Emergency Radiology
The goal of the Emergency/Trauma Imaging section is to provide high quality, timely, final reports to all ER patients requiring urgent radiological services The ER/Trauma Imaging section was one of the first programs in the country to staff on-site attending radiologists 24 hours a day, 7 days a week.
Schedule and Staffing
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Since 1998 the ER/Trauma section has been providing seamless coverage to the York Street Campus, which serves as both a Level 1 Trauma Center and Level 1 Stroke Center. The ER/Trauma section has significantly expanded in 2019, and now provides 24/7/365 final reports for imaging studies across four of the Yale New Haven Health System Emergency Rooms (York Street Campus, St. Raphael’s Campus, Shoreline, and Milford). The section also provides overnight reads for inpatients at these locations and all patients at the West Haven VA Medical Center and Bridgeport Hospital. With this vast coverage, our ER/Trauma radiologists interpret over 200,000 studies annually. Quality care is obtained by multiple overlapping shifts throughout the day and night.
Our 12 full-time faculty members and 2 Leadership in Healthcare Fellows are core to the success of our section. In addition, there is opportunity for our Board Eligible and/or Certified Diagnostic Radiology fellows from our various sub-specialties to moonlight on evenings, weekends and holidays. This experience allows fellows from other sections to gain attending level experience. An active quality assurance process ensures appropriate oversight of generalists by our subspecialist radiologists to maintain uniformity of service with the highest level of subspecialty care to all patients.
Yale medical students form the backbone of our unique ER Radiology triage program. An active and healthy academic relationship also exists between ER radiology and various clinical services within Yale.
Research Directions
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- Trauma imaging
- CT Scanners
- CT angiography
- Ramifications of obesity on diagnostic imaging
- The role of CT scans in redefining pediatric and adult anatomy
- Healthcare policy & Health economics
- Medicare and Medicaid finance
- Radiation risks and consent practices
- Cardiothoracic Imaging in the emergent setting
- Pulmonary embolism
- Artificial Intelligence
Yale ER/Trauma Imaging section radiologists are consistently published in national and international newspapers, magazines, and peer reviewed journal articles.
Education
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The ER/Trauma imaging section sponsors two distinct fellowships.
The Healthcare Leadership in Radiology Fellowship is a 2 year program jointly sponsored by Yale Department of Radiology and Yale School of Management (hyperlink). The fellow performs clinical duties at Yale New Haven Hospital while earning an MBA degree.
The ER/Trauma Radiology Fellowship is a traditional 1 year program with focus on development of clinical skills.
Leadership
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Medical Director
- Office
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Deputy Chief
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- Clinic Fax
Publications
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2026
Imaging Suspected Cardiovascular Complications of the “Fourth Trimester”
Tembelis M, Khalilollahi A, Schiller E, Revzin M, Katz D. Imaging Suspected Cardiovascular Complications of the “Fourth Trimester”. Contemporary Diagnostic Radiology 2026, 49: 1-7. DOI: 10.1097/01.cdr.0001194096.94512.75.Peer-Reviewed Original ResearchConceptsPotential complicationsPostpartum periodFourth trimesterSpontaneous coronary artery dissectionAcute aortic pathologyCardiovascular systemCoronary artery dissectionNonpregnant stateMaternal morbidityAortic pathologyPostpartum patientsPulmonary embolismCardiovascular complicationsPulmonary edemaArtery dissectionClinical conditionsAccurate diagnosisTrimesterPregnancyImaging appearanceComplicationsCardiovascular pathologyDiagnostic imaging algorithmImaging recommendationsPathologyComparative Analysis of Large Language Models Performance in Appropriate Diagnostic Imaging Modality Selection
Rybczyk J, Amin K, Chamarty V, Fletcher P, Melnick E, Forman H. Comparative Analysis of Large Language Models Performance in Appropriate Diagnostic Imaging Modality Selection. Journal Of The American College Of Radiology 2026 PMID: 42107669, DOI: 10.1016/j.jacr.2026.05.012.Peer-Reviewed Original ResearchAltmetricConceptsImaging modality selectionNo significant pairwise differencesCitation qualityWilcoxon signed-rank testSigned-rank testFriedman testACR criteriaLanguage model performanceModality selectionACR guidelinesClinical rationaleClinical reasoningHolm correctionPairwise Wilcoxon signed-rank testClinical justificationImaging modalitiesImaging appropriatenessLanguage modelClinical vignettesSignificant pairwise differencesMedical complaintsPerformance metricsAppropriateness scoresWord countAdvances in Nail Evaluation: US and MRI.
