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R ADIOLOGY LETTER
A Radiologist’s Approach to Imaging Vistas
Stony Brook University
Fall 2007
CT Cardiac Angiography at Stony Brook Radiology
By Marlene L. Zawin, M.D.,
Chief of CT, Co-director, Coronary CT Angiography Program
Coronary artery disease (CAD) is the leading cause of death in
the United States. According to the American Heart
Association, more than 12 million Americans had a history
symptomatic disease, approximately 1 million experienced an
acute coronary event, and approximately 500,000 died. The
impact on the American economy is also significant. It is estimated that more than $115 billion dollars are spent annually in
the diagnosis and treatment of coronary artery disease.1
Catheter coronary angiography remains the gold standard for
diagnosing coronary artery disease. More than 1.83 million
studies were performed in the United States in 1999.2 Luminal
opacification of individual coronary arteries and their respective
branches requires their direct injection of iodinated contrast
through a femoral arterial catheter. Its advantages include
excellent spatial and unsurpassed temporal resolution and the
option to perform therapeutic interventions such as coronary
stent placement and balloon dilatation. Procedural interventions
are performed in roughly one third of the catheterizations performed in the United States. The remaining two thirds are performed for verification of the presence and degree of coronary
artery disease. Given the risks and expense of conventional
angiography, an accurate, noninvasive morphologic alternative
has been sought.
The exam begins with a timing bolus in which a small amount of
contrast is injected and followed by sequentially-timed images at
a single location to determine the time of peak coronary arterial
enhancement for image acquisition. While subsequent technical
advances resulted in faster and more efficient scanning of noncardiac structures, it took the development of multislice (multidetector) helical technology for coronary CT angiography (coronary CTA) to become a clinical reality. We currently have two
state-of-the-art General Electric (GE) 64-slice CT scanners (one
located in the main hospital and the second in our new
Outpatient Imaging Center.) We are anticipating a January installation of our third scanner in the totally renovated, comprehensive Emergency Department.
High-quality coronary CT angiography necessitates imaging of
the entire coronary tree, consisting of a network of small arteries,
highly susceptible to cardiac, respiratory and patient motion artifacts, within a single breath hold. The person is placed on a sliding table. A volume of data (the source of the computer-generated high-resolution images) is acquired helically as the individual
slides through the rotating gantry, the latter housing the source
of the pencil-thin x-ray beam and its opposing contiguous. The
images with the least motion artifacts are those originating during the end-diastolic (resting phase) of the cardiac cycle. Their
acquisition is achieved by coordination of the scanning with
electrocardiographic monitoring of the heart cycle (ECG-gated).
These images are transferred electronically to a sophisticated
workstation where multiplanar, detailed images of the heart and
coronary arteries are generated, and cardiac functional analysis
is performed.
In order to maximize the quality of the acquired data, the
patient’s heartbeat must be slow and regular rhythm for successful gating and diagnostic image acquisition. A heart rate of
70 beats per minute or less is desired. To achieve this, patients
are instructed to withhold intake of caffeine-containing beverages and to refrain from strenuous exercise the morning before
the study. Beta-blocking agents are administered orally or intravenously in patients without contraindications prior to scanning.
The scanning protocol includes: initial localizing scout images, a
noncontrast scan to evaluate and quantify the presence, distribution and amount of coronary arterial calcifications. This information, the coronary calcium score, provides clinically-proven,
accurate information regarding the likelihood of future cardiac
events based upon the individual’s age and weight.
Following a timing bolus, a small amount of contrast is injected
via a venous catheter that has been inserted, preferentially into an
antecubital vein of the left arm and followed on sequentially-timed
images at a single location to determine the time of peak coronary
arterial enhancement for image acquisition. Once the location of
the scans and the timing of the contrast have been determined
and the patient receives final breathing instructions, the actual
scan is performed (which generally lasts 6-8 seconds).
HIGHLIGHTS
Lectures
2
Dr. Meyers
Explores “Happy
Accidents”
2
New Faculty
3
News in the
Department
4
Residency
Graduation Dinner 4
Peconic Bay
6
Research Seminar
6
Publications
6
Figure 1 –
Left coronary
circulation (left),
and right coronary
circulation (right).
In addition to the “lumenogram” (the opacified lumen) of conventional angiography, CT images also depict the walls of the
vessels and surrounding structures, providing a “lay of the land”
perspective. This is particularly useful for diagnosing and characterizing anomalous coronary arteries, for visualizing vessels
distal to non-negotiable (occluded) arterial segments and for
depicting true and pseudoaneurysms.
Multidetector coronary CTA has the ability to help quantify and
characterize coronary atherosclerotic plaque. Coronary artery
disease involves both the vessel wall and the lumen, and
includes both soft (noncalcified) and calcified plaque (the accumulated material that can result in local luminal narrowing and
occlusion). Friable or hemorrhagic soft plaque is considered
“vulnerable” to fragmentation and distal embolization.
