Ultrasound
The Ultrasound (US) section at Yale offers a complete range of US studies using state of the art equipment. The section is composed of world class faculty who provide sub-specialty US expertise in both vascular and non-vascular pathology that encompass a full range of diseases in adults. We are closely allied with our clinical colleagues through our collaboration in tumor boards and research projects, and we routinely provide same-day add-on services, such as fine needle aspiration for thyroid nodules and intra-operative assistance, to our referring providers. Our facilities at both the Smilow Cancer Center and our outpatient sites provide an unparalleled experience for all our patients
Clinical Information
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The US section performs diagnostic ultrasound imaging of the abdomen, pelvis (gynecologic and first trimester pregnancy), and extremities. In addition, the section performs all vascular imaging including transcranial Doppler Imaging, evaluation of neck (carotid), abdomen, and pelvic vasculature, pre and post-op evaluation of peripheral vascular disease including stents and bypass grafts, renal artery stenosis, and hemodialysis access grafts. Specialized examinations including renal, pancreas, and liver transplant, elastography, transrectal US, musculoskeletal US, endocrine US (thyroid and parathyroid), scrotal US, and contrast enhanced US are also performed.
The section also performs non-invasive vascular screening studies including ABIs, PVRs and measurement of IMT (fibrointimal thickness) in the carotid arteries (a screen for asymptomatic cardiovascular disease). Yale US is accredited in vascular ultrasound by the ACR/AIUM.
Research Directions
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- GYN and first trimester US
- Dialysis graft US
- Carotid US
- IV US contrast
- Transplant complications imaged with US
- Prediction of thyroid cancer and location of Percutaneous Transluminal Angioplasty (PTA)'s by US imaging
- Correlation of vascular US with Magnetic Resonance Angiography (MRA), Computer assisted tomography (CTA) and cardiac echo
- Cranial ultrasound
- Vascular ultrasound
- Radiofrequency ablation and chemoembolization of liver tumors
- Venous access in oncology and hemodialysis patients
- Therapeutic ultrasound
- HIFU
- HIDU
- Histotripsy
Education
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The faculty in the US section are dedicated educators provide teaching services to medical students, sonography students, residents, fellows, and technologists. Resident education takes place on a daily basis through interactive readout sessions and there is a dedicated resident conference with a curriculum which cycles every 1.5 years.
The faculty also participate in the weekly Body Division Club conference where they lend their expertise to interesting cases shown by the fellows. The US section faculty also provides a separate fellowship lecture series which is given on Wednesdays and is divided amongst the faculty in the Body Division.
Medical students and physicians from other services (vascular surgery) routinely rotate through our various services and we regularly provide our expertise to help educate our technologist and sonography students.
Publications
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2026
- Peer-Reviewed Original ResearchConceptsElectronic health recordsPremature infantsAuthors' institutionPlan-Do-Study-Act cyclesPlan-Do-Study-ActWeeks CGAQuality improvement projectScreening USUS examinationPediatric radiologistsFalse-positive rateScreening examinationDevelopmental dysplasiaRisk factorsInfantsHealth recordsImprovement projectDysplasiaBaseline rateExaminationHip dysplasiaWeeksUndue stressCgAHip
2025
Budd-Chiari Syndrome: Update on Classification and Intravascular US.
Sailer A, Nezami N, Tabeli Bouroujeni P, Fitzgerald K, Borse R, Solomon N, Dixe de Oliveira Santo I, Revzin M, Lubner M, Khot R, Marino A, Pollak J, Schlachter T. Budd-Chiari Syndrome: Update on Classification and Intravascular US. RadioGraphics 2025, 45: e240240. PMID: 41264511, DOI: 10.1148/rg.240240.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsBudd-Chiari syndromeInferior vena cavaInterventional therapyHepatic veinStent placementIntravascular USObstruction of hepatic venous outflowBaseline liver functionNodular regenerative hyperplasiaTechnical success rateSmall hepatic veinsContrast agent volumeHepatic venous outflowPortosystemic Shunt CreationHepatic sinusoidal pressureBudd-ChiariRegenerative hyperplasiaClinical presentationPortal hypertensionVena cavaProcedure timeShunt creationRight atriumPortosystemic shuntCentrilobular fibrosisEarly and delayed post-cesarean complications: an imaging review
Zacharias N, Panda A, Elmahdy A, Revzin M, Aswani Y. Early and delayed post-cesarean complications: an imaging review. Abdominal Radiology 2025, 1-17. PMID: 41217474, DOI: 10.1007/s00261-025-05118-0.Peer-Reviewed Original ResearchConceptsCesarean deliveryCesarean scar ectopic pregnancyBladder flap hematomaOvarian vein thrombosisPost-cesarean complicationsScar ectopic pregnancyUterine artery pseudoaneurysmPelvic inflammatory diseaseProducts of conceptionPost-operative settingPost-partum periodFlap hematomaScar nicheUterine dehiscenceEctopic pregnancySeptic thrombophlebitisPostoperative findingsArteriovenous fistulaVein thrombosisArtery pseudoaneurysmBowel obstructionImaging findingsLive birthsAcute complicationsVascular complicationsImaging of Trauma in Pregnant Patients.
