Body Imaging Fellowship
Three types of Fellowships are offered in Body Imaging:
- Cross-Sectional Imaging (2 positions):
- 3 four-week blocks each of Body CT, US, Body MR; 1 block elective in other areas (including Mammography, Breast MRI, PET-CT, Chest and IR)
- MRI (2 positions):
- 10 four-week blocks Body MR; 3 blocks of electives
Body/Cardiac Imaging (1 position)
- 6 four-week blocks of Cardiovascular MR and CT
- 6 four-week blocks of Body Imaging (Body MR, CT, US)
- 1 Block of elective
Elective time is flexible depending on service coverage requirements.
The clinical MRI service includes four 3.0T (Siemens Verio and Skyra) and three 1.5T (Siemens Avanto, Espree, and Aera) scanners within Yale-New Haven Hospital, one off-site 1.5T (GE HD) scanner in a nearby facility, and three 3T (Siemens, 2 Skyra and 1 Vida) scanner at a separate off-site facilities. In addition, we have a 1.5T (Siemens, Aera) and 3.0T (Siemens, Vida) at Yale New Haven Hospital Saint Raphael Campus.
The Body MRI service performs between 40-50 cases per day, and our read-out sessions provide the perfect balance between clinical workload, teaching, and hands-on experience.
We do a high volume of Liver MRI for hepatocellular carcinoma screening, as well as transplant evaluations and monitoring of disease following loco-regional therapies such as TACE, RFA, and Y-90 ablation. Other busy clinical programs include MR enterography, imaging of the female pelvis, MRI abdomen/pelvis for cancer staging and surveillance, and MRI prostate for targeted biopsy and tumor surveillance.
Dedicated Body MR Fellows spend 9-10 four-week blocks in Body MRI and are responsible for running the clinical service with primary responsibility for protocols and initial interpretations. The goal of the fellowship is to provide fellows with the skills necessary to be the “go to” person for MRI issues in their future practices. In addition to clinical knowledge, relevant physics, MR safety, protocol design, and image optimization are included in the curriculum. Rotating Body Imaging Fellows, who spend 3-4 four-week blocks on the service, will also gain the skills necessary to interpret almost any Body MRI case they are likely to see in their future practices.
CT and PET/CT
The Body CT service presently utilizes 12 CT scanners in total across various sites. These are composed of eight 64 slice scanners, three Dual energy scanners ( 2 x 192 slices) and one 128 slice scanner. Fellows supervise and interpret all Body CT exams including CT colonography, CT angiograms, and living donor kidney and liver exams. They will learn and become proficient in performing advance 3D post-processing (Vital Images Vitrea and syngo.via). Radiation dose reduction tools include adaptive statistical interactive reconstruction and prospective cardiac gating.
The US service provides comprehensive training in all areas of ultrasound. Attendings and trainees are physically stationed in the inpatient/outpatient clinic where they provide direct support for 9 ultrasound rooms including checking scans and interacting with patients. Support is also provided for scans performed in the Emergency Department, Transplant Clinic, Vascular Lab and Thyroid Clinic, which are located within the hospital. Fellows have the opportunity to spend time in these clinics as well.
In addition to the standard fare (US of the right upper quadrant, kidneys, gynecology, early OB, carotid arteries, and leg veins), fellows will gain experience in performing more subspecialized exams, such as pre and post-transplant renal and liver Doppler, thyroid/parathyroid US, hemodialysis access evaluations, upper/lower extremity arterial Doppler, transcranial and MSK ultrasound. The US rotation includes experience in image-guided biopsy FNA of thyroid nodules and lymph nodes.
The cardiovascular fellow is responsible for supervising and monitoring all cardiac MRI, cardiovascular MRA (thoracic and peripheral), and coronary CTA examinations; post processing the images on a dedicated cardiac imaging workstation (using cmr42); and generating reports. The fellow will also be responsible for interpreting aortic and certain lower extremity CTAs. Fellows have the opportunity to rotate through nuclear cardiology (SPECT and PET). Post processing software/hardware includes a GE ADW, Vital Images Vitrea, and CMR42 cardiac MR workstations. We perform between 500-600 Cardiac MRI / Thoracic MRA cases per year, including assessment of adult and pediatric congenital heart disease, evaluation of cardiomyopathy and arrhythmia (hypertrophic cardiomyopathy, ARVC, and atrial fibrillation), and evaluation for viability.