The majority of acute myocardial infarctions results from lowgrade, rather than high-grade stenoses and is secondary to rupture of the thin fibrous cap covering vulnerable plaque.
Imaging techniques that identify luminal obstruction, including
conventional angiography and indirectly, nuclear imaging will miss
Continued on page 5
Chairman’s Corner
Lectures
by Donald P. Harrington, M.D., M.A., F.A.C.R.
Jane Cao, M.D., Clinical Director of Cardiac CT
& MRI, St. Francis Hospital, Roslyn, New York
presented a Grand Rounds on “Minimally
Invasive Cranial & Spinal Neurosurgery” on
Wednesday, May 2, 2007.
It is an exciting time as Stony Brook
Radiology takes over the radiology
services at Peconic Bay Medical
Center. This undertaking will
enhance the quality of service
provided to the residents on the east
end of Long Island. I am also
pleased to announce that Steven
Perlmutter, M.D. has accepted the position of Stony
Brook Radiology’s Medical Director at Peconic Bay.
I whole heartedly thank Steve for his dedication and outstanding years of service as Director of Clinical Service
and Director of the Residency Program here at Stony
Brook. Steve will still be at Stony Brook approximately
one day per week. As you peruse the newsletter, you will
note that John Ferretti, M.D. has accepted the position of
Director of Clinical Service and Director of the Residency
Program, and William Moore, M.D. has accepted the
position of Associate Director of the Residency Program.
I would also like to thank Paul Fisher, M.D. for his many
years of service as Clerkship Director. Paul is well
known for his excellent teaching skills and has been
awarded Teacher of the Year numerous times at Stony
Brook including the most recent Teacher of the Year
Award for 2007. Robert Matthews, M.D. has succeeded
as the Clerkship Director.
Please join me in welcoming our new faculty members
Drs. Henry Woo, Matthew Barish. Christopher Saradoff
and James Badia. As you peruse the Radiology Letter,
you will learn about their background and sub-specialties. The faculty and staff also join in welcoming our
new residents and fellows. Congratulations and best
wishes to our graduating residents and fellows as they
leave for fellowship training and private practice.
Suresh Mukherji, M.D., F.A.C.S., Professor
and Chief, Department of Neuroradiology,
University of Michigan, Ann Arbor, Michigan
presented a Grand Rounds on “CT/MR
Imaging for Head and Neck Cancer” on
October 24, 2007.
Steven Chan, M.D. presented a Grand
Rounds on “Improved Timeliness of Final
Interpretation of Neurological CT and
MR Studies after a Multi-stage Quality
Improvement Program” on August 27, 2007.
Javier Beltran, M.D., Chairman of Radiology,
St. Maimonides Medical Center, Brooklyn,
New York presented a Grand Rounds on
“MRI of the Hip: Extracapsular Pathology”
on October 26, 2007.
Mauricio Castillo, M.D., F.A.C.R., Professor of
Radiology, Chief and Program Director,
Neuroradiology, University of North Carolina
School of Medicine, Chapel Hill, North
Carolina presented a Grand Rounds on
“Diffusion Weighted Imaging & Tensor
Imaging: Basics & Application” on
September 11, 2007.
Mark Anderson, M.D., Associate Professor of
Radiology and Orthopaedic Surgery, Division
Head, Division of Musculoskeletal Radiology,
University of Virginia Health Science Center,
Charlottesville, Virginia presented a Grand
Rounds on “MR Imaging in a Patient with Hip
Pain” on Thursday, November 1, 2007.
Dr. Meyers Explores “Happy Accidents”
The twenty-eighth Annual Radiology Research Seminar
was a success. There were eight very well organized
presentations given by researchers and clinicians from
Winthrop University Hospital and Stony Brook University
Hospital.
We look forward to a new year and the many
challenges ahead.
THE R ADIOLOGY LETTER
The Radiology Letter is published by the Department of
Radiology, School of Medicine, University at Stony Brook,
Stony Brook, New York 11794
(631) 444-2480
Donald P. Harrington, M.D., M.A., F.A.C.R.
Michael J. Cortegiano
Christine R. Hubbard
Jeffrey C. Weinreb, M.D., F.A.C.R., Professor
of Diagnostic Imaging, Director of Medical
Imaging, Chief of Body Imaging and Chief of
Magnetic Resonance Imaging at the Yale
University School of Medicine, New Haven,
Connecticut presented a Grand Rounds on
“MRI and CT of the Cirrhotic Liver” on
Monday, May 7, 2007.
Jeffrey P. Goldman, M.D., Assistant Professor
of Radiology, Mount Sinai Medical Center,
New York, New York presented a Special
Lecture on “What is the Role of MR/CT in
21st Century Cardiac Imaging” on October
19, 2007.
What do penicillin, chemotherapy drugs, X-rays,
antidepressants, the hepatitis B virus, the adult
stem cell, visualization of the coronary arteries,
oncogenes, the Pap smear, and Viagra have in
common? They were each discovered accidentally, found in the search for something else.
