Faculty Representative: Dr. Heymann
Hours: 8 AM – (approximately 5:00 pm)
Please see Qgenda for attending schedules
Neuro Journal club – weekly by Fellows
Neuro interesting cases – weekly
Pertinent contacts information
Main Neuro Reading Room: 26909, 26911, 26912
CLC Neuro Reading Room: 832-632-7128
VL Reading Room: 53157
Main IR Nursing Station: 21633
Main 21110 / 21191
Dialing 5-digit Numbers (if you dial from mobile):
o If starts with 2 then dial 409-772-****
o If starts with 7 then dial 409-747-****
o If starts with 5 then dial 832-505-****
o If starts with 6 then dial 409-266-****
Be able to detect and describe the following on CT: Subarachnoid hemorrhage, intra or extra axial hemorrhage, stroke, intracerebral mass, hydrocephalus, common congenital anomalies, spinal fractures, abscess and infection, seizure focus, facial and orbital fractures, ALARA principle to limit radiation.
Plain x-rays: Spinal fractures, traumatic injuries, congenital variations, infection.
Introduction to physics of radiology, CT and MRI
Protocoling: You are expected to go over the neuro protocol list and follow the protocoling guide uploaded on this website but generally:
-Read the indication for the study.
-If indication is ambiguous, look at patient’s note by the physician who ordered the study.
-If still not sure about indication, you can ask the upper level, faculty, or call the ordering provider.
-For studies ordered with contrast by NEUROLOGY and NEUROSURGERY, even if it should be without contrast according our protocol, protocol as per them (ask Faculty when in doubt).
-Always look at Cr and GFR for studies with contrast as well as contrast
Be able to detect and describe the following on CT: CT examination of the neck to recognize tumor, infection and congenital anomalies.
Introduction to temporal bone pathology.
Be able to detect and describe the following on MR: Understand the indications and major pulse sequences utilized for head and neck/spine imaging. Specifically know modern imaging of cerebral ischemia, infection and tumor (diffusion weighted imaging and MR angiography).
Neurointerventional/angiography: Understand the indications for conventional angiography, myelography, lumbar puncture and biopsies with initial training.
Be able to detect and describe the following on CT: Temporal bone anatomy and pathology with recognition of traumatic, infectious, congenital and tumor etiologies.
Be able to detect and describe the following on MRI: To formulate differential diagnoses for traumatic, infectious, congenital, inflammatory and tumor etiologies.
Understand the use of advanced MR imaging in seizure workup, pituitary imaging, MS, CP angle lesions, brachial plexus and spinal disorders.
Provide safe sedation for neonatal and adult imaging procedures.
Neuroangiography: Get comfortable with performance of routine diagnostic carotid and cerebral angiography safely in conjunction with neuroradiology fellow and attending.
Understand the indication and contraindications of such procedures.
Provide detailed differential diagnoses of CNS, spinal and neck pathology in preparation for private practice, or fellowship.
Be able to perform diagnostic cerebral angiography, routine spine biopsies and myelography.
Brant and Helms, The Requisites Series, Core Radiology
For reading: www.statdx.com
Required articles are added routinely to the neuro radshare folder.