Zattar L, Vidal Leão R, Vilela de Oliveira C, Correa M, Sernik R, Araujo-Filho J, Cerri G, Revzin M, Horvat N. Advances in Nail Evaluation: US and MRI. RadioGraphics 2026, 46: e250105. PMID: 41926319, DOI: 10.1148/rg.250105.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsThe American College of Radiology Appropriateness Criteria and the Standard of Care: Concerns Resulting From Recent Case Law.
Mezrich J. The American College of Radiology Appropriateness Criteria and the Standard of Care: Concerns Resulting From Recent Case Law. American Journal Of Roentgenology 2026 PMID: 41983873, DOI: 10.2214/ajr.26.34948.Peer-Reviewed Original ResearchAltmetricClosing the Loop – Radiologists should be cautious using EMR messaging for clinically significant communications
Mezrich J. Closing the Loop – Radiologists should be cautious using EMR messaging for clinically significant communications. Clinical Imaging 2026, 134: 110807. PMID: 41980495, DOI: 10.1016/j.clinimag.2026.110807.Peer-Reviewed Original ResearchAltmetricUrologic oncologic emergencies: a radiologist’s guide
Elbanna A, Gao M, Diab M, Janda A, Mousa M, Shehata M, Soliman A, Shenoy-Bhangle A, Revzin M, Shaaban A, Katz D, Elsayes K, Wang M. Urologic oncologic emergencies: a radiologist’s guide. Abdominal Radiology 2026, 1-15. PMID: 41934522, DOI: 10.1007/s00261-026-05481-6.Peer-Reviewed Original ResearchConceptsLife-threatening complicationsOncologic emergencyMalignant obstructive uropathyPost-treatment findingsAcute kidney injurySubstantial blood lossUrinary leakObstructive uropathyHemorrhagic cystitisBlood lossRenal hemorrhageHemodynamic instabilityPrompt recognitionUrological emergencyFistula formationKidney injuryUreteral obstructionLocal invasionPatient outcomesTherapeutic interventionsComplicationsPotential management strategiesReview articleUropathyUrosepsisImaging Findings in Parasitic and Vector-borne Infections of the Head, Neck, and Spine.
Solomon N, Calle F, Kankara S, Sailer A, Sorkun M, Lino P, de Oliveira Santo I, Dogra V, Donato A, Chammas M, Russell J, Aswani N, Rijhsinghani A, Katz D, Aswani Y, Revzin M. Imaging Findings in Parasitic and Vector-borne Infections of the Head, Neck, and Spine. RadioGraphics 2026, 46: e250108. PMID: 41855075, DOI: 10.1148/rg.250108.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsAltmetricMeSH Keywords and ConceptsConceptsImaging findingsNervous system infectionVector-borne infectionsRegions of nonendemicityClinical presentationLaboratory findingsDifferential diagnosisSystemic infectionPotential complicationsPotential sequelaeAccurate diagnosisImage featuresClinical informationImaging modalitiesLifesaving treatmentInfectionDiagnosisSequelaeEpidemiological factorsNeckRadiologistsSpineMedical mysteryACR Appropriateness Criteria® Suspected and Known Renal or Splanchnic Artery Aneurysm
Imaging P, Partovi S, Li X, Aghayev A, Hedgire S, Abuzaid A, Ahmad S, Hamid A, Henkin S, Hulten E, Nagpal P, Pillai A, Revzin M, Ripley B, Saboo S, Shih R, Siracuse J, Solnes L, Thomas R, Majdalany B. ACR Appropriateness Criteria® Suspected and Known Renal or Splanchnic Artery Aneurysm. Journal Of The American College Of Radiology 2026 PMID: 41860517, DOI: 10.1016/j.jacr.2026.02.030.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsSplanchnic artery aneurysmsArtery aneurysmPregnant patientsAmerican College of Radiology Appropriateness CriteriaRAND/UCLA Appropriateness Method User ManualAmerican CollegeClinical scenariosEstablished methodology principlesAppropriateness of imagingLife-threatening complicationsMultidisciplinary expert panelTreatment planning purposesGrading of recommendations assessmentPatient-centered managementEvidence-based guidelinesSignificant vascular abnormalitiesContrast exposureNonpregnant adultsCatheter angiographyNoncontrast MRAAppropriateness CriteriaRisk stratificationActive surveillanceVascular abnormalitiesDiagnostic performanceReply - artificial intelligence and its concerning impact on training
Mezrich J. Reply - artificial intelligence and its concerning impact on training. Clinical Imaging 2026, 135: 110784. PMID: 41850955, DOI: 10.1016/j.clinimag.2026.110784.Commentaries, Editorials and LettersRetaliatory Documentation in the EMR: Legal Implications and Remedies for Radiologists.