In his book, Happy Accidents: Serendipity in
Modern Medical Breakthroughs, published this
year by Arcade Publishers, Morton A. Meyers,
M.D., founding Chairman of the Department of
Radiology and Emeritus Professor of Radiology
and Medicine at Stony Brook’s School of
Medicine, uncovers the surprising role of
chance in medical discovery. He exposes the
factors that stifle innovation and proposes specific steps to foster a more creative, rather than
purely linear, approach to science. Happy accidents take place every day, but it requires intelligence, insight, and creativity to recognize a
“Eureka!” moment when it occurs, and to know
what to do next.
Robert Furchgott, Nobel Laureate in Medicine
affirms: “Meyers reveals science’s deep social!
The pivotal role of serendipity in medical
advances”. James E. Till, Albert Lasker Award
winner for the co-discovery of the adult stem
cell, notes that “Meyers’ book ought to be
Chairman
Administrator
Editor and
Staff Writer
2
SPRING 2007
studied by anyone interested in learning about
how a combination of good luck, astute observations, good judgement, and persistence have
led to important medical discoveries”. The
book has also received stellar reviews. JAMA
hails it as “a great book…with a detailed and
nuanced description of the unexpected ways in
which medical discoveries are actually made…If
we want to take advantage of such unusual
routes to discovery, we must educate physicians
and scientists in new ways, Meyers argues”.
The New England Journal of Medicine concludes: “This very readable and well-researched
book provides much food for thought”. The
Library Journal recommends that the introductory and concluding chapters “should appear in
many syllabi for first-year medical students”.
Photo © Jim Lennon
New Faculty
James Badia, M.D. joined the faculty staff as an
Assistant Professor of Clinical Radiology. Dr. Badia
received his residency in Diagnostic Radiology at
Methodist Hospital in Brooklyn, where he served
as Chief Resident. After years in private practice,
he has returned to academic medicine and comes
to us from Caritas Healthcare, formerly The St.
Vincent’s Catholic Medical Center of Brooklyn and
Queens, where he served as Chairman of
Radiology. His expertise is in new practice/program initiative.
Henry H. Woo, M.D. joined the faculty staff as the
Director of the newly established Cerebrovascular
Center. He is a cerebrovascular and endovascular
neurosurgeon and has an appointment as
Associate Professor of Clinical Radiology in the
Division of Angiography and Interventional
Radiology as well as the Department of
Neurosurgery. Dr. Woo received his medical
degree from the New York University School of
Medicine, and practiced at the Cleveland Clinic Neurological Institute’s
Cerebrovascular Center in Ohio for five years. His professional memberships include the American Association of Neurological Surgeons (AANS),
the American Society of Interventional and Therapeutic Neuroradiology, the
Congress of Neurological Surgeons, the AANS/CNS Section of Cerebrovascular Surgery and the World Federation of Interventional and Therapeutic
Neuroradiology. He has published widely and in journals such as Neurosurgery, Stroke, Journal of Neurosurgery and Critical Care Medicine. Dr.
Woo brings a new area of expertise to Stony Brook for patients requiring
treatment for cerebral aneurysms; endovascular management of acute
stroke; and surgical, endovascular and radiosurgical treatment of cerebral
arteriovenous malformations, spinal arteriovenous malformations and fistulas, and carotid and intracranial atherosclerosis.
Christopher V. Saradoff, M.D. joined the faculty staff
as an Assistant Professor of Clinical Radiology in
the Division of Diagnostic Radiology and Crosssectional Imaging. Dr. Saradoff received his medical degree from the Sackler School of Medicine in
New York, New York/Tel Aviv, Israel. He completed
an Internal Medicine internship at Stony Brook
and a Diagnostic Radiology residency at North
Shore University Hospital in Manhasset, New York,
as well as a fellowship in Cross-sectional Imaging at Yale University Hospital
in New Haven, Connecticut where he remained on staff. Dr. Saradoff has
also worked in the private practice sector. Dr. Saradoff is Board Certified in
Diagnostic Radiology. He is a member of the Long Island Roentgen Ray
Society, American Roentgen Ray Society, American College of Radiology
and the American Medical Association.
Matthew A. Barish, M.D. joined the faculty staff as
an Assistant Professor of Clinical Radiology in the
Division of Cross-sectional Imaging. Dr. Barish
received his medical degree from Boston
University School of Medicine, and completed a
Transitional internship in Medicine at Brockton
Hospital in Massachusetts, and a Radiology residency at Boston Medical Center. Dr. Barish is
Board Certified in Radiology, and his research
focuses on replacing invasive diagnostic techniques with non-invasive
imaging and 3D imaging processing. He is the current Director of the
International Symposia on Virtual Colonoscopy, and serves as the Course
Director for Virtual Colonoscopy at the new ACR Education Center. He is a
member of the New England Roentgen Ray Society, American Roentgen
Ray Society, Radiology Society of North America, American College of
Radiology and the American Medical Association.
