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Radiology

News and Events

The Department of Radiology at Montefiore Medical Center is making news related to treatment, processes and research. Our physicians make headlines through clinical research, special events, award-winning accomplishments, highlights and discoveries. Stay tuned for the latest news from Montefiore's Department of Radiology.

Awards and Acknowledgements

Our radiologists continue to distinguish themselves through numerous awards and acknowledgements, including:

Center Of Excellence Designation

Having obtained American College of Radiology accreditation for mammography, stereotactic breast biopsies and breast ultrasound, our major breast centers in the Greene Medical Arts Pavilion and at Montefiore Medical Park have received Center of Excellence designation. One aspect that sets our breast centers apart is the waiting time for obtaining a screening mammogram-two days compared to the area average of 18 days.

Accreditation

All modalities eligible for accreditation by the American College of Radiology (CAT, MRI, US, mammography, nuclear medicine) have been accredited. An application for accreditation is currently underway for a brand new CAT scanner..

Individual Honors

  • Dr. Edward Amis was selected to co-chair the development of a new national radiation safety initiative called Image Wisely. In the first two years, the initiative has developed vast resources on radiation safety for radiologists, technologists, medical physicists, referring clinicians and patients, all available via a website (ImageWisely.org).
  • Dr. Jacqueline Bello was elected to the American College of Radiology Council Steering Committee, a high level group designed to oversee the functioning of the Board of Chancellors of the College. Positions on the Steering Committee are highly competitive.
  • Dr. Allan Brook was selected as a 2012 physician honoree of the Montefiore Staff and Alumni Association.

Seminal Articles

  • Amis ES Jr, Butler PF, Applegate KE, et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007; 4:272-284
    • Most frequently cited article published in JACR since its inception in 2004
  • Stein EG, Haramati LB, Bellin E, et al. Radiation exposure from medical imaging in patients with chronic and recurrent clinical conditions. J Am Coll Radiol 2010; 7:351-359
    • Best Clinical Article of 2010 Award from JACR
  • Stein ED, Haramati LB, Chamarthy M, et al. Success of a safe and simple algorithm to reduce use of CT pulmonary angiography in the emergency department. Am J Roentgenol 2010; 194:392-397
    • Basis for AHRQ Innovation Profile: Algorithm guides test ordering for patients with suspected pulmonary embolism, improving patient safety by reducing unnecessary radiation exposure. 11/9/2011 In: AHRQ Health Innovations Exchange. Rockville, MD

Highlights

New innovations keep us at the forefront of medical treatments and procedures. Highlights include:

Advancements In Radiation Safety

Montefiore has linked to the American College of Radiology CAT Scanner Dose Index Registry, a nationwide initiative to monitor radiation doses. We currently have three of our many CAT machines automatically submitting dose information on every scan performed to a central computer where they are compared to benchmark data generated from practices around the country. All patient information is "scrubbed" before data is shared. All CAT scans will soon be linked to the Registry.

Improved Service

Voice Recognition dictation was recently implemented throughout the department. Following that advancement, we implemented 24/7 on board coverage, enhanced by the creation of a new Division of Emergency Radiology. As part of the initiative, six radiologists were recruited to provide on board overnight coverage of all imaging cases generated by the Moses, The Children's Hospital at Montefiore, Weiler and North emergency departments. Voice recognition and 24/7 faculty coverage, combined, have resulted in the average generation of final reports within 15 hours for all 600,000 exams performed each year. The average time for generation of final reports on Emergency Department studies is now two hours or less.

Quality Initiative

In 2011, the department opted to automate its basic peer review system, RadPeer. RadPeer is a national initiative of the American College of Radiology. Peer review data from the department is submitted to the ACR and compared with the performance of over 900 other radiology practices throughout the country. Up until now, data was submitted on paper cards.

With automation, when radiologists are interpreting cares on our Picture Archiving and Communications System (PACS), they will be prompted at regular intervals to perform peer review on cases where there is a similar study archived on PACS. The radiologist looks at the earlier study and the written interpretation performed by the radiologist who read it when it was performed. If the radiologist reading the current study agrees with the interpretation, this is indicated electronically and automatically submitted to the national database. If there is a disagreement, the case is referred to the department Peer Review Committee for verification before submission.

In this way, the department plans to review approximately five percent of all cases performed and submit our performance for comparison against nationally-derived benchmarks.

Translational Research At Its Best

Dr. Michael Lipton, Associate Director of the Gruss Magnetic Resonance Research Center at Einstein and a clinical neuroradiologist, presented research findings at the Radiological Society of North America Annual Meeting in 2011 indicating that soccer players develop delectable brain damage on MRI after a certain number of times "heading" the ball. There was significant international media interest in these results. This is translational research at its best. Soccer is a worldwide sport and a threshold of activity has now been established for safe play.

Residency Program Commendation

The diagnostic radiology residency program underwent its five-year survey by the Accreditation Council for Graduate Medical Education and received a commendation for full compliance with the requirements. In addition, the first time pass rate on the board examinations for our residents is 100 percent for the past seven years.

Incorporation of Nuclear Medicine

Nuclear Medicine, until recently a free standing department, has now been incorporated into the Department of Radiology as the Division of Nuclear Medicine. This division offers services at three Montefiore Medical Center locations, providing one of the highest technical levels of nuclear outpatient work in the New York metropolitan area.

The many research activities of the department members have contributed to the use of nuclear medicine in the study of kidney disease, cancer and immunoimaging, among others.

Learn more about nuclear medicine here.