VA Connecticut Health Care System: Diagnostic Imaging

General Information

West Haven VA Medical Center, Bldg 1
950 Campbell Ave, West Haven, CT 06516
Administrative/Contact Officer, Karen Severino
Admin Assistant, Barbara Pawlowicz
Phone:
Fax:
203-937-3842
203-937-3898


The VA Diagnostic Imaging Service provides imaging consultation and diagnostic procedures for the VA Connecticut Health Care System, with imaging centers at the West Haven Campus and Newington Campus. We provide services to Primary Care, Subspecialty Clinics and In-patients. We perform 70,000 examinations annually, including general and emergency radiography, fluoroscopy, multislice Computed Tomography, MRI, Ultrasound, Bone Densitometry, Angiography and interventional procedures, nuclear medicine and PET imaging with cyclotron facilities. Our department has a Kodak PACs system, and is filmless. Access to our network is through specialized workstations in key clinics, wards, and ER, and access via desktop (currently through VistaImaging) will shortly be upgraded to a web-based access through thin clients within the medical centers, and off-site through a secure VPN network.

Clinical Research

The VA offers unique opportunity for clinical research through HIC approved access to the electronic medical record and radiology imaging resources, and multidisciplinary collaboration (examples include protocol for carotid stenting, aorto-iliac stent-grafts, cardiac imaging).

We have added two faculty in Nuclear Medicine, two in cross sectional and one in interventional radiology in the past two years. Our faculty’s scope of practice includes general and cross-sectional imaging, nuclear medicine, neuroradiology, and angiography. Many YDR radiology faculty retain privileges at the VA Medical center, and VA faculty provide clinical services at YNHH. Our expertise is directed toward a complex spectrum of disease in the patient population, which includes those suffering from chronic lung disease, atherosclerosis, renal and cardiac disease, often in addition to neoplastic conditions, endocrine dysfunction, and acute and chronic conditions of the abdomen. 15% of veterans are estimated to be carriers of chronic HCV, and we are involved in screening at risk patients.

Residency program: Joint residency program with Yale New Haven in Diagnostic Radiology (3 residents PGY2-4) and Nuclear Medicine (1). Fellowship participation in angiography/interventional (including non-invasive vascular imaging) and neuroradiology. Residents are offered experience in chest, GI and GU radiology, cross sectional imaging including multidetector CT, neuro and body MR, and will be offered training in 3 D reconstruction techniques. Two members of our faculty are appointed to the residency selection committee. We offer a radiology teaching module to students in YSM Internal Medicine, PA students and external students.

Research Direction

  • Virtual colonoscopy
  • Use of cross sectional imaging in screening and evaluation of liver disease and focal masses; contrast agents in ultrasound, particularly in screening /evaluating liver lesions,
  • Efficacy of screening and treatment of lung and other neoplasia, vascular stents, non-invasive coronary artery imaging.
  • CT and MRI cardiac imaging
  • Non-invasive vascular imaging
  • 3-D imaging
  • oncology imaging
  • PACs and relational database research
  • Cryotherapy of renal masses

Recent Publications

Moore CL, Daniels B, Ghita M, Gunabushanam G, Luty S, Molinaro AM, Singh D, Gross CP: Accuracy of reduced-dose computed tomography for ureteral stones in emergency department patients. Ann Emerg Med. 2015 Feb; 2014 Nov 4. PMID: 25441242

Nygaard HB, Wagner AF, Bowen GS, Good SP, MacAvoy MG, Strittmatter KA, Kaufman AC, Rosenberg BJ, Sekine-Konno T, Varma P, Chen K, Koleske AJ, Reiman EM, Strittmatter SM, van Dyck CH: A phase Ib multiple ascending dose study of the safety, tolerability, and central nervous system availability of AZD0530 (saracatinib) in Alzheimer's disease. Alzheimers Res Ther. 2015; 2015 Apr 14. PMID: 25874001

