Neuroradiology Fellowship Program at The Mount Sinai Hospital

The Neuroradiology Fellowship at Mount Sinai Hospital accepts 6 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
  • 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-7pm 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

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.

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 and interview timeline:

  • Summer 2019 - ERAS opens to applicants. Residents can create an account and enter application information.
  • November 21, 2019 - ERAS begins accepting applications
  • December 1, 2019 - Programs can begin reviewing applications.  Interview Season Begins (Applicants will be contacted to schedule an interview)
  • March 31, 2020 - Interview End Date (based on SCARD recommendations)
  • June 10, 2020 - Match Day 12:00pm EST

Please view dates and information for NRMP match.  

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 any questions to:

Ms. Elba Colman
Administrative Assistant of Neuroradiology
Icahn School of Medicine at Mount Sinai
Department of Radiology, B# 1234
One Gustave L. Levy Place
New York, NY 10029
212-241-3678

Interviews

The majority of interviews will be held in December 2019 and January/February 2020 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.

Swinburne NC, Schefflein J, Sakai Y, Oermann EK, Titano JJ, Chen I, Tadayon S, Aggarwal A, Doshi A, Nael K.  Machine learning for semi-automated classification of glioblastoma, brain metastasis and central nervous system lymphoma using magnetic resonance advanced imaging. Ann Transl Med. 2019 Jun;7(11):232

Swinburne NC, Mendelson D, Rubin DL. Advancing Semantic Interoperability of Imaging Annotations: Automated Conversion of Non-standard Imaging Annotations in a Commercial PACS to the Annotation and Image Markup. J Digit Imaging. 2019 Feb 25

Added value of arterial spin labeled perfusion imaging in the emergency department: A 6 month institutional experience.  Belano, P., Pacheo., FT., Crucuata, G., Pawha, P., Schefflein, J., Doshi, A., Nael, K., American Society of Neuroradiology 2018 meeting oral presentation. June 4, 2018-June 7, 2018. Vanvouver, BC, Canada

 

Didactic lectures are provided by the Neuroradiology fellows by the Neuroradiology,Neurology,  and Neurosurgery Faculty. In addition, weekly case conferences allow informal review of interesting cases with faculty, facilitating discussion of imaging findings.

 

As a Neuroradiology Fellow you will work with, and be mentored by, neuroradiologists who have both a passion and an enthusiasm for teaching. All of our faculty are fellowship trained in Neuroradiology and have earned certifications of added qualification in Neuroradiology from the American Board of Radiology.

Our Neuroradiologists

Burton Drayer, MD
Amish Doshi, MD
Thomas Naidich, MD
Peter Som, MD
Bradley Delman, MD
Puneet Pawha, MD
Kambiz Nael, MD
Aryeh Stollman, MD
Amit Aggarwal, MD
Michael Starc, MD
Puneet Belani, MD
Rigney, Brian, MD

Our Neurointerventionalists

J Mocco, MD
Alejandro Berenstein, MD
Reade De Leacy, MD
Johanna Fifi, MD
Christopher Kellner, MD
Hazem Shoirah, MD
Thomas Oxley, MD MD
Paul Singh, MD MD