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Interventional Neuroradiology

Elective Number: (Oasis E74t) (arranged) 2907

Rotation Supervisor: Dr. Lee Jensen

Coordinator: Linda (Lin) Moore; linmoore@virginia.edu; phone: 924-9484

Duration: Minimum: 2 weeks

Available: 3, 4, 6, 7, 8, 9, 10, 11, 12, 13, 14

Time to Report: 8:00 am

Place to Report: Residency/Student Elective Office - Room 1832

Typical day: 8:00 am - 4:00 pm

Attendance: Attendance at elective activities is mandatory.

Suggested Preparatory Reading: Morris, PP. Practical Neuroangiography

Number of students per rotation: 2

Course Description: This course is an introduction to minimally-invasive treatment procedures for vascular pathology (neurointerventional surgery) involving the brain, spinal cord and column, and the head and neck. Students will have an opportunity to observe cutting edge endovascular techniques including but not limited to endosaccular coiling or flow diversion for cerebral aneurysms, occlusion of brain AVMs and dural fistulas with liquid embolic agents, stenting of intracranial and extracranial vascular stenoses, and mechanical extraction of thrombus in patient suffering from acute stroke. Students who are interested in pursuing further training in neurosugery, neurology and neuroradiology are strongly encouraged to apply.

The faculty consists of two interventional neuroradiologists, two edovascular neurosurgeons, two neurointerventional fellows and two nurse practitioners. Instruction is a combination of didactic lectures and neuroimaging case review, teaching in neuroangiography suite, participation in neurovascular conferences and observation of patient care in both inpatient and outpatient clinical settings. For interested students, clinical research opportunities are possible.

A representative day includes morning rounds on treated patients; procedural observation; and post-procedural care of patients. Throughout the day, didactic teaching and case review will occur as time permits. On Fridays, students will attend the multidisciplinary stroke conference and see patients wit the team in the outpatient clinic.

All students are encourage to participate in department activities including numerous case-based and didactic conferences, seminars, ground rounds and other activities. Students may attend the lectures and tutorial given by radiology faculty, fellows and residents and any conferences within neuroradiology. Additional time will be devoted to self-study of images, slide-and web-based interactive learning modules, which have been prepared as teaching materials.

Learning Objectives:

  1. Radiology
    1. learn the main indications for radiographic studies in the emergency inpatient and outpatient settings
    2. identify the commonly obtained radiographic projections learn basic radiologic anatomy on spine radiographs
    3. learn basic radiologic anatomy on spine radiographs
    4. identify the imaging appearance of the most common emergent findings on spine and head/neck radiographs
  2. CT/MRI
    1. learn the main indications for cross-sectional imaging studies in the emergency, inpatient and outpatient settings
    2. be able to distinguish a CT scan from an MRI
    3. be aware of the risks of radiation exposure
    4. learn basic anatomy on cross sectional brain and head/neck studies, including vascular anatomy on CTA/MRA
    5. identify the most common emergent findings on head CT, including infarcts, hemorrhage, mass lesions, infection and herniation patterns
    6. identify common spinal fractures on CT
    7. understand the cimportance of portocoling, including when contrast is and is not indicated.

In addition to participating in the daily read-out sessions with residents and fellows, students will be asked to prepare a 10-15 minute Powerpoint presentation on an interesting case they encountered during the elective. Patient presentation, relevant anatomy, imaging findings, pathophysiology and management should be emphasized.

Suggested reading:

  1. Neuroradiology: The Requisites. Yousem and Grossman
  2. UVa online interactive tutorial http://www.med-ed.virginia.edu/courses/rad/


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