Unless indicated, photos © Jeanne Neville, Media Services
New Fellows
New Residents
Jeremy Baum, M.D. is
a Musculoskeletal
fellow. He received
his medical degree
at the University of
Nebraska College of
Medicine in Omaha,
Nebraska and completed his Diagnostic
Radiology Residency Program at the
Michigan State University/Flint Area
Medical Education in Flint, Michigan.
Philip Di
Carlo, M.D.
received his
medical
degree at
SUNY Stony
Brook and
completed a one-year Internal
Medicine internship at SUNY
Stony Brook in Stony Brook,
New York.
Eric
Feldmann,
M.D.
received his
medical
degree at the
Albert
Einstein College of Medicine and
completed a transitional year at
the Sound Shore Medical Center
in Westchester, New York.
Kenny Lien,
M.D.
received his
medical
degree at the
Drexel
University
College of Medicine and completed a transitional year at the
Mercy Catholic Medical Center
Program in Pennsylvania.
Richard Pagliara,
D.O. is an Abdominal Radiology fellow.
He received his
medical degree from
the New York
College of
Osteopathic Medicine and completed
his Diagnostic Radiology Residency
Program at the Hartford Hospital in
Hartford Connecticut.
Folayan
Fatade, M.D.
received his
medical
degree at the
Ohio State
University
and completed a transitional
year at the Mount Carmel Health
System in Columbus, Ohio.
Narmin
Hussain, M.D.
received her
medical
degree at
SUNY
Downstate
Medical Center and completed a
one-year Internal Medicine
internship at Long Island Jewish
Medical Center in New Hyde
Park, New York.
Yasser Mir,
M.D.
received his
medical degree at the
Ross University School of
Medicine and completed a oneyear Internal Medicine internship at SUNY Buffalo, New York.
Photos © Jeanne Neville, Media Services
Photos © Jeanne Neville, Media Services
THE RADIOLOGY LETTER
3
News in the Department
Welcome to our new
Physician Assistant
Michael Kirshbaum, P.A.
who joined the
Angiography and
Interventional
Radiology team.
Michael comes to us
from Neurosurgery.
Elaine S. Gould, M.D. was elected Secretary
of the Long Island Radiological Society
2007-2008 and Treasurer of the Long Island
Radiological Society 2006-2007. Dr. Gould
also presented a seminar lecture (systems
course) on MSK Radiology with pathologic
correlation with Dr. Frederick Miller of
Pathology to the second year medical
school class.
John A. Ferretti, M.D.
has accepted the position of Medical Director
of Clinical Service and
Director of the
Radiology Residency
Program.
Harris L. Cohen, M.D.
has been named one of
New York’s best doctors
in the 7th edition of
Castle Connolly’s
acclaimed guide to the
top medical specialists
in the nation.
William H. Moore, M.D.
has accepted the position of Associate
Director of the
Radiology Residency
Program.
Marlene L. Zawin, M.D.
was named Chief of
Noninvasive Cardiovascular Imaging. Dr.
Zawin has her accreditation in Level III
Coronary CTA.
Robert Matthews, M.D.
has accepted the position of Director of the
Radiology Clerkship
Program.
Steven Perlmutter, M.D.
was named Stony Brook
Radiology’s Medical
Director at Peconic Bay
and elected President of
the Suffolk Academy of
Medicine and PresidentElect of the Suffolk
County Medical Society
for the 2007-2008 year.
Unless indicated photos
© Jeanne Neville, Media Services
Photo © Jim Lennon
Residency and Fellow Graduation Dinner
Graduating Residents Charles Girard, M.D.,
Mohit Naik, M.D., Khaldoon (Kal) Al-Dulaimy,
M.D., and Amit Patel, M.D. (left to right)
The Residency/Fellow Graduation
Dinner was held on June 14, 2007 at
Flowerfield Celebrations in St. James,
New York. The event was sponsored
by Fuji Medical Systems U.S.A. It was
a pleasure to have Maryellen Egan,
Digital Imaging Sales Specialist from
Fuji, join us at this festive occasion. It
was good to see Drs. Harold Atkins,
Kathleen Finzel, Harold Parnes, Leon
Serchuk, William (Bill) Zucconi, and
Maureen Blazowski, Faith Cardone,
and Alice Jimenez.
John Ferretti, M.D. (left) congratulates Neil
Denbow, M.D. in completing a musculoskeletal
Radiology Fellowship.
Congratulations to Khaldoon Al
Dulaimy, M.D., Charles J. Girard II,
M.D., Mohit M. Naik, M.D. and Amit V.
Patel, M.D. in completing their fouryear Radiology Residency Program.
Cliff Bernstein, M.D. (left) completes his one year
training in Breast Imaging, Paul Fisher, Director
of Breast Imaging (right).
4
SPRING 2007
Ann Rose Deshong, M.D. completed
an Abdominal Radiology Fellowship,
Neil Denbow, M.D. a Musculoskeletal
Radiology Fellowship and Cliff
Bernstein, M.D. completed a year of
training as a junior attending.
