Neuroradiology

The Division of Neuroradiology at Penn State Milton S. Hershey Medical Center has a 1 approved ACGME accredited position for Fellowship. We participate in the NRMP match timeline process. We will accept application starting October prior to the interview dates set forth by NRMP. We will interview during the NRMP selected dates.

  • Universal Fellowship Application ( http://www.apdr.org )
  • Curriculum Vitae
  • 3 Letters of recommendations
  • USMLE 1,2, and 3 completed documentations for state licensure eligibility
  • ECFMG certificate (for foreign graduates)
  • J1 Visa only (for foreign graduates)
Important Dates for Fellowship Match 2013
  • February 19, 2013 Interviews Begin
  • May 8, 2013 (12 Noon ET) Rank order list submission begins for programs and applicants
  • May 19, 2013 Interviews End
  • May 22, 2013 (11:59 p.m. ET) Quota change deadline
  • June 5, 2013 (09:00 p.m. ET) Deadline for registration and ROL certification
Applicants and programs must certify their rank order list by this date and time. June 19, 2013 (12 noon ET) Match Day
 

Contact

Tao Ouyang, M.D.
Neuroradiology Fellowship Program Director
Department of Radiology
Penn State Hershey Medical Center
500 University Drive
M.C. H066
Hershey, PA 17033

Email: touyang@hmc.psu.edu
Phone: 717-531-4682
Elena Notarfrancesco, Neuroradiology Fellowship Coordinator
Department of Radiology
Penn State Hershey Medical Center
500 University Drive, M.C.H066
Hershey, PA 17033

Phone: 717-531-4682
Fax: 717-531-0006

Overview

The fellowship is centered at the Penn State University Milton S. Hershey Medical Center and the new Penn State Children's Hospital (expected to open spring 2013). The new Children's Hospital is immediately adjacent to the University Hospital. We are the tertiary care center for the central Pennsylvania area.

The fellowship provides training in the performance and interpretation of all aspects of neuroradiology including magnetic resonance imaging, computed tomography, myelography, and head and neck radiology. The fellowship also provides training in advanced CNS imaging including MR spectroscopy, perfusion MRI, diffusion tensor MRI, and CT perfusion and angiography. As part of the Penn State Spine Center, the fellowship offers extensive hands-on training in spine procedures such as vertebral augmentation, radiofrequency ablation, sacroplasty, epidural and facet injections, disc related procedures, and biopsies.

There are 8 full-time neuroradiologists and one dedicated pediatric neuroradiologist on staff. Fellows are supervised by staff neuroradiologists and are responsible for the performance and interpretation of all examinations under the supervision of staff neuroradiologists.

The fellowship is ACGME accredited for one year of post graduate training. The program currently accepts one fellow each academic year.

A multidisciplinary approach to neuroradiology training is emphasized. There is a close relationship of the clinical and academic activities of the Neuroradiology division with the Departments of Neurology, Head and Neck Surgery, Neurosurgery, Neuropathology, Orthopedics, Pain Management, and Physical Medicine & Rehabilitation.

Our department is entirely electronic. We have an excellent PACS as well as Speech Recognition Software.

Neuroradiology Case Volume

In 2011, we performed approximately 17,000 neuro CTs, 15,500 neuro MRIs, and 1100 neurovascular procedures.

Facilities

  • 6 clinical MRIs (1.5T Siemens x 4, 3T Siemens x2)
  • 1 Research MRI (3T Siemens)
  • 5 MDCTs (Siemens 64 dual source, 40 detectors x 2, and 16 detectors x 2)
  • Dedicated CT scanner in emergency department(Siemens 128 detector dual energy)
  • Flat panel biplanar Siemens Artis Angiogram equipment with DynaCT and rotational DSA capabilities
  • PET/CT scanner (Phillips Gemini 16 slice)
  • GE Centricity PACS, Integrated Precision Speech Recognition system
  • Siemens and TeraRecon 3D reconstruction software

Sample Recent Cases

  • Gadolinium induced encephalopathy
  • Balos concentric sclerosis
  • Spinal Cord Sarcoidosis
  • Abducens schwannoma
  • Spinal cord hemangioendothelioma 
  • Variant CJD
  • Amyotrophic lateral Sclerosis
  • Superior semicircular canal Dehiscence 
  • Intergluteal Dorsal Dermal Sinus
  • Phalen McDermid Syndrome
  • Arboviral Encephalitis
  • S- adenosyltransferase deficiency 
  • MELAS

Conference Schedule

{C} Tuesday {C}{C} {C}8am: Interesting case conference{C}{C}  
{C} Wednesday {C}{C} {C}7:30am: Dedicated fellow Didactic conference{C}{C}  
{C} Thursday {C}{C} {C}8am: Rotates between Multidisciplinary pediatric neuro conference, journal club, Head and Neck case conference, and pediatric interesting case conference.{C}{C} {C}
4pm: Head and Neck tumor board
{C}{C}
{C} Friday{C}{C} {C}7am: Alternates between CNS tumor board and Multidisciplinary spine conference{C}{C} {C}8am: Multidisciplinary neurosciences conference{C}{C}

Rotations

Diagnostic Neuroradiology:

The diagnostic rotation (approximately 6 months) encompasses general Neuroradiology and Head and Neck imaging. This rotation provides exposure to the full gamut of Neuroradiology studies including CT, MRI, non-invasive CT and MR angiography, CT and MR perfusion studies, MR Spectroscopy and Myelography.

Interventional Spine:

The spine rotation (approximately 2 months) provides hands on experience with both diagnostic and therapeutic spine procedures such discograms, cervical and lumbar nerve root blocks, epidural steroid injections, facet blocks, lumbar drainage catheter placements, drainages, and vertebral augmentations.  Extensive experience in a wide range of CT guided biopsies of the spine, intervertebral discs, and paraspinal structures are also provided.

Neuroangiography:

Neuroradiology fellows spend approximately 1.5 months on the neuroangiography service and take part in diagnostic cerebral angiography, acute stroke care, carotid stenting, aneurysm coiling, vascular malformation treatment, and tumor embolization procedures. Fellows also participate in the structured vascular and neuroangiography online curriculum sponsored by the ASNR.

Pediatric Neuroradiology:

Fellows will spend one day per week (total of approximately 1.5 months) with our dedicated pediatric neuroradiologist and are exposed to a variety of pediatric pathologies.

Call

Neuroradiology fellows take week-long call on average 1 out of every 4 weeks during the year consisting of in-house duty from 5pm-10pm Monday through Friday and either in-house or at home duty on Saturday and Sundays. After hours call for emergent procedures is covered by pager from home. Potential responsibilities on pager call include emergent lumbar punctures, Myelograms and triage/performance of spinal interventional procedures. Fellows are provided with workstation at home and VPN access to enable workflow from home similar to that in-house.

Benefits

In addition to the salary and health/dental/optical/retirement benefits provided to Penn State Milton S. Hershey Medical Center employees, fellows are provided an educational funding allotment during the 12-month fellowship for expenses such as meeting attendance, travel expenses, electronic education materials and e-readers, etc.

Academic activities

Fellows are encouraged to present at neuroradiology societal meetings such as the ASNR annual meeting, ASHNR, ASSR, or ASFNR. Past fellows have also presented work at RSNA and ARRS. Fellows are given approximately ½ academic day per week to pursue scholarly activities.