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
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
- 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
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
Medical Director
- Office
- Fax
- Appt
Deputy Chief
- Office
- Appt
- Clinic Fax
Publications
2025
Editorial Comment: Large Language Models Have Potential to Improve Follow-Up But May Have Unforeseen Impact on Radiology Reporting.
Mezrich J. Editorial Comment: Large Language Models Have Potential to Improve Follow-Up But May Have Unforeseen Impact on Radiology Reporting. American Journal Of Roentgenology 2025 PMID: 39936860, DOI: 10.2214/ajr.25.32734.Peer-Reviewed Original ResearchConceptsTrends in Corporate Acquisitions of Radiology Practices and Imaging Centers Over 11 Years
Chen J, Hegde R, LeBedis C. Trends in Corporate Acquisitions of Radiology Practices and Imaging Centers Over 11 Years. Journal Of The American College Of Radiology 2025 PMID: 39892800, DOI: 10.1016/j.jacr.2025.01.014.Peer-Reviewed Original ResearchAltmetricSacral tumors: a comprehensive review of imaging, diagnostic challenges, and tumor mimics
Adin M, Woolf G, Hegde R, Elsamadicy A, Mendel E, Zucconi W, Pucar D, Aygün N. Sacral tumors: a comprehensive review of imaging, diagnostic challenges, and tumor mimics. Skeletal Radiology 2025, 1-26. PMID: 39821683, DOI: 10.1007/s00256-024-04862-6.Peer-Reviewed Original ResearchAltmetricConceptsPrimary tumorTumor mimicsImaging findingsAssessment of response to treatmentGerm cell tumorsEvaluation of systemic diseasesResponse to treatmentInsufficiency fracturesSacral massSecondary tumorsCell tumorsPretreatment evaluationDiagnostic challengeLymphoproliferative diseaseClinical detailsMalignant tumorsPrimary modalitySystemic diseaseEwing sarcomaTumorNotochordal remnantsDevelopmental entityEpidemiological factorsDiagnosisMetastasis
2024
Increasing patient viewership of complex imaging reports: The paradox of the Cures Act
Amin K, Davis M, Naderi A, Forman H. Increasing patient viewership of complex imaging reports: The paradox of the Cures Act. Clinical Imaging 2024, 119: 110398. PMID: 39756146, DOI: 10.1016/j.clinimag.2024.110398.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsElectronic health recordsCentury Cures ActCures ActImprove patient experienceRadiology reportsReading grade levelPatient experienceHealth recordsHealth informationRecommended levelsRetrospective observational studyObservational studyPatientsViewing probabilityRadiologyOddsHealthYearsIncrease viewershipReportsGrade levelModalitiesProvisionDuty to Effectively Communicate: AJR Podcast Series on Diagnostic Excellence and Error, Episode 7.
Deng F, Mezrich J. Duty to Effectively Communicate: AJR Podcast Series on Diagnostic Excellence and Error, Episode 7. American Journal Of Roentgenology 2024, 224: e2432523. PMID: 39723803, DOI: 10.2214/ajr.24.32523.Peer-Reviewed Original ResearchCitationsAltmetricRelease of complex imaging reports to patients, do radiologists trust AI to help?