Dr. Paul Fisher was the
recipient of the “Teacher
of the Year Award” and
Mohit Naik, M.D. the
“Resident Teacher of
the Year Award”.
Dr. Ferretti’s “Unknown
Case Contest” was won
by Mohit Naik, M.D.
who received a textbook
of his choice. Iakovos
(James) Koutras, M.D.
also received the
“Roentgen Resident/
Fellow Research Award”
(RSNA) Research and
Educational Fund) for his
accomplishments in
radiological investigation.
Photo credit for all
©Marylou Stewart,
Media Services
Stony Brook University
Harris L. Cohen, M.D. (right) presents
Iakovos (James) Koutras, M.D. with the
Roentgen Resident/Fellow Research Award.
CT Cardiac Angiography
(continued from cover)
the early atherosclerotic changes, particularly vulnerable plaque. This is
promising for asymptomatic disease detection and in identifying individuals
who will benefit from medical (with lipid-lowering and antihypertensive
agents) and positive lifestyle management. Follow-up examinations may
reveal the efficacy of these interventions in reducing or eliminating plaque
burden, and thereby preventing future, possibly fatal coronary events.
CTA has a role in the evaluation of patients with equivocal nuclear medicine studies secondary to body habitus (energy attenuation) or inability to
adequately exercise during stress testing. It is also valuable for post procedural evaluation, depicting the integrity, position and patency of coronary
arterial stents and bypass grafts.
Non-atherosclerotic cardiac information is provided including: the presence
and locations of coronary arteriovenous fistulae, venous varices, pulmonary
venous anatomy pre-catheter ablation of left atrial arrhythmogenic foci in
patients with refractory arrythmias, the status of the great vessels, intra and
extra cardiac shunts, intracardiac masses, valvulopathies, and pericardial
abnormalities. Additional diagnostic information is available regarding the
included extra-cardiac structures: the lungs, mediastinum, bones and
included portions of the upper abdominal viscera.
The most important indication for coronary CTA, however, is to rule out
coronary artery stenosis. This examination has a reported negative predictive value of approximately 95-100%. This means that if the study does
not reveal coronary artery stenosis, the physician can be very confident
that a person does not have significant coronary artery disease and can
reliably say that the patient needs no further testing. This is particularly
valuable in an Emergency Department setting. Chest pain is one of the
leading reasons for presentation to the emergency room. Approximately
one third of the patients will be diagnosed with acute coronary syndromes.
Many of these patients have equivocal findings, including normal coronary
enzyme levels and nondiagnostic electrocardiograms. The potentially fatal
consequences of inadvertently discharging a patient with acute myocardial
infarction results in unnecessary inpatient hospital admissions in the
United States at an annual cost of more than 6 billion dollars. Early diagnosis and intervention has proven efficacious in limiting the damage of the
acute event and improving morbidity and mortality.
While CTA is a promising noninvasive coronary arterial (and noncoronary
cardiac) diagnostic modality, it must be kept in mind that it is not for
everyone. Time is critical for individuals presenting with threatened
myocardial viability. Patients presenting with a high pretest probability of
unstable coronary disease should still go directly to conventional angiography in cases in which catheter-directed therapeutic intervention is highly
likely or if emergent surgery is anticipated. Additional limitations include
individuals with absolute contraindications for iodinated contrast adminis-
tration, and those with persistent
tachycardia and/or irregular heartbeats which preclude the acquisition
of motion-reduced, diagnostic
images. Like conventional coronary
angiography, iodinated contrast is
required for vascular opacification
and organ enhancement. The currently available contrast agents are all
potentially harmful (nephrotoxic) to
functionally-impaired kidneys and
carry a risk (albeit relatively small) of idiosyncratic reactions. If the examination is deemed necessary in specific cases, accepted premedication
protocols and other appropriate precautions should be followed.
Figure 2 –
Tree view of
entire circulation: stents
present in
right coronary
artery and
posterior
descending
artery
Patients with pacemakers and those with significant coronary arterial calcifications can be scanned and clinically useful information obtained regarding the status of structures beyond their immediate areas.
It must be remembered at all times that CT scanners utilize x-ray energy,
and thus entail radiation exposure. The effective radiation dose associated
with coronary CTA can be relatively high, approximately 15mSv. Dose
reduction is a priority, and multiple strategies are continuing to be developed. Currently, a common strategy is dose modulation, a technique in
which the output of the x-ray tube is 100% during the quiescent phase of
the cardiac cycle and only 20% during systole, the active phase, with a
resultant reduction in radiation dose of 30-50%.