Partially paid service component is required in the Emergency Radiology Department. For the 2019-2020 year the requirement is as follows: To fulfill your call commitment, all fellows are expected to cover 12 weekend shifts per year on the Emergency/Teleradiology Service as an attending physician.[Weekend shifts include Saturday and Sunday day (8:00AM - 5:00PM)]
Fellows are encouraged to, but are not required to, participate in clinical research projects. For those interested in basic research, there is an array of whole body and animal research magnets in a dedicated research MR facility in the Yale University School of Medicine. These include 10 research scanners (with 1.5T, 3T, 4T, and 7T human scanners and 4.7T, 9.4T, and 11.7T small bore animal scanners). There are active research programs in cardiovascular MRI, MR spectroscopy, oncologic imaging, radiation safety, image processing, and contrast agents.
There are two Fellow conferences a week. One of these is the Body Division club where fellows present interesting and challenging cases for discussion. The other is a dedicated lecture given by the faculty in the Body Imaging division. Fellows are also encouraged to virtually attend one or both of our 2 resident conferences per day (these lectures are recorded and archived so the Fellows can also review these at their own convenience). Prominent guest speakers present Diagnostic Radiology Grand Rounds every other week from September to May. There are also a variety of interdisciplinary conferences (GU cancer, prostate, pancreaticobiliary, GI cancer, lymphoma, melanoma, liver tumor board, and liver donor) that fellows participate in, as well as many other interesting lectures at the medical school and on the Yale University campus.
Fellow Conference Schedule (2019-2020 academic year)
- Tuesday, 12 noon: Body Club
- Wednesday, 12 noon: Fellows Didactic Lecture; this includes a didactic and hands on MSK US lecture series which takes place on Mondays at 12 noon in lieu of the Wednesday conference
- Thursday 12:30pm: Grand Rounds (every other week Sept.-May); on hold due to COVID-19
Call responsibilities will be shared equitably among all Fellows.
While there is no in-house overnight call for fellows, an MRI beeper call is shared with the senior residents. The “on call” MRI fellow is responsible for interpreting emergency afterhours Body MRI exams (a laptop with PACS access is provided on a rotating basis). Over the past several years there have been, on average, two emergency cases per week. All cases are co-interpreted with staff in real time so fellows are not left alone in the middle of the night.
Mahan Mathur, MD – Division Chief, Body Imaging
Gary Israel, MD – Section Chief, Abdominal Imaging
Jonathan Kirsch, MD – Section Chief, Ultrasound
Christine Arms, MD
Sandeep Arora, MD
Daniella Asch, MD
Morton Burrell, MD
Christine Colton, MD
Marc Ferrante, MD
Paul Himelfarb, MD
Steffen Huber, MD
Risa H. Kent, MD
Jay Pahade, MD
Margarita Revzin, FAIUM, MS, MD
Leslie Scoutt, MD
Amandeep Singh, MD
Michael Spektor, MD, Fellowship Director
Jeffrey Weinreb, MD
Hamid Mojibian, MD, Director Cardiac CT/MR Imaging
Anna S. Bader, MD, MS
Meline Hovanian, MD
Steffen Huber, MD
Current Fellows 2020-21
Yarisma Frometa, MD
Erin Taylor, MD
Adriana Dager, MD
Alexander Griffin, MD
All fellowship positions have been filled for the 2022-2023 academic year (July 1, 2022- June 30, 2023).
Please visit the site in late May 2021 for information on the application process for the 2023-24 academic year.
Please note that we will follow SCARD recommendations for fellowship recruitment.
HOW TO APPLY
You must submit your application through the following secure portal. Do not submit your application materials directly to us via email.
APPLY TO YALE BODY IMAGING FELLOWSHIP
The information & documents (please upload PDFs) requested through the portal includes:
- Curriculum Vitae
- Personal Statement - Please limit the personal statement to one page: double spaced and 12 point font Times New Roman.
- Medical School Transcripts or Dean’s Letter
- 3 letters of recommendation (signed and on official letterhead): One letter must be from the residency program director
- A photograph is requested but not required.
- USMLE Steps I, II and III score
- ECFMG Certificate, if applicable
- Candidates should be eligible or certified by the American Board of Radiology.
- Hold or be eligible for a permanent medical license in Connecticut.
- Must have evidence of valid work authorization.
- Being authorized to work in the United States is a precondition of employment in this Cross-Sectional Imaging Fellowship Program.
- The fellowship program and the department of Radiology and Biomedical Imaging are unable to sponsor applicants requiring a work visa.
Point of Contact:
Michael Spektor, MD
E-mail (preferred): email@example.com
Amy O'Malley, MBA
Yale School of Medicine
Department of Radiology and Biomedical Imaging
Body Imaging Fellowship Program
P.O. Box 208042
New Haven, CT 06520-8042