Amin K, Davis M, Naderi A, Forman H. Release of complex imaging reports to patients, do radiologists trust AI to help? Current Problems In Diagnostic Radiology 2024, 54: 147-150. PMID: 39676024, DOI: 10.1067/j.cpradiol.2024.12.008.Peer-Reviewed Original ResearchCitationsConceptsRadiology reportsArtificial intelligenceImprove patient comprehensionAcademic medical centerEight-question surveyManual checkingPatient portalsCentury Cures ActArtificial intelligence systemsArtificial intelligence technologyPatient comprehensionOpinions of radiologistsClinical fellowsIntelligent systemsCures ActMedical CenterImaging ReportingIntelligence technologyRadiology attendingsContact informationPatientsRadiologistsRadiologyRenovascular 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, 1-13. PMID: 39542950, DOI: 10.1007/s00261-024-04677-y.Peer-Reviewed Original ResearchAltmetricConceptsRenovascular 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 femalesUltrasound 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 ResearchClinician Staffing and Quality of Care in US Health Centers
Sun Q, Forman H, Stern L, Oldfield B. Clinician Staffing and Quality of Care in US Health Centers. JAMA Network Open 2024, 7: e2440140. PMID: 39436649, PMCID: PMC11581487, DOI: 10.1001/jamanetworkopen.2024.40140.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAdvanced practice registered nursesUniform Data SystemQuality of careUS health centersHealth centersCancer screeningCross-sectional studyStaffing modelsBody mass indexAssociated with higher performanceHIV testingAssociated with quality of carePrimary care safety netHealth Resources and Services Administration's Uniform Data SystemQuality-of-care metricsPreventive health assessmentsPractice registered nursesBreast cancer screeningClinical quality metricsCommunity-specific needsCervical cancer screeningPositive associationNonlinear positive associationAssociated with qualityFull-time equivalentResidual Ultrasound-Enhancing Agents Mimicking Portal Venous Gas
Bitar R, Langdon J, Kaur M, Crandall I, McNamara R, Revzin M. Residual Ultrasound-Enhancing Agents Mimicking Portal Venous Gas. Ultrasound Quarterly 2024, 40: e00694. PMID: 39466239, DOI: 10.1097/ruq.0000000000000694.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsUltrasound enhancing agentsPortal venous gasBowel ischemiaAbdominal ultrasoundVenous gasEchogenic fociContrast-enhanced echocardiographyEvaluation of cardiac functionPortal venous systemSeries of casesSonographic detectionCardiac functionDifferential diagnosisPortal veinVenous systemObservational studyLiver parenchymaPortal triadsVascular patencyBowelIschemiaEchocardiographyLiverUltrasoundUltrasound Contrast Agents Current Role in Adults and Children for Various Indications
Mundada K, Pellerito J, Srivastava B, Revzin M. Ultrasound Contrast Agents Current Role in Adults and Children for Various Indications. Radiologic Clinics Of North America 2024, 62: 1035-1062. PMID: 39393849, DOI: 10.1016/j.rcl.2024.07.010.Peer-Reviewed Original ResearchCitationsAbbreviated MRI in the evaluation of dizziness: report turnaround times and impact on length of stay compared to CT, CTA, and conventional MRI
Tu L, Tegtmeyer K, de Oliveira Santo I, Venkatesh A, Forman H, Mahajan A, Melnick E. Abbreviated MRI in the evaluation of dizziness: report turnaround times and impact on length of stay compared to CT, CTA, and conventional MRI. Emergency Radiology 2024, 31: 705-711. PMID: 39034381, DOI: 10.1007/s10140-024-02273-7.Peer-Reviewed Original ResearchCitationsAltmetricConceptsLength of stayEvaluation of dizzinessAbbreviated MRIConventional MRIMRI protocolEmergency departmentNon-contrast CT headConventional MRI protocolHead and neckPosterior circulation strokeAnalysis of length of stayTurnaround timeED length of stayCT headNo significant differenceAcute dizzinessCirculation strokeRetrospective analysisDizzinessAcute settingAssociated with greater impactMRI studiesImaging modalitiesMRIPatientsConventional and Contrast-enhanced US of the Lung: From Performance to Diagnosis.