We at Stony Brook are in the process of acquiring the GE Healthcare
upgrade consisting of an axial step-and-shoot image acquisition which
results in an approximately 50% dose reduction. Our comprehensive
Cardiac Imaging and Wellness Program is unique in that it provides on
site, multidisciplinary expertise in both outpatient and inpatient diagnosis,
treatment, and planning. The Coronary CTA Program is under the leadership of Level II and Level III American College of Cardiology Certified readers and teachers - Dr. Smadar Kort, an extensively trained and experienced cardiologist, and Chief of Echocardiography and myself, a specialty
trained diagnostic radiologist and Chief of Computed Tomography. The
combination of these skills provides additional depth and insight into our
studies. In addition, we are fortunate to have on site excellent colleagues,
members of the Department of Cardiology, headed by Dr. David Brown,
the Division of Cardiothoracic Surgery headed by Dr. Todd Rosengart, and
the Department of Diagnostic Radiology under the leadership of Dr.
Donald P. Harrington, available for consultation and to provide comprehensive, state-of-the-art diagnosis, treatment and to expand and promote
Cardiac Wellness.
1. American Heart Association, American Stroke Association. 2002 Heart and stroke statistical update. Dallas, TX: The American Heart Association, 2002.
2. American Heart Association, 2002 Heart and stroke statistical update. Dallas, TX: American Heart Association, 2001.
“Lauterbur’s Legacy:
Looking at Life” Symposium
Paul Lauterbur, Ph.D
A special symposium and banquet was held on September 7, 2007 in celebration of
the life and accomplishments of the late Professor Paul C. Lauterbur, who was awarded
the 2003 Nobel Prize in medicine for his ground breaking research at Stony Brook that
led to magnetic resonance imaging (MRI). The plenary Presidential Lecture entitled
“How One Man Helped to Revolutionize Medicine” was given by Professor Richard Ernst
of the ETH (Swiss Federal Institute of Technology in Zürich). A banquet reception followed
the Symposium.
Richard Ernst, Ph.D.
THE RADIOLOGY LETTER
5
Peconic Bay Medical Center
We are pleased to
announce the radiologists from Stony Brook
University Medical
Center are now also
providing radiological
services at Peconic
Bay Medical Center.
Stony Brook radiologists will have dual
appointments at both
institutions. This operation will expand the
availability of services at Peconic Bay by providing subspecialty consultations and care to the populace, specialists and practitioners on the east end of Suffolk
County. This growing partnership includes the
Emergency Department and surgeons who will be performing cases at Peconic Bay. Emergency Medical
Services (EMS) is also provided jointly by Stony Brook
and Peconic Bay. It is anticipated that the radiology res-
idents from Stony Brook will rotate through Peconic Bay,
expanding their off-site educational experience.
Broadband internet communication has been implemented to allow instant transmission of imaging studies.
Three Stony Brook Radiology attendings, Steven
Perlmutter, M.D., Dr. James Badia, M.D., and Dr. Vanya
Saradoff, M.D. are providing services onsite at Peconic
Bay with the support of other radiologists from Stony
Brook who will be contributing and consulting via
teleradiology. The Stony Brook Interventional team,
under the supervision of John Ferretti, M.D., will also be
available to perform selected procedures at Peconic
Bay. The overall team is under the supervision of
Donald P. Harrington, M.D., Chairman, Department of
Radiology at Stony Brook University Medical Center.
The onsite Medical Director at Peconic Bay is Steven
Perlmutter, M.D. This partnership should enhance
the medical care for residents of the east end and
strengthen both institutions.
Twenty-Eighth Annual Radiology Research Seminar
Publications
Al Dulaimy K, Cohen HL, Vitulli P, Moore WH.
Case 3. Diagnosis: Infarcted leiomyoma
after uterine embolization procedure.
Ultrasound Quarterly 2006;22:106-109.
Bonvento M, Moore WH, Button T, et al. CT
angiography with gadolinium-based contrast
media. Acad Radiol. 2006;8:979-985.
Cohen HL, Al Dulaimy K, Moore WH. Case 4.
Diagnosis: Fibromatosis colli. Ultrasound
Quarterly 2006;22:109-111.
Cohen HL, Al Dulaimy K, Moore WH. 2005
SRU cases of the day-answers. Ultrasound
Quarterly 2006;22:101-111.
Cohen HL. Reply. Intraoperative sonographically guided needle localization of nonpalpable testicular tumors {Letter to the Editor}
AJR 2006;187:124.
Cortegiano, MJ. Tenth Annual Academic
Radiologist Productivity Study Report. The
RBMA Bulletin, March/April 2007.
Espeleta VJ, Moore WH, Kane PB, Baram D.
Eosinophilic pneumonia due to duloxetine.
Chest 2007;131(3):901-903.
Fan Y, Lu H, Hao C and Liang Z. Fast analytical reconstruction with non-uniform
attenuation compensation for dynamic cardiac SPECT imaging. JNM, vol. 47, no.5,
Supplement 1, pp.122.
Fan Y, Lu H, Hao C, and Liang Z. Analytical
reconstruction of 4D dynamic cardiac
SPECT with noise-reduction and non-uniform attenuation compensation. Nuclear
Instruments and Methods in Physics
Research vol. 571, 195-198.
