The Neuroradiology Fellowship at Mount Sinai Hospital accepts 7 fellows for a 1-year ACGME-accredited fellowship. 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
- Advanced tumor imaging
- Brain tumor advanced imaging including MR perfusion (arterial spin labeling, dynamic susceptibility contrast, dynamic contrast enhanced or DCE, and intravoxel incoherent motion)
- MRI dynamic contrast enhancement (DCE or permeability) imaging tumors
- MR spectroscopy
- MRI perfusion of the spine
- 3D anatomical and vascular post-processing, advanced MR angiography techniques
- Diffusion tensor imaging and tractography
- Vessel wall imaging
- 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 nodules
- Vertebroplasty and kyphoplasty
- Spinal pain injections (i.e., epidurals, facet injections)
- Cerebral angiography
Curriculum
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 8am-8pm with the weekend attending interpreting both inpatient and outpatient studies. Fellows are also on procedure call during this weekend shift.
In addition to clinical rotations, the fellow will learn through didactic programs such as our conferences and lectures and journal club.
How to Apply
In keeping with the recommendations of Society of Chairs of Academic Radiology Departments (SCARD), and in consideration of travel restrictions, all interviews will be conducted virtually for the 2022-2023 interview season.
Electronic Residency Application Service (ERAS) will be used for applying to the neuroradiology Fellowship. To submit an application to The Mount Sinai Hospital Neuroradiogy Fellowship, please create an account through ERAS. International applicants are welcome to apply.
Neuroradiology NRMP Program Code: 1490423F0
As established by the Society of Chairs of Academic Radiology Department (SCARD), there will a common interview timeline for all Radiology Fellowships. Neuroradiology Fellowship application.
Interviews
The majority of interviews will be held January/February/March 2023 for the upcoming interview season. Please note that in consideration of travel restrictions and the SCARD recommendations, interviews will take place in a virtual format for the upcoming interview season.