Langdon J, Chai N, Patel A, Steenburg S, Itani M, Katz D, Moshiri M, Revzin M. Imaging of Trauma in Pregnant Patients. RadioGraphics 2025, 45: e240043. PMID: 40966129, DOI: 10.1148/rg.240043.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPlacental abruptionPregnant patientsEvaluation of pregnant patientsPregnant trauma patientsImaging modalitiesElectronic fetal monitoringRisk of exposure to ionizing radiationExposure to ionizing radiationMaternal stabilizationFetal monitoringObstetric abnormalitiesRadiological evaluationFetal ageTrauma patientsClinical challengeGeneral radiologistsPotential riskPregnancyContrast mediumAccurate diagnosisImaging assessmentPatientsClinical concernManagement pathwayTraumatic injuryBrain Imaging Manifestations of Parasitic and Vector-Transmitted Diseases
Dixe de Oliveira Santo I, Solomon N, Calle F, Aswani Y, Sorkun M, Lino P, Donato A, Driver Z, Marcelino L, Katz D, Revzin M. Brain Imaging Manifestations of Parasitic and Vector-Transmitted Diseases. Roentgen Ray Review 2025, 1 DOI: 10.2214/r3j.24.01034.Peer-Reviewed Original ResearchAltmetricNoninvasive Tumor Profiling: Quantitative Contrast-Enhanced MRI Markers Predict PD-L1 and CTNNB1 Status in Hepatocellular Carcinoma.
Matuschewski N, Sobirey R, Revzin M, Zeevi T, Gross M, Kasolowsky V, Shewarega A, Meister E, Kao T, Tefera J, Bousabarah K, Batra R, Strazzabosco M, Lin M, Gebauer B, Savic L, Duncan J, Madoff D, Zhang X, Chapiro J. Noninvasive Tumor Profiling: Quantitative Contrast-Enhanced MRI Markers Predict PD-L1 and CTNNB1 Status in Hepatocellular Carcinoma. Radiology 2025, 316: e242750. PMID: 40762840, PMCID: PMC12405729, DOI: 10.1148/radiol.242750.Peer-Reviewed Original ResearchCitationsAltmetricImaging of the Uterus after Endometrial Ablation.
Revzin M, Nezami N, Osman M, Jha P, Butler K, Pellerito J. Imaging of the Uterus after Endometrial Ablation. RadioGraphics 2025, 45: e240040. PMID: 40705686, DOI: 10.1148/rg.240040.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsEndometrial ablationUterine bleedingImaging findingsPathophysiology of abnormal uterine bleedingAbnormal uterine bleedingCross-sectional imaging modalitiesAlternative to hysterectomyExcessive uterine bleedingTreatment of excessive uterine bleedingMinimally invasive surgerySurgical historyEndometrial cancerImaging reviewUterusAssociated with EARadiology literatureInvasive surgeryRadiological interpretationImaging modalitiesPostablationMedical conditionsBleedingPathological conditionsOptimal assessmentPathological processesMultimodality Imaging of Helminthic Infections.
Solomon N, Calle F, Sorkun M, Vijan A, Aswani Y, Sailer A, Dogra V, Donato A, Lino P, Elsayes K, Chammas M, Revzin M. Multimodality Imaging of Helminthic Infections. RadioGraphics 2025, 45: e240086. PMID: 40705688, DOI: 10.1148/rg.240086.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAscaris lumbricoidesEchinococcus granulosusTreatment of patientsMultisystem disease manifestationsMultiple imaging modalitiesImaging findingsDisease manifestationsSpectrum of organismsImaging modalitiesOrganism-based approachesDisease development mechanismsImmunological reactionsDiseaseRadiologistsParasite transmissionParasitic wormsImaging techniquesImaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting.
