Thoracic and Cardiac Imaging

Fellowship Director: Jane Ko, MD

New York University Langone Medical Center offers a one-year fellowship in thoracic and cardiac imaging. The Thoracic Imaging Section at NYU consists of 14 chest radiologists. Most are members of the Society of Thoracic Radiology, and one is a member of the Fleischner Society and the Society of Computed Body Tomography and MR. Four of our faculty interpret cardiac imaging studies and are co-members of the Cardiac Imaging Section.

Clinical Opportunities

The section covers thoracic imaging at NYU Langone Medical Center, NYU Lutheran Medical Center, and Bellevue Hospital Centers. Through our PACS system, we interpret examinations from Tisch Hospital, the Hospital for Joint Diseases, and Lutheran Hospital in addition to several outpatient imaging centers. The NYU Perlmutter Cancer Center enables exposure to clinical and research-oriented thoracic oncology imaging.  Our coverage of these busy clinical facilities in addition to Bellevue Hospital provides ample exposure to the breadth of thoracic imaging topics.

The fellowship allows intensive exposure to chest radiography and advanced training in thoracic multi-detector CT (MDCT). At our NYU Langone Medical Center locations of Tisch Hospital, Hospital for Joint Disease, NYU Lutheran Medical Center, and Perlmutter Cancer Center and Bellevue Hospital, imaging is performed on 17 multi-detector CT scanners, most with 128-, 64- and 40-detector row configurations.  Technology includes CT scanners with fully-integrated detectors. Dual-source 128- MDCT scanners are now operating in our outpatient and Tisch Hospital emergency radiology facilities. Detailed training in the principles and uses of thoracic CT in the thorax, including high-resolution CT, and multi-slice CT is stressed. We currently have two clinical CT-PET scanners and a PET-MR scanner at our Cancer Center. Our 3-D / Post-processing Imaging Lab is staffed for clinical and research applications and has innovative image analysis software. Ample research opportunities in MDCT and high-field (3T and 7T) MRs, which are located in our research imaging center, are available.

Given the diverse clinical environments, the curriculum entails exposure to a wide range of thoracic disease including lung cancer, infectious disease, trauma, acute aortic and pulmonary vascular disease, interstitial lung disease, and airways disease.  Our collaboration with the world renowned Pulmonary and Critical Care, Thoracic Surgery, Radiation Oncology, and Pathology services promotes understanding of multidisciplinary approach to thoracic disease. Bellevue Hospital provides a large volume of unique case material facilitating in-depth training in more arcane areas; its tuberculosis service alone is one of the largest in the world.

There are ample clinical conferences including a multidisciplinary lung cancer, interstitial lung disease, and pulmonary conferences. The fellow will also be trained in interventional lung procedures including biopsy, radiofrequency ablation, and cryoablation.

Didactic thoracic lectures and case conferences are available throughout the year to supplement knowledge gained on daily clinical service, in addition to interesting case conference and journal clubs directed towards fellow education. Education will also cover CT protocol optimization, dose-reduction techniques, and image-quality considerations.

Another goal of the fellowship is to provide abundant clinical experience in cardiac imaging. The curriculum is tailored to the interest of the applicant with up to 5 month long rotations in the Cardiac Imaging Section, headed by Dr. Jill Jacobs. The fellow will gain experience in interpreting coronary CT angiography and CTs performed for cardiac calcium scoring and pulmonary vein evaluation. The objective is to gain expertise in the performance of these studies, use of post processing software, and interpretation of cardiac CT studies. The rotations also encompass cardiac MR, including congenital cardiac MR imaging, with exposure to clinical applications, imaging techniques, and cardiac MR interpretation. Cardiac imaging-oriented multidisciplinary and departmental conferences complement the clinical experience.

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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. Fellows are expected to assist in resident and medical student teaching, prepare and participate in multidisciplinary chest conferences in addition to participating in the clinical service.
Research interests in the thoracic section 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
  • Medical informatics
  • Medical and resident education

Application Process

We currently have an open fellowship position available for 2019 – 2020. The 2020 – 2021 position has been filled.

Applications are accepted beginning May 1 of the calendar year two years before the beginning of the fellowship year of interest. Please email the fellowship director when submitting application or when you are aware of interest. To begin the online application process, please go to https://rfa.nyumc.org.

For those applicants primarily interested in cardiac imaging and cardiac research, please refer to the Advanced Cardiovascular Imaging Fellowship information at NYU.

For more information, please contact:
Jane Ko, MD

Professor
Department of Radiology
New York University Medical Center
660 First Avenue, 7th Floor
New York, NY 10016
212-263-5229
Jane.Ko@nyumc.org

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