NEURORADIOLOGY ROTATION 

Faculty Representative: Dr. Heymann  

Hours: 8 AM – (approximately 5:00 pm)  

Please see Qgenda for attending schedules 

Conferences:  

Neuro Journal club – weekly by Fellows 

Pertinent contacts information 

Main Neuro Reading Room: 26909, 26911, 26912 

 
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-**** 

Protocols 

2019_11_18_NEURORADIOLOGY protocols 

Curriculum(Documents uploaded) 

Neuro 1st Rotation 

Neuro 2nd Rotation 

Neuro 3rd Rotation 

Neuro 4th Rotation 

MR elective rotation 

Goals and Expectations: 

R1: 

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 
allergy. 

R2:  

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. 

R3:   

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. 

R4: 

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. 

RESOURCES 

Books:  

Brant and Helms, The Requisites Series, Core Radiology 

Website:  

For anatomy: www.headneckbrainspine.com, E-anatomy 

For reading: www.statdx.com 

Articles: 

Required articles are added routinely to the neuro radshare folder. 

Videos: 

www.radiologyresidentcorelectures.com