Sailer A, Dixe de Oliveira Santo I, Revzin M, Chan S, Borse R, Cornman-Homonoff J, Cardella J, Perez Lozada J, Marino A. Imaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting. RadioGraphics 2025, 45: e230082. PMID: 40471834, DOI: 10.1148/rg.230082.Peer-Reviewed Original ResearchImaging Overview of Cosmetic Procedures and Their Complications
Dixe de Oliveira Santo I, Solomon N, Sorkun M, Calle F, Luchs J, Andrejeva L, Lubner M, Pickhardt P, Mellnick V, Katz D, Revzin M. Imaging Overview of Cosmetic Procedures and Their Complications. Roentgen Ray Review 2025, 1 DOI: 10.2214/r3j.24.01059.Peer-Reviewed Original ResearchAltmetricGastrointestinal oncologic emergencies: a radiologists’ guide
Wang M, Furrow M, Gao M, Nasrullah A, Shehata M, Shaaban A, Shenoy-Bhangle A, Revzin M, Katz D, Elsayes K. Gastrointestinal oncologic emergencies: a radiologists’ guide. Abdominal Radiology 2025, 50: 5708-5718. PMID: 40464849, DOI: 10.1007/s00261-025-05012-9.Peer-Reviewed Original ResearchConceptsOncologic emergencyAirway-esophageal fistulaLife-threatening conditionPrevalence of cancerCancer related complicationsTreatment related effectsUnderlying malignancyIntestinal perforationSystemic manifestationsImaging manifestationsGastrointestinal bleedingRelated complicationsIntestinal ischemiaIntestinal obstructionCancer stageCancer patientsBowel changesGastrointestinal systemCancerMalignancyReview articleFistulaBleedingMetastasisComplicationsOncologic pitfalls and mimics in the abdomen and pelvis
Warrington N, Shetty A, Heller M, Thompson C, Tan N, Elsayes K, Revzin M, Zulfiqar M. Oncologic pitfalls and mimics in the abdomen and pelvis. Abdominal Radiology 2025, 50: 6235-6250. PMID: 40459593, DOI: 10.1007/s00261-025-05017-4.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsBenign entitySpontaneous regressionNegative tumor markersAggressive growth patternCase-based reviewSuperimposed malignancyInfiltrative malignancyBenign pathologyPrimary malignancyBenign findingsConcomitant complicationsTumor markersBenign neoplasmsEnhancement patternInfectious/inflammatory conditionsMalignancyDisease progressionOncologic imagingImaging pitfallsDiagnostic uncertaintyDiagnostic precisionAbdomenPelvisNeoplasmsAnatomical structuresPostmortem CT: Applications in Clinical and Forensic Medicine.
Solomon N, Elifritz J, Adolphi N, Decker S, Filograna L, Kroll J, Gascho D, Thali M, Gosangi B, Sanchez H, Revzin M, Sinusas A. Postmortem CT: Applications in Clinical and Forensic Medicine. RadioGraphics 2025, 45: e240192. PMID: 40372934, PMCID: PMC12142271, DOI: 10.1148/rg.240192.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsUS of the Neck beyond the Thyroid Gland: Parathyroid Glands.
Khot R, Dixe de Oliveira Santo I, Shen L, Itani M, Sailer A, Kirsch J, Revzin M. US of the Neck beyond the Thyroid Gland: Parathyroid Glands. RadioGraphics 2025, 45: e240182. PMID: 40440190, DOI: 10.1148/rg.240182.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsParathyroid lesionsThyroid nodulesMinimally invasive parathyroidectomyFour-dimensional CTImaging modalitiesAbnormal parathyroid tissueSolitary parathyroid adenomaDetection of thyroid nodulesAlternative imaging modalityHyperparathyroidism managementNeck USEctopic glandsParathyroid adenomaParathyroid hyperplasiaParathyroid imagingLymph nodesParathyroid tissueParathyroid glandsMultiple adenomasThyroid glandImaging evaluationAdenomasPathological conditionsGlandThyroidDecreasing inappropriate MRCP with contrast exams: impact of an EMR-Embedded clinical care pathway
Asch D, Gunabushanam G, Cole K, Holland C, Pahade J. Decreasing inappropriate MRCP with contrast exams: impact of an EMR-Embedded clinical care pathway. Abdominal Radiology 2025, 50: 5774-5781. PMID: 40439723, DOI: 10.1007/s00261-025-05022-7.Peer-Reviewed Original ResearchConceptsPlan-Do-Study-ActClinical care pathwayCare pathwaysClinical appropriatenessPlan-do-study-act cycle 1Clinical guidanceElectronic medical recordsReduce healthcare costsChi-square testHealthcare costsEmergency departmentMedical recordsResultsAt baselinePatient characteristicsAppropriate ordersStudy periodResource useProvidersStatistical significanceBaselineExamAppropriatenessIV contrastIntravenous contrastGadolinium exposureDiagnostic Excellence: An Opportunity, and Call to Action, for Radiologists.