McCann TE, Scoutt LM, Gunabushanam G: A practical approach to interpreting lower extremity noninvasive physiologic studies. Radiol Clin North Am. 2014 Nov; 2014 Aug 27. PMID: 25444110

Federman DG, Kravetz JD, Lerz KA, Akgun KM, Ruser C, Cain H, Anderson EF, Taylor C: Implementation of an electronic clinical reminder to improve rates of lung cancer screening. Am J Med. 2014 Sep; 2014 Apr 24. PMID: 24769298

McCann TE, Scoutt LM, Gunabushanam G: Hepatic involvement of hereditary hemorrhagic telangiectasia: evaluation with ultrasound. Ultrasound Q. 2014 Sep. PMID: 25148498

Lukasiewicz A, Bhargavan-Chatfield M, Coombs L, Ghita M, Weinreb J, Gunabushanam G, Moore CL: Radiation dose index of renal colic protocol CT studies in the United States: a report from the American College of Radiology National Radiology Data Registry. Radiology. 2014 May; 2014 Jan 27. PMID: 24484064

Thut DP, Kreychman A, Obando JA: ¹¹¹In-DTPA cisternography with SPECT/CT for the evaluation of normal pressure hydrocephalus. J Nucl Med Technol. 2014 Mar; 2014 Jan 24. PMID: 24463341

Onyiuke I, Kirby AB, McCarthy S: Primary gynecologic lymphoma: imaging findings. AJR Am J Roentgenol. 2013 Oct. PMID: 24059405

Garla V, Taylor C, Brandt C: Semi-supervised clinical text classification with Laplacian SVMs: an application to cancer case management. J Biomed Inform. 2013 Oct; 2013 Jul 8. PMID: 23845911

Boyce JM, Pop OF, Abreu-Lanfranco O, Hung WY, Fisher A, Karjoo A, Thompson B, Protopapas Z: A trial of discontinuation of empiric vancomycin therapy in patients with suspected methicillin-resistant Staphylococcus aureus health care-associated pneumonia. Antimicrob Agents Chemother. 2013 Mar; 2012 Dec 17. PMID: 23254432

Millet JD, Gunabushanam G, Ojili V, Rubens DJ, Scoutt LM: Complications following vascular procedures in the upper extremities: a sonographic pictorial review. Ultrasound Q. 2013 Mar. PMID: 23358215

Gayomali C, Hussein U, Cameron SF, Protopapas Z, Finkelstein FO: Incidence of encapsulating peritoneal sclerosis: a single-center experience with long-term peritoneal dialysis in the United States. Perit Dial Int. 2011 May-Jun. PMID: 21555415

Basso M, Gelernter J, Yang J, MacAvoy MG, Varma P, Bronen RA, van Dyck CH: Apolipoprotein E epsilon4 is associated with atrophy of the amygdala in Alzheimer's disease. Neurobiol Aging. 2006 Oct; 2005 Sep 22. PMID: 16182410

Basso M, Yang J, Warren L, MacAvoy MG, Varma P, Bronen RA, van Dyck CH: Volumetry of amygdala and hippocampus and memory performance in Alzheimer's disease. Psychiatry Res. 2006 Apr 30; 2006 Mar 9. PMID: 16524704

Noronha V, Shafi NQ, Obando JA, Kummar S: Primary non-Hodgkin's lymphoma of the liver. Crit Rev Oncol Hematol. 2005 Mar. PMID: 15718146

Taylor CR, Holland CK: Kenneth J. Taylor, MD, PhD, FACP, 1939-2003, pioneer of diagnostic ultrasound imaging. J Ultrasound Med. 2003 Jun. PMID: 12795566

Fisk JM, Mutalik P, Levin FW, Erdos J, Taylor C, Nadkarni P: Integrating query of relational and textual data in clinical databases: a case study. J Am Med Inform Assoc. 2003 Jan-Feb. PMID: 12509355