (CT/MR neck, sinuses, orbits, temporal bones; 3D reconstructions for preoperative assessment; PET/CT neck). Newer techniques will additionally be emphasized, including 4D CT imaging for parathyroid adenomas. In addition, DWI and advance imaging techniques in Head and Neck cancer imaging are being developed and implemented.
Neurointerventional/Procedures = exposure to a variety of interventional procedures (lumbar punctures/myelograms, kyphoplasty/vertbroplasty, spinal pain injections, spinal biopsies, head and neck/thyroid CT and US biopsies)
Evening Shift (3pm until 11pm) = trainees interpret emergency and inpatient studies. Provides an opportunity for fellows to independently hone their skills, manage time effectively, and serve as the primary neuroradiology contact.
Weekend Neuroimaging Shift and Call = fellows work in-house on Saturdays and Sundays from 10am-7pm with the weekend attending interpreting both inpatient and outpatient studies. Fellows are also on procedure call during this weekend shift.
How to Apply
Required Documents for Fellowship application/consideration:
- Mount Sinai application form
- A current curriculum vitae (CV), accounting for every year since graduation of undergraduate college or university. Must include CV Addendum Form
- Personal statement
- Final transcript, including information on required clinical clerkships and your graduation date
- United States Medical Licensing Examination Scores Report (I, II, and III)
- Copy of Medical School Diploma (including English translation if appropriate)
- Educational Commission for Foreign Medical Graduates Certificate (if applicable)
- Three letters of recommendation (including one from your program director)
- Single head-shot photo
We require all fellows to possess a current valid license, or a limited permit if ineligible for a license, to practice medicine in New York State prior to assuming clinical duties.
International applicants please refer to the ACGME requirements
Please submit your applications by mail. Have letters of recommendation addressed to the Program Director, Amish Doshi, MD, and mailed to:
Ms. Elba Colman
Administrative Assistant of Neuroradiology
Icahn School of Medicine at Mount Sinai
Department of Radiology, B1234
One Gustave L. Levy Place
New York, NY 10029
Interviews are offered to candidates who have submitted complete applications. The majority of interviews will be held in February and March 2017 for the upcoming interview season, typically on Tuesdays and Thursdays.
Fellowship applicants scheduled for Tuesday or Thursdays will start the day at 7:00am attending our joint Neurosurgery/Neuroradiology work rounds.
Although the start time is early, many of our current and past fellows have said that exposure to these conferences was a very positive experience during their interview day and offered a fuller flavor of what the Mount Sinai Fellowship would offer.
Following morning didactics/work rounds, the applicants will meet with the Program Director, Dr. Amish Doshi. He will provide an overview of the program structure and answer preliminary questions.
Applicants will then have a tour of our main Mount Sinai facilities. After the tour, applicants will have a total of 3-4 interviews with our Neuroradiology faculty members. Interviews will be completed before lunch at which point applicants will have the opportunity to spend lunch with our current fellows to ask questions and discuss various aspects of the program in an informal setting. After lunch, the interview day is complete and applicants are excused.