Thomas Jefferson UniversityJefferson Medical College

Main menu:

Abdominal Imaging Fellowship
(formerly Ultrasound/CT/MRI)

The Thomas Jefferson Abdominal Imaging Fellowship offers a clinically comprehensive experience in an academically intense environment.  Fellows are responsible for covering over 900 beds in Center City Philadelphia, including Thomas Jefferson University Hospital and the Jefferson Hospital for the Neurosciences.  Our two urban outpatient centers provide unparalleled educational opportunities which are further expanded by additional coverage of studies from teleradiology sites.  The case mix includes, but is not limited to emergency CT, oncologic imaging, pre- and post-operative evaluations, and imaging of gastrointestinal and genitourinary disorders.

Abdominal imaging fellows will be trained in the comprehensive use and interpretation of imaging modalities and interventional techniques as applied to diseases of the gastrointestinal tract, the genitourinary system and the intra- and extra-peritoneal organs of the abdomen and pelvis. Fellows participate in state of the art body imaging with Ultrasound, CT, and MRI of the chest, abdomen, and pelvis, with additional focused training in gastrointestinal, genitourinary and cardio-thoracic imaging. Every year, six fellows participate in a twelve-month program. The program is divided into 13 four week blocks comprised of the following components:

Abdominal Imaging Clinical Faculty

Oksana Baltarovich, MD
Sandeep Deshmukh, MD
Ethan Halpern, MD
Barry Goldberg, MD
Alfred Kurtz, MD
Don Mitchell, MD
Manorahan Muthuvelu, MD
Levon Nazarian, MD
Laurence Needleman, MD
Patrick O’Kane, MD
Chris Roth, MD
Sharon Segal, MD
Conor Shortt, MD
Terri Tuckman, MD
Annina Wilkes, MD

Body MRI (3 blocks)
Body CT (3 blocks)
Ultrasound (3 blocks)
PET/CT (0.5 blocks)
Electives (1.5 blocks)
Advanced Imaging Applications (2 blocks)

The educational component of the department’s mission is taken very seriously by the faculty of the abdominal imaging section.  Fellows have the opportunity to work alongside highly esteemed, world renowned academic radiologists on clinical rotations.  Faculty members also serve as research mentors for the fellows who are encouraged to engage in cutting edge research during the fellowship year.

For more information click on Apply Now in the blue box on the right or call the program coordinator, Isabella Corcoran at 215-955-6028.

Curriculum

Body MRI

While rotating on the body MR service, fellows will participate in the protocol development and image interpretation of all studies (~10000 exams/year), performed on five 1.5 Tesla units and two 3 Tesla units on the Jefferson campus, as well as scans from additional teleradiology sites.

Upon completion of training, fellows will:

  • Integrate CT, MR and ultrasound effectively in patient management decisions:
  • Understand when to recommend a particular diagnostic imaging modality
  • Understand how to choose a particular modality for an invasive procedure
  • Learn the basic principles of MR physics, and apply these principles toward constructing examination protocols
  • Incorporate advanced MR techniques to optimize imaging protocols
  • Interpret advanced MR applications including MRCP, MR colonography, dynamic MR sequences for vascular enhancement and opposed phase MR sequences for fat suppression sequences
  • Effectively prioritize and triage patients requiring imaging studies according to clinical urgency

Body CT

While rotating on the CT service fellows will participate in the protocol development and image interpretation of all studies (~30,000 exams/year) performed on four 16 slice CT scanners and two 64 slice scanners on the Jefferson campus, as well as scans from additional teleradiology sites.

Upon completion of training, fellows will:

  • Interpret advanced CT applications including:
    • CT angiography
    • CT urography
    • CT colonography
    • multiphase imaging of the liver, pancreas, and kidneys
  • Integrate CT, MR and ultrasound effectively in patient management decisions:
    • Understand when to recommend a particular diagnostic imaging modality
    • Understand how to choose a particular modality for an invasive procedure

Ultrasound

While rotating on the Ultrasound service fellows will participate in scanning and image interpretation of all studies (~60000 exams/year) performed on 30 ultrasound machines on the Jefferson campus, in additional to numerous teleradiology studies.

Upon completion of training, fellows will:

Interpret advanced ultrasound applications including:

  • Gray scale and Doppler ultrasound examination of abdomen/pelvis
  • Doppler examination of vascular structures and transplant organs
  • Sonohysterography
  • Prostate imaging and biopsy
  • Learn hands-on advanced scanning techniques for obtaining high quality ultrasound images (transabdominal, transvaginal, and transrectal) by scanning patients together with more senior physicians and technologists, and getting feedback form the attending staff
  • Interface with referring physicians to obtain clinical information and tailor studies

Advanced Imaging Applications

All PACS stations in the department are equipped with the built in TeraRecon thin client.  Additionally, there are 5 Phillips Brillance and 1 Vital Images Vitrea workstations within the abdominal imaging section for advanced post-processing.

Fellows will participate in protocol development and imaging of CT, MRI, and Ultrasound advanced applications including:

  • CT Angiography (including cardiac CTA)
  • CT Colography
  • CT Enterography
  • CT Urography
  • MR Angiography
  • MR Enterography
  • MR Urography
  • CT and Ultrasound guided interventions
  • Sonohysterography
  • Advanced Musculoskeletal Ultrasound

Lectures & Conferences

In addition to a core series of daily lectures given during the first two months of fellowship, fellows participate in the following conferences throughout the year:

  • Metastatic Uveal Melanoma Conference
  • Hepatocellular Oncology Conference
  • Hepatocellular Hepatology Conference
  • Gastrointestinal Multidisciplinary Conference
  • Pacreaticobiliary Conference
  • CVIR-MR Correlation Conference
  • CT-MR Interesting Case Conference
  • Ultrasound Case Conference
  • Missed Case Conference

Call

Fellows will be responsible for call coverage between 5:00 PM and 9:30 PM during the week days and 8:00 AM to 8:00 PM on weekends.