Gunabushanam G, Asch D, Pahade J. Diagnostic Excellence: An Opportunity, and Call to Action, for Radiologists. American Journal Of Roentgenology 2025, 225: e2532753. PMID: 40366790, DOI: 10.2214/ajr.25.32753.Peer-Reviewed Original ResearchAltmetricMP06-19 DEEP LEARNING PROSTATE SEGMENTATION MODULE TO ASSIST IN MRI-GUIDED TRANSURETHRAL ULTRASOUND (TULSA) TREATMENT PLANNING: VALIDATION STUDY AND REAL-WORLD PERFORMANCE
Markhong Y, Sprenkle P, Pavlovich C, Klotz L, Scionti S, Pathak R, Dora C, Busch J, Arora S, Ghanouni P, Oto A, Moin A, Karamanian A, Costa D, Woodrum D, Leung B, Wright C, Princenthal R, Raman S, Steiner E. MP06-19 DEEP LEARNING PROSTATE SEGMENTATION MODULE TO ASSIST IN MRI-GUIDED TRANSURETHRAL ULTRASOUND (TULSA) TREATMENT PLANNING: VALIDATION STUDY AND REAL-WORLD PERFORMANCE. Journal Of Urology 2025, 213: e151. DOI: 10.1097/01.ju.0001109752.81014.18.19.Peer-Reviewed Original ResearchDecoding Erdheim–Chester Disease: a Pictorial Essay of the Radiologic and Pathologic Findings, and its Main Differential Diagnoses
de Oliveira Santo I, Lerner G, Rubinowitz A, Fadel S, Chen M, Mojibian H, Mathur M. Decoding Erdheim–Chester Disease: a Pictorial Essay of the Radiologic and Pathologic Findings, and its Main Differential Diagnoses. Clinical Radiology 2025, 85: 106873. PMID: 40215805, DOI: 10.1016/j.crad.2025.106873.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsErdheim-Chester diseaseManagement of Erdheim–Chester diseaseEvaluate disease extentMolecular mutation analysisClonal myeloid neoplasmsMonitoring Treatment ResponsePotential diagnostic pitfallsModern treatment strategiesPictorial essayDecades of lifeAffected organ systemsCentral nervous systemUnder-recognised conditionNonspecific presentationMyeloid neoplasmsDiagnostic suspicionDisease extentRadiological findingsTargeted therapyFoamy histiocytesClinical featuresPI3K-Akt pathwayDiagnostic pitfallsHistiocytic neoplasmsImaging findingsMultimodality imaging review of retroperitoneal fibrosis
Czerniak S, Mathur M. Multimodality imaging review of retroperitoneal fibrosis. Abdominal Radiology 2025, 50: 4450-4468. PMID: 40035807, DOI: 10.1007/s00261-025-04847-6.Peer-Reviewed Original ResearchCitationsAltmetricConceptsRetroperitoneal fibrosisSecondary causesEvaluation of retroperitoneal fibrosisAssociated with autoimmune diseasesNonspecific clinical presentationIgG4 related diseasePotential diagnostic pitfallsDiffusion weighted imagingMagnetic resonance imagingAdvanced imaging techniquesPET/CT imagingClinical presentationMultimodality imaging reviewVenous stenosisClinical featuresDiagnostic pitfallsFibroinflammatory diseaseImaging findingsAutoimmune diseasesImaging reviewInflammatory disordersIdiopathic diseaseTreatment approachesImaging appearanceImaging modalitiesComparative Performance of Machine Learning Models in Reducing Unnecessary Targeted Prostate Biopsies
Chen F, Esmaili R, Khajir G, Zeevi T, Gross M, Leapman M, Sprenkle P, Justice A, Arora S, Weinreb J, Spektor M, Huber S, Humphrey P, Levi A, Staib L, Venkataraman R, Martin D, Onofrey J. Comparative Performance of Machine Learning Models in Reducing Unnecessary Targeted Prostate Biopsies. European Urology Oncology 2025 PMID: 39924390, PMCID: PMC12332026, DOI: 10.1016/j.euo.2025.01.005.Peer-Reviewed Original ResearchCitationsAltmetricConceptsProstate cancerPrediction of clinically significant prostate cancerClinical dataProstate-specific antigen levelClinically Significant Prostate CancerProstate magnetic resonance imagingSeverity of prostate cancerCombination of clinical featuresPrediction of csPCaSignificant prostate cancerProstate Imaging-ReportingCore needle biopsyRetrospective analysis of dataDecision curve analysisReducing unnecessary biopsiesProstate cancer diagnosisReceiver operating characteristic curveArea under the receiver operating characteristic curveFalse-negative rateMagnetic resonance imagingPersonalized risk assessmentAntigen levelsNeedle biopsyPatient ageUnnecessary biopsies