Jiménez-Serrano S, Páez-Carpio A, Doménech-Ximenos B, Cornellas L, Sánchez M, Revzin M, Vollmer I. Conventional and Contrast-enhanced US of the Lung: From Performance to Diagnosis. RadioGraphics 2024, 44: e230171. PMID: 38935548, DOI: 10.1148/rg.230171.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPeripheral lung diseaseContrast-enhanced USDiagnosis of peripheral lung diseasePercutaneous biopsyLung USEnhancement patternLung diseaseImage-guided percutaneous biopsyAccurate differential diagnosisDiagnostic chest imagingLung biopsySubpleural lesionsConventional USDifferential diagnosisPathological findingsPulmonary physiologyChest imagingArterial supplyBiopsyLungDiagnostic testsDiagnosisSoft tissueDiseaseImaging timeRenal bleeding: imaging and interventions in patients with tumors
Singer E, Karbasian N, Katz D, Wong V, Abdelsalam M, Stanietzky N, Nguyen T, Shenoy-Bhangle A, Badawy M, Revzin M, Shehata M, Eltaher M, Elsayes K, Korivi B. Renal bleeding: imaging and interventions in patients with tumors. Diagnostic And Interventional Radiology 2024 PMID: 38874163, DOI: 10.4274/dir.2024.242822.Peer-Reviewed Original ResearchCitationsConceptsRenal bleedingComputed tomographyRenal tumorsSpontaneous renal bleedingMalignant renal tumorsRenal cell carcinomaCross-sectional imaging techniquesFollow-up evaluationEffective patient managementMagnetic resonance imagingAdvanced imaging techniquesCell carcinomaClinical presentationCoagulation disordersImaging techniquesImaging findingsVascular anomaliesUreteral obstructionTreatment optionsEnhancing massBleedingPatient managementTumorResonance imagingPatientsEditorial Comment: Radiology Practice Consolidation Is on the Rise-But Bigger Is Not Always Better.
Mezrich J. Editorial Comment: Radiology Practice Consolidation Is on the Rise-But Bigger Is Not Always Better. American Journal Of Roentgenology 2024, 223: e2431577. PMID: 38864703, DOI: 10.2214/ajr.24.31577.Peer-Reviewed Original ResearchUltrasound evaluation of portal venous gas and its mimics
Bitar R, Kaur M, Crandall I, McNamara R, Revzin M. Ultrasound evaluation of portal venous gas and its mimics. Abdominal Radiology 2024, 49: 2756-2769. PMID: 38735019, DOI: 10.1007/s00261-024-04328-2.Peer-Reviewed Original ResearchAltmetricConceptsResponse to letter
Amin K, Forman H, Davis M. Response to letter. Clinical Imaging 2024, 111: 110173. PMID: 38735100, DOI: 10.1016/j.clinimag.2024.110173.Peer-Reviewed Original ResearchMultimodality Imaging of Postmastectomy Breast Reconstruction Techniques, Complications, and Tumor Recurrence.
Thai J, Sodagari F, Colwell A, Winograd J, Revzin M, Mahmoud H, Mozayan S, Chou S, Destounis S, Butler R. Multimodality Imaging of Postmastectomy Breast Reconstruction Techniques, Complications, and Tumor Recurrence. RadioGraphics 2024, 44: e230070. PMID: 38573814, DOI: 10.1148/rg.230070.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsTumor recurrencePostoperative evaluation of patientsFlap reconstruction methodsImplant-based reconstructionMultimodal imagingBreast reconstruction techniquesFat graft placementBreast cancer recurrenceTissue flap reconstructionEvaluation of patientsNipple-sparing techniquesTissue donor sitesFlap-based reconstructionNipple-areolar complex reconstructionDiagnostic breast imagingUnique patient populationAutologous tissue flapsAbnormal imaging appearancesBreast cancer screeningMastectomy optionLocal recurrenceOncoplastic surgeryDisease recurrenceFlap reconstructionReconstructed breastEstablishing robust governance of clinical artificial intelligence software – Why radiologists should lead
Cavallo J, Davis M. Establishing robust governance of clinical artificial intelligence software – Why radiologists should lead. Clinical Imaging 2024, 110: 110163. PMID: 38678765, DOI: 10.1016/j.clinimag.2024.110163.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsMalpractice From Afar: Teleradiology May Increase Malpractice Risk.
Mezrich J. Malpractice From Afar: Teleradiology May Increase Malpractice Risk. Radiology 2024, 311: e240651. PMID: 38563668, DOI: 10.1148/radiol.240651.Peer-Reviewed Original ResearchMeSH KeywordsLarge Language Models as an Inexpensive and Effective Extra Set of Eyes in Radiology Reporting.