This program is designed to provide a forum for exchange of information and discussion about clinical and basic research in the
area of diagnostic radiology and other imaging modalities. Presentations were made by researchers and clinicians from the
Department of Radiology, Stony Brook School of Medicine and Winthrop University Hospital in Mineola.
Fan Y, Lu H, Hao C, and Liang Z. Fast analytical reconstruction of gated cardiac
SPECT with non-uniform attenuation compensation. International Journal of Image
and Graphics vol. 7, no.1, 87-104.
Yogi Trivedi, M.D.
The Utility of Ventriculoperitoneal Shunt Series in Evaluating Shunt
Abnormality: A Radiological Imaging Perspective
Winthrop University Hospital, Mineola, NY
Hsiao I, Khurd P, Rangarajan A and Gindi G.
An Overview of Fast Convergent OrderedSubsets Reconstruction Methods for
Emission Tomography Based on the
Incremental EM Algorithm. Nuclear Instruments and Methods in Physics Research A,
vol. 569, pp. 429 - 433, Dec. 2006.
Steven Blumer, M.D.
Characterization of Bladder Hernias Identified on CT
Winthrop University Hospital, Mineola, NY
Iakovos Koutras, M.D.
CT Angiography with Gold-Based Nanoparticles Contrast Media
Stony Brook University Hospital and Medical Center, Stony Brook, NY
Ekta Gupta, M.D.
Improved Dynamic Infrared Imaging (DIRI) and Its Potential
Detection of Breast Malignancy
Stony Brook University Hospital and Medical Center, Stony Brook, NY
David Winger, M.D.
Frequency of Pericardial Effusions Detected on CT and Echocardiography in Children With Parapneumonic Effusions of Empyema
Winthrop University Hospital, Mineola, NY
Steven Blumer, M.D.
Non-Enhanced CT for Suspected Renal Colic in Children and
Adolescents: Recent Experience at a Single University Hospital
Winthrop University Hospital, Mineola, NY
Khurd P, Zhou L, Rangarajan A, and Gindi G.
Aperture Optimization in Emission Imaging
Using Optimal LROC Observers. Proc. IEEE
Nuclear Science Symposium and Medical
Imaging Conference, vol M03-6, pp. 1703 1710, Oct 2006.
Adina Sonners, M.D.
Chest X-ray Teaching by Self-study Module in
Pre-Clinical Medical Education
Stony Brook University Hospital and Medical Center, Stony Brook, NY
Vaibhav Mangrulkar, M.D.
Ultrasound Diagnosis of the Cervical Rib
Stony Brook University Hospital and Medical Center, Stony Brook, NY
Kulkarni S, Khurd P, Hsiao I. Zhou L and
Gindi G. A Channelized Hotelling Observer
Study of Lesion Detection in SPECT MAP
Reconstruction Using Anatomical Priors.
Phys. Med. Bio., vol. 52, pp. 3601 - 3617,
May 2007.
Johnson JA, Schweizer S, Lubinsky AR.
A Glass-Ceramic Plate for Mammography.
J. Am. Ceram. Soc. 90, 693-698.
Kravets F, Cohen HL, Sheynkin Y, Sukkarieh
T. Intraoperative sonographically guided
needle localization of nonpalpable testicular
tumors. AJR 2006;186:141-143.
Langer JE, Cohen HL. Case 1. Diagnosis:
Paratesticular adenomatoid tumor.
Ultrasound Quarterly 2006;22:101-104.
Lehovich A, Bruyant P, Gifford H, Gindi G,
Schneider P, Squires S, King M. Human
Observer LROC Study of Lesion Detection in
Ga-67 SPECT Images Reconstructed Using
MAP with Anatomical Priors. Proc. IEEE
Nuclear Science Symposium and Medical
Imaging Conference, vol. M03-05, pp.
2150-2154 Oct. 2006.
From left to right – Harris L. Cohen, M.D., Terry Button, Ph.D., David Keating, M.D., Steven Blumer, M.D., Iakovos Koutras, M.D.,
Ekta Gupta, M.D., Adina Sonners, M.D., Yogi Trivedi, M.D., Douglas Katz, M.D., Donald P. Harrington, M.D.
6
SPRING 2007
Li D, Zhao W. Avalanche Detector with Field
Emitter Readout, Proceedings of the 33rd
Annual Northeast Bioengineering
Conference, pp. 67~68.
and Academic Achievements 2006-2007
Liang Z, Lu H, Metaxas D, Reinhardt J.
Medical imaging informatics – An information
processing from image formation to visualization. Editorial to the special issue of Medical
Image Reconstruction, Processing and
Visualization for the International Journal of
Image and Graphics vol. 7, no.1, 1-15.
Mangrulkar VH, Gould ES, Miller F. Digital papillary adenocarcinoma: A case report. Journal of
Hand Surgery 2006;vol. 1&2:51-53.
Matthews R. Voices from chernobyl: The oral
history of a nuclear disaster. J Nucl Med
2006;47:1389-90.
