Specialized Programs in Thoracic Imaging
The Division of Cardiothoracic Imaging is active in many diverse areas involving screening, diagnosis and treatment of a wide variety of conditions, including:
Using primarily radiography and CT, we evaluate a wide variety of disease processes within the chest, including pneumonia, lung cancer, AIDS-related disease, interstitial lung disease, COPD, sarcoidosis, pulmonary embolism, aortic aneurysm and dissection and imaging in the intensive care and emergency room settings.
Cardiac CT and MR are widely utilized to evaluate both acquired and congenital heart disease. Our cardiac imaging team uses state-of-the- art workstations to perform sophisticated clinical analyses that guide therapy and to pursue and active research agenda.
CT coronary angiography is uses leading-edge, non-invasive technology to assess coronary arterial disease by taking three-dimensional images of the arteries. The approach reduces the number of patients who need conventional angiography and is used to determine whether the patient is safe to discharge from our emergency department. Additionally, cardiac CT calculated calcium scores that help clinicians risk-stratify patients, even in the emergency setting.
Before and after repair, Cardiac MR is used widely to evaluate ischemic and non-ischemic cardiomyopathy and congenital cardiac anomalies,. Imaging techniques are used extensively as planning tools for interventional and minimally invasive cardiac procedures including trans-catheter aortic valve replacement (TAVR for the treatment of aortic stenosis) and pulmonary vein ablation in the setting of atrial fibrillation.
Lung Cancer Screening
Montefiore's lung cancer screening program for high-risk patients uses low-dose CT to help detect the disease at its earliest, most treatable stage, before the patient has become symptomatic. Modelled on the highly successful breast cancer mammography screening program, the program is coordinated by a team of experts from multiple departments. Patients can be referred for biopsy, and, if cancer is discovered, to the Lung Cancer Program at Montefiore Einstein Center for Cancer Care. Our screening program operates in accordance with National Lung Screening Trial guidelines.
Using state-of-the-art technologies, we perform image-guided biopsies of lesions of the lung, pleura, mediastinum, and chest wall. These procedures—often performed on an outpatient, ambulatory basis—combine careful attention to patient safety with diagnostic efficacy to provide percutaneous access to tissue diagnosis.