Forman H. Large Language Models as an Inexpensive and Effective Extra Set of Eyes in Radiology Reporting. Radiology 2024, 311: e240844. PMID: 38625009, DOI: 10.1148/radiol.240844.Peer-Reviewed Original ResearchAltmetricReactive axillary lymph nodes after COVID-19 mRNA vaccination: comparison of mRNA vs. attenuated whole-virus vaccines
Adin M, Isufi E, Wu J, Pang Y, Nguyen D, Has D, Caner C, Aboueldaha N, Mossa-Basha M, Pucar D. Reactive axillary lymph nodes after COVID-19 mRNA vaccination: comparison of mRNA vs. attenuated whole-virus vaccines. Nuclear Medicine Communications 2024, 45: 474-480. PMID: 38465449, DOI: 10.1097/mnm.0000000000001833.Peer-Reviewed Original ResearchAltmetricConceptsAxillary lymph nodesWhole virus vaccineLymph nodesMRNA vaccinesNatural courseValue of clinical parametersCOVID-19 mRNA vaccinesPredictive value of clinical parametersDose of vaccine administrationPET-CT studiesCohort of oncology patientsDeauville criteriaPET criteriaClinical parametersYounger patientsSingle doseModerna recipientsJ&J vaccinePET-positiveMultivariate analysisVaccine typesOncology patientsPredictive valueVaccine administrationModerna vaccineEven with ChatGPT, race matters
Amin K, Forman H, Davis M. Even with ChatGPT, race matters. Clinical Imaging 2024, 109: 110113. PMID: 38552383, DOI: 10.1016/j.clinimag.2024.110113.Peer-Reviewed Original ResearchCitationsAltmetricQuantitative Evaluation of Large Language Models to Streamline Radiology Report Impressions: A Multimodal Retrospective Analysis.
Doshi R, Amin K, Khosla P, Bajaj S, Chheang S, Forman H. Quantitative Evaluation of Large Language Models to Streamline Radiology Report Impressions: A Multimodal Retrospective Analysis. Radiology 2024, 310: e231593. PMID: 38530171, DOI: 10.1148/radiol.231593.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLanguage modelReport impressionsRadiology reportsRetrospective comparative analysisWilcoxon signed-rank testReading grade levelMedical Information Mart for Intensive Care (MIMIC)-IV databaseElectronic health recordsNonparametric Wilcoxon signed-rank testSigned-rank testRetrospective analysisPrimary outcomeComplex medical terminologyImaging modalitiesHealth recordsPatientsRadiologyAnatomical regionsReadabilityIncrease accessModalitiesQuantitative evaluationReadability indicesReadability scoresReportsImmunotherapy Initiation at the End of Life in Patients With Metastatic Cancer in the US
Kerekes D, Frey A, Prsic E, Tran T, Clune J, Sznol M, Kluger H, Forman H, Becher R, Olino K, Khan S. Immunotherapy Initiation at the End of Life in Patients With Metastatic Cancer in the US. JAMA Oncology 2024, 10: 342-351. PMID: 38175659, PMCID: PMC10767643, DOI: 10.1001/jamaoncol.2023.6025.Peer-Reviewed Original ResearchCitationsAltmetricConceptsNon-small cell lung cancerEnd of lifeMonth of deathImmunotherapy initiationCohort studyMAIN OUTCOMEStage IV non-small cell lung cancerCharlson-Deyo comorbidity indexHigh metastatic burdenInitiation of immunotherapyNational prescribing patternsRisk-adjusted patientsImmune checkpoint inhibitorsRetrospective cohort studyStage IV melanomaPercentage of patientsHigh-volume centersLocation of metastasesLow-volume centersOdds of deathCell lung cancerNational Clinical DatabaseLow-volume facilitiesDrug Administration approvalCheckpoint inhibitors
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