Matthews R. Classic Feynman: All the adventures of a curious character. J Nucl Med
2006;47:1391-92.
Matthews R, Relan N. Quantitation in biomedical imaging with PET and MRI. J Nucl Med.
2006;47:1728-29.
Matthews R, Relan N. CT teaching manual: A
systemic approach to CT reading. J Nucl Med
2007;48:494.
Matthews R. Contact wounds: A war surgeon’s
education. J Nucl Med 2006;47:2066-67.
Matthews R, Franceschi D, Wenlang X, Cabahug
C, Schuman G, Bernstein R, Peyster R. Parietal
lobe epileptic focus identified on SPECT-MRI
fusion imaging in a case of epilepsia partialis
continua. Clin Nucl Med. 2006;31:826-828.
Meo AM, Denbow N, Gould ES. Multimodality
Imaging of Foreign Bodies in the Hand.
Department of Orthopaedics Annual Research
Journal, Stony Brook University Medical
Center, Department of Orthopaedics, vol. 2,
2006-2007.
Moore WH, Fields J, Mieczkowski B. Multidetector CT pulmonary angiogram in the
assessment of myocardial infarction. J Comput
Assist Tomogr 2006;30:800-803.
Moore WH, Bonvento M, Olivieri-Fitt R. Multidetector CT radiation exposure: a comparison
between 4, 8 and 16 detector CT, (a phantom
study). Am J Roentgenol 2006;187:498-502.
Schweizer S, Lubinsky AR, Johnson JA.
Fluorozirconate-based Glass-Ceramic Storage
Phosphors for Digital Mammography, Proc.
SPIE, 6510-152.
Segui JA, Zhao W. Amorphous selenium flat
panel detectors for digital mammography:
Validation of a NPWE model observer with
CDMAM observer performance experiments.
Med. Phys. 33, 3711-3722.
Segui JA, Zhao W. Development of a TLM to
investigate the effect of a resistive interface in
digital flat panel x-ray detectors. Proceedings of
the 33rd Annual Northeast Bioengineering
Conference, pp. 88-89.
Wang J, Li T, Lu H, Liang Z. Noise reduction for
low-dose single-slice helical CT sinograms.
IEEE Transactions on Nuclear Science vol.53,
no.3, 1230-1237.
Wang J, Li T, Lu H, Liang Z. Penalized weighted least-squares approach to sinogram noise
reduction and image reconstruction for lowdose x-ray computed tomography. IEEE
Transactions on Medical Imaging vol. 25,
no.10, 1272-1283.
Wang Z, Liang Z, Li X, Li L, Li B, Eremina D, Lu
H. An Improved electronic colon cleansing
method for detection of colonic polyps by virtual colonoscopy. IEEE Transactions on Biomedical Engineering vol.53, no.8, 1635-1646.
You J, Li T, Liang Z. A comparison study on
Novikov and Tretiak-Metz Formulae for inversion
of the exponential radon transform. The 53rd
Annual Meeting of the Society of Nuclear Medicine. JNM vol. 47, no.5, Supplement 1, pp.373.
Zhao B, Zhao W. A three-dimensional linear
model for breast tomosynthesis. Proceedings
of the 33rd Annual Northeast Bioengineering
Conference, pp. 163-164.
Zhao B, Zhao W. A three-dimensional linear
model for breast tomosynthesis. Proceedings
of the 33rd Annual Northeast Bioengineering
Conference, pp. 163-164.
Zhao W, Zhao B, Fisher PR, Warmoes P,
Mertelmeier R, Orman J. Optimization of
detector operation and imaging geometry for
breast tomosynthesis. Proc SPIE 6517, 57.
Zhou L, Khurd P and Gindi G. Optimization of
pinhole emission imaging systems for small
animal imaging. Proc 33rd Northeast
Bioengineering Conference, pp. 94 - 95, Stony
Brook NY, March 2007.
Zhou J, Zhao B and Zhao W. A computer simulation platform for the optimization of a breast
tomosynthesis system. Med. Phys. 34, 10981109.
ABSTRACTS AND ORAL PRESENTATIONS
Bevilacqua J, Guevara J, Weiss J, Matthews R,
Relan N, Stanley W, Franceschi D, Cabahug C.
Evaluation of co-registration in molecular imaging: PET-PET fusion. Abstract and
Presentation. Technologist Section, Greater
New York Chapter, Society of Nuclear
Medicine, 36th Annual Meeting, Atlantic City,
March 2007, 2nd Prize Winner.
Cohen HL. Topics in pediatric and adolescent
gynecologic US. Lecture. Society of
Radiologists in Ultrasound. 16th Annual
Meeting. San Francisco, October 2006.
Cohen HL. RSNA Visiting professor experience
in India. Presentation. CIRE Committee,
Radiological Society of North America. 92nd
Scientific Assembly and Annual Meeting.
Chicago, November 2006.
Cohen HL. Scrotal disease. Lecture, part of
case-based review of