2024
Renal transplant ultrasound: assessment of complications and advanced applications
Langdon J, Sharbidre K, Garner M, Robbin M, Scoutt L. Renal transplant ultrasound: assessment of complications and advanced applications. Abdominal Radiology 2024, 50: 2558-2585. PMID: 39643733, DOI: 10.1007/s00261-024-04731-9.Peer-Reviewed Original ResearchAltmetricConceptsRenal transplantationSurgical techniqueUltrasound evaluationSolid organ transplant proceduresComplication of renal transplantationLong-term complications of renal transplantationManagement of transplant patientsAssessment of complicationsComprehensive ultrasound evaluationLong-term complicationsRenal transplant evaluationOrgan transplant proceduresTransplant patientsUltrasound findingsSonographic findingsTransplant proceduresTransplant evaluationComplicationsTransplantationUltrasoundSurgeryPracticing radiologistsRelative prevalenceAllograftPatientsMRI after focal therapy for prostate cancer: what radiologists must know?
Jalilianhasanpour R, Arora S, Mansoori B, Raman S, Greenwood B, Sprenkle P, Schade G, Camacho M, Hosseini N, Westphalen A. MRI after focal therapy for prostate cancer: what radiologists must know? Abdominal Radiology 2024, 50: 2201-2220. PMID: 39542951, DOI: 10.1007/s00261-024-04670-5.Peer-Reviewed Original ResearchRenovascular hypertension – a primer for the radiologist
Dixe de Oliveira Santo I, Sindoni J, Czeyda-Pommersheim F, Solomon N, Sailer A, Bhatt S, Fananapazir G, Pellerito J, Revzin M. Renovascular hypertension – a primer for the radiologist. Abdominal Radiology 2024, 50: 2181-2193. PMID: 39542950, DOI: 10.1007/s00261-024-04677-y.Peer-Reviewed Original ResearchCitationsAltmetricConceptsRenovascular hypertensionRenal arteryCause of renovascular hypertensionComputed tomography angiographyMagnetic resonance angiographyDiagnosing RVHExtrinsic compressionSecondary hypertensionRare conditionImaging findingsPolyarteritis nodosaSurgical interventionFibromuscular dysplasiaAnatomical variantsPage kidneyPictorial reviewHypertension casesAccurate diagnosisMedical managementDiagnostic criteriaTreatment approachesImaging modalitiesHypertensionImpact diagnosisYoung femalesCoordinate-Independent 3-D Ultrasound Principal Stretch and Direction Imaging
Jeng G, Chen P, Hsieh M, Liu Z, Langdon J, Ahn S, Staib L, Stendahl J, Thorn S, Sinusas A, Duncan J, O'Donnell M. Coordinate-Independent 3-D Ultrasound Principal Stretch and Direction Imaging. IEEE Transactions On Biomedical Engineering 2024, 71: 3312-3323. PMID: 38941195, PMCID: PMC11637688, DOI: 10.1109/tbme.2024.3420220.Peer-Reviewed Original ResearchConceptsPrincipal stretchesAxial displacement componentsSpeckle tracking methodSpeckle tracking approachTracking methodRobust filterDisplacement componentsTissue incompressibilityDisplacement estimationStrain componentsDisplacement gradientsStrain informationLocalized diseased regionStrain imagingLagrangian strainLeast-squares methodTracking approachTracking frameworkCoordinate systemCardiac coordinate systemProbe orientationFilterHigher spatial resolutionCardiac datasetsEnhanced accuracyUltrasound of the Upper Urinary Tract
Revzin M, Srivastava B, Pellerito J. Ultrasound of the Upper Urinary Tract. Radiologic Clinics Of North America 2024, 63: 57-82. PMID: 39510663, DOI: 10.1016/j.rcl.2024.09.002.Peer-Reviewed Original ResearchCitations