NEURORADIOLOGY
Locations & Lists
Mount Sinai West
Faculty Representative: Dr. Gordon Heller
Location: Mount Sinai West (4th Floor Neuroradiology reading room)
PACS Worklist: MS WEST & SPINE MS SLW
Mount Sinai Morningside
Faculty Representative: Dr. Manzar Rizvi
Location: Mount Sinai Morningside (Clark 3rd floor, Neuroradiology reading room/Rizvi office)
PACS Worklist: MSSL
South (MS Beth Israel/PACC)
Faculty Representative: Dr. Kagetsu
ENT cases from South lists should be interpreted with Dr. Khorsandi
PACS Worklist: MS Dtwn-PACC
Location: Mount Sinai Beth Israel, MRI READING ROOM
Communication
MSBI ER: 212-420-3505
MSBI MRI Tech: 212-420-2563
Resources
DR Kagetsu Rotation Document (read before rotation)
Dr. Kagetsu's Neurorad Primer
Hours:
8am – until attending dismissal (approximately 5:00 pm)
Monday
7AM, Otology,
7AM, ENT Tumor Board, MSH
4PM, Neurosurgery, MSW
Tuesday
8AM, Stroke/Neurovasc, MSH
11AM, Stroke, MSBI
Wednesday
7AM, ENT, MSBI
Thursday
5PM, Thyroid Tumor Board
Friday
7:30AM, Ophthalmology
8AM, Thyroid Journal Club, MSBI
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
LUMBAR PUNCTURES
Guidelines for Patient Selection for LP (Inpatient/ED)
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
Traumatic Thoracolumbar Injuries: What the Spine Surgeon Wants to Know
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/
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, usually by the attendings but you may be asked to assist (learn these when you can, as they're important on call!).
Attend West Side Conference
South:
Mondays - Fridays: 8 am arrival @ BI, MRI READING ROOM
Contact MSBI MR & CT Techs with your contact information
Protocol studies
Zoom readout/review sessions throughout the day (will get periodic emails)
Conference/Tumor Board attendance is highly encouraged. Please aim to attend at least one tumor board conference per week.
ATTENDINGS
Dr. Daniel Lefton (West)
Dr. Gordon Heller (West)
Dr. Nolan Kagetsu (West)
Dr. Daniel Meltzer (West)
Dr. Manzar Rizvi (Morningside)
Dr. Azita Khorsandi (South)
Dr. Mika Lidov (South)
Dr. Chuck Pfaff
(South)
Not pictured:
Dr. Barbara Zeifer