Pearce J, Bokhari S, Mezrich J. Retaliatory Documentation in the EMR: Legal Implications and Remedies for Radiologists. American Journal Of Roentgenology 2026, 226: e2533915. PMID: 41159790, DOI: 10.2214/ajr.25.33915.Peer-Reviewed Original ResearchAltmetricDeep learning-based generation of synthetic multiphasic MRI in hepatocellular carcinoma and cirrhosis
Abosabie S, Abosabie S, Dai W, Yang J, Gross M, Weinreb J, Revzin M, Parmar G, You C, Lin M, Gaddum O, Gebauer B, Savic L, Madoff D, Duncan J, Chapiro J. Deep learning-based generation of synthetic multiphasic MRI in hepatocellular carcinoma and cirrhosis. JHEP Reports 2026, 8: 101813. PMID: 41887530, PMCID: PMC13251683, DOI: 10.1016/j.jhepr.2026.101813.Peer-Reviewed Original ResearchCitationsConceptsCycle-consistent generative adversarial networkGenerative adversarial networkVisual Turing testGround-truth imagesAdversarial networkSingle-center datasetDeep learningHepatocellular carcinomaMRI examsSymmetric mean absolute percent errorTuring testPerformance metricsGround truthDisease diagnosingCirrhosis patientsQuantitative metricsOverlap metricsImage qualityMulti-reader studyPrecontrast sequencesLiver Imaging ReportingMetricsContrast media useContrast-enhanced MRIEvaluate similaritiesMultisystem Imaging Manifestations of Fibromuscular Dysplasia.
Sailer A, Solomon N, Cahill A, Kim E, Dixe de Oliveira Santo I, Sullivan A, Pellerito J, Czeyda-Pommersheim F, Malhotra A, Marino A, Katz D, Revzin M. Multisystem Imaging Manifestations of Fibromuscular Dysplasia. RadioGraphics 2026, 46: e240239. PMID: 41642726, PMCID: PMC12973093, DOI: 10.1148/rg.240239.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsAltmetricMeSH Keywords and ConceptsConceptsDiagnosis of fibromuscular dysplasiaFibromuscular dysplasiaPresence of aneurysmsVascular bedPotential complicationsEarly diagnosisComplication of fibromuscular dysplasiaMultifocal fibromuscular dysplasiaFeatures of fibromuscular dysplasiaBlood pressure managementTreatment of fibromuscular dysplasiaArea of stenosisNonatherosclerotic arteriopathySmall-caliber arteriesFocal fibromuscular dysplasiaMultivessel involvementMesenteric arteryClinical manifestationsSubarachnoid hemorrhageDevastating complicationsAngiographic appearanceArtery occlusionPrompt interventionMultifocal manifestationsCarotid arteryImaging evaluation and management of liver infections: a multimodality review
Srivastava B, Aswani Y, Menias C, Khot R, Solomon N, Chernyak V. Imaging evaluation and management of liver infections: a multimodality review. Abdominal Radiology 2026, 1-21. PMID: 41670675, DOI: 10.1007/s00261-026-05379-3.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsConceptsImaging findingsHepatitis infectionLiver infectionContrast-enhanced magnetic resonance imagingDual-energy computed tomographyCause of morbidityContrast-enhanced ultrasoundCross-sectional modalitiesMagnetic resonance imagingAdvanced imaging techniquesPrompt diagnosisLaboratory findingsAccuracy of diagnosisDifferential diagnosisComputed tomographyFollow-upDiagnostic evaluationImaging evaluationAccurate diagnosisDiffusion-weightedTreatment considerationsClinical guidanceHepatic diseaseResonance imagingHepatic pathologyAutomation bias and overconfidence in artificial intelligence and associated legal implications
Mezrich J. Automation bias and overconfidence in artificial intelligence and associated legal implications. Clinical Imaging 2026, 132: 110745. PMID: 41671903, DOI: 10.1016/j.clinimag.2026.110745.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsThis study investigates how overconfidence and automation bias in artificial intelligence use by radiologists can increase malpractice risks, recommending strategies to mitigate these issues.Performance of an adult-trained AI tool for intracranial hemorrhage detection on head CT in children aged 6-17 years
Cavallo J, Sher A, Chen D, Avondo J, Sammer M. Performance of an adult-trained AI tool for intracranial hemorrhage detection on head CT in children aged 6-17 years. Pediatric Radiology 2026, 56: 649-657. PMID: 41619014, DOI: 10.1007/s00247-026-06527-z.Peer-Reviewed Original ResearchThis study investigates the performance of an adult-trained AI tool for detecting intracranial hemorrhage in children aged 6–17, showing high sensitivity and specificity but requiring further validation for clinical use.A systematic approach to detection of epileptogenic foci on imaging: protocols, entities, search pattern, and reporting tools.
Lozano R, Dixe de Oliveira Santo I, Kenny-Howel C, Bronen R, Adin M, Tu L. A systematic approach to detection of epileptogenic foci on imaging: protocols, entities, search pattern, and reporting tools. The Neuroradiology Journal 2026, 19714009261417577. PMID: 41544245, PMCID: PMC12811103, DOI: 10.1177/19714009261417577.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsImaging Manifestations of Parasitic Infections in the Abdomen and Pelvis
Samuelsen B, Solomon N, Calle F, Aswani Y, Sailer A, Sorkun M, Chammas M, Elsayes K, Dogra V, Lino P, Donato A, Katz D, Revzin M. Imaging Manifestations of Parasitic Infections in the Abdomen and Pelvis. Roentgen Ray Review 2026, 2 DOI: 10.2214/r3j.24.01072.Peer-Reviewed Original ResearchAltmetric
2025
From congenital variants to critical clues: A radiologic review of inferior vena cava pathologies
Khot R, Jarmakani H, Krasinski A, Menias C, Katz D, Revzin M. From congenital variants to critical clues: A radiologic review of inferior vena cava pathologies. Journal Of Clinical Imaging Science 2025, 15: 50. PMID: 41625552, PMCID: PMC12860299, DOI: 10.25259/jcis_249_2025.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsAltmetricConceptsInferior vena cavaComputed tomographyRadiological reviewInferior vena cava pathologyBedside evaluationUltrasound (USCongenital variantVena cavaAcute emergency settingsNeoplastic involvementImaging examinationsClinical relevanceEmergency settingClinical implicationsUltrasoundPathologyImage featuresSystem conditionsCavaPatencyAbnormalitiesHemodynamicsReviewState Policies and Facility Practices of IV Hydration Spas in the US
Sivakumar A, Forman H, Wang I, Lurie P, Ross J. State Policies and Facility Practices of IV Hydration Spas in the US. JAMA Internal Medicine 2025, 185: 1455-1461. PMID: 41051745, PMCID: PMC12501857, DOI: 10.1001/jamainternmed.2025.5028.Peer-Reviewed Original ResearchThis study investigates U.S. policies and practices for IV hydration spas, showing wide regulatory variation and suggesting stronger oversight to address public health risks and inconsistent claims.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 Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH 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 fibrosisCorrigendum to “Applying dual energy computed tomography to postmortem coronary computed tomographic angiography” [J Cardiovasc Comput Tomogr (in press)]
Solomon N, Hoerner M, Vermillion B, Jang S, Sanchez H, Gosangi B, Staib L, Thorn S, Liu C, Sinusas A. Corrigendum to “Applying dual energy computed tomography to postmortem coronary computed tomographic angiography” [J Cardiovasc Comput Tomogr (in press)]. Journal Of Cardiovascular Computed Tomography 2025, 20: 208. PMID: 41309332, PMCID: PMC12933650, DOI: 10.1016/j.jcct.2025.11.003.Commentaries, Editorials and LettersEarly 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, 51: 1489-1505. PMID: 41217474, DOI: 10.1007/s00261-025-05118-0.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsConceptsCesarean 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 complicationsApplying dual energy computed tomography to postmortem coronary computed tomographic angiography
Solomon N, Hoerner M, Vermillion B, Jang S, Sanchez H, Gosangi B, Staib L, Thorn S, Liu C, Sinusas A. Applying dual energy computed tomography to postmortem coronary computed tomographic angiography. Journal Of Cardiovascular Computed Tomography 2025, 20: 42-49. PMID: 41176442, PMCID: PMC12712555, DOI: 10.1016/j.jcct.2025.10.016.Peer-Reviewed Original ResearchThis study investigates using dual energy CT in postmortem coronary angiography to distinguish contrast agents, enabling simultaneous assessment of vascular patency and myocardial perfusion changes.Observations of Wart Clearance Following COVID-19 Vaccination: Coincidence or Missed Immunologic Signals?
Sun Q, Nelson C, Forman H. Observations of Wart Clearance Following COVID-19 Vaccination: Coincidence or Missed Immunologic Signals? Vaccines 2025, 13: 1081. PMID: 41295454, PMCID: PMC12656369, DOI: 10.3390/vaccines13111081.Peer-Reviewed Original ResearchCitationsAltmetricConceptsWart clearanceCOVID-19 vaccineConclusions:Methods:Months of follow-upResults:Follow-up durationTime of clearanceHPV-infected keratinocytesAdverse side effectsPotential adverse side effectsTreatment resistanceCase seriesPatient demographicsImmune activationFollow-upImmunological pathwaysImmunological statusPubMed searchVaccine doseEfficacy surveillanceImmune responseSide effectsImmune effectsVaccine typesImaging 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 Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsAltmetricMeSH 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 injury
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