Cardiothoracic Imaging Fellowship

Program Director: Jane Ko, MD
Associate Program Director: Larry Latson, Jr, MD
Fellowship Program Coordinator: Nati A. Mejias

Number of Positions: 2

Please Note

We have an unexpected opening for our 2020-2021 Thoracic and Cardiac Imaging Fellowship and are accepting applications.  Please contact Jane Ko, MD at jane.ko@nyulangone.org if you have interest in this available program.

Application Process

For our 2021-2022 fellowship, we begin accepting applications on August 1. Our interview timeline will follow the Society of Chairs of Academic Radiology Department (SCARD) guidelines. To begin the online application process, please refer to https://informatics.med.nyu.edu/apps/fellowship/app.   When submitting application, please contact program directors. 

Please contact us if you have any questions:

Jane Ko, MD
Professor, Department of Radiology
NYU Langone Health
212-263-5229
Jane.Ko@nyumc.org

Larry Latson, Jr, MD
Assistant Professor, Department of Radiology
NYU Langone Health
212-263-5229
Larry.Latson@nyumc.org

Nati A. Mejias
Fellowship Program Coordinator
Department of Radiology
NYU Langone Health
212-263-5381
Nati.Mejias@nyumc.org

Fellowship Overview

The cardiothoracic imaging fellowship will provide subspecialty training in cardiopulmonary imaging at NYU Langone Health. The fellow will receive ample clinical experience, educational training, and research opportunities directed towards development as a cardiopulmonary radiologist. This fellowship is a merging of the prior Thoracic and Cardiac Imaging Fellowship and Advanced Cardiovascular Imaging Fellowship.

Clinical Service

The thoracic and cardiac imaging sections provide clinical service for the hospitals of NYU Langone Health, including Kimmel Pavilion, NYU Langone Brooklyn, and NYU Orthopedic Hospital, in addition to Bellevue Medical Center.  Through our PACS system, we also interpret examinations from the several outpatient imaging centers of NYU including the Schwartz Ambulatory Cancer Center, NYU Perlmutter Cancer Center, and NYU Langone Faculty Group Practice.  The combined Cardiothoracic Imaging Fellowship will allow intensive exposure to both thoracic and cardiac imaging, ranging from radiography to advanced training in thoracic CT, cardiac CTA, and MR. The fellows will work with a total of 20 cardiothoracic imagers, including 11 dedicated thoracic imagers, 1 dedicated cardiac imager, 1 cardiac/body imager, 4 who read both chest and cardiac studies, and 3 who are also clinical cardiologists or pediatric cardiologists.  The cardiothoracic fellows will have thoracic interventional procedures as part of their training, including biopsy and ablative therapies, supervised by members in the thoracic section.  

The fellow is exposed to the breadth of thoracic and cardiac imaging pathologies, with approximately 500 chest radiographs and 120 chest CTs including pulmonary and aortic CTAs daily, in addition to 60 cardiac CTs and 40 MRs weekly. The high degree of clinical expertise in the thoracic surgical, oncology, and pulmonary services expose the trainee to a large volume of imaging pertaining to open and robotic surgical, medical, and radiation therapies for lung cancer; infection; care of the acutely ill; interstitial lung disease; and pulmonary arterial and aortic vascular diseases. The lung transplantation service enhances training in interstitial lung disease, surgical techniques, and imaging after lung transplantation.  NYU Langone Health has a large volume cardiac surgical and cardiology services with clinical experts that utilize cutting-edge procedures that expose the trainee to a breadth or cardiac disease and preoperative and postoperative imaging using both CT and MR pertaining to open and minimally invasive valve, bypass, and ablation therapies.  Additionally, NYU Langone Health’s Congenital Heart Program performs about 200 cardiac operations for congenital heart disease, and NYU Langone Health is accredited by the Adult Congenital Heart Association as an Adult Congenital Heart Disease Comprehensive Care Center. The cardiothoracic fellows will therefore be exposed to the entire range of advanced CT and MR imaging in pediatric and adult patients with congenital heart disease, performed for preoperative planning, immediate post-operative assessment, and long-term follow up. 

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Inherent to the daily work of the section is continual attention to patient safety parameters, appropriate exam and protocol selection.  Learning the potential risks associated with imaging examinations, such as those associated with contrast administration, and how to manage any complications is a fundamental aspect of training.  

The rotations are tailorable, focused on fellow interest. Pulmonary-oriented elective opportunities pertain to radiation oncology and pulmonary pathology, in 2 week blocks.  Cardiac-related electives pertaining to echocardiography, nuclear medicine, and interventional cardiology are also available.  We currently have two clinical CT-PET scanners at our Cancer Center.  Opportunity exists for the interested fellows to have an elective in PET/CT given its major role in staging lung cancer and as a problem-solving tool in pulmonary and cardiac applications.  Our 3-D/ post-processing Imaging Lab is staffed for clinical and research applications.

Conferences

This clinical experience is complemented by attendance and presentation at thoracic and cardiac-oriented multidisciplinary and interdepartmental conferences pertaining to multidisciplinary lung cancer, interstitial lung disease, pulmonary service, and lung transplantation.  The fellow is the presenter for a weekly multidisciplinary lung cancer and bimonthly interstitial lung diseases conferences.  The fellows attend weekly pulmonary, echocardiography, nuclear medicine, and adult and congenital cardiothoracic surgery conferences.

Intra-sectional biweekly fellow/resident thoracic and cardiac case conferences are available throughout the year to supplement knowledge gained on daily clinical service, in addition to dedicated biweekly teaching case conferences for the fellows, so that a broad and in depth cardiopulmonary curriculum is spanned during the training year. 

Additional development of educational abilities includes opportunities in medical school teaching and resident teaching in sectional case and departmental venues. Journal club will provide education in critically evaluating research and presentation skills.

Research/Academic Opportunities

Research is encouraged; research time is provided and is a key component of the curriculum. The fellow is encouraged to present his or her work at scientific meetings, and subsidized attendance at one major scientific meeting is provided.   Ample research opportunities in MDCT, high-field (3T and 7T) MR, and PET-MR, are available. 

Research interests in the thoracic and cardiac sections are broad and include:

  • Dual-energy and multi-detector row CT
  • Computer Aided Diagnosis (CAD) in lung cancer detection and quantitative analysis of the    lung
  • Lung nodule characterization
  • Airways disease
  • High-resolution CT
  • Volumetric CT data management and manipulation
  • Interventional lung procedures including radiofrequency- and cryo-ablation
  • Patient quality and safety
  • Cardiac PET/MR imaging for sarcoidosis and other conditions
  • Cardiac MR image acquisition techniques (including XD-GRASP) 
  • Medical informatics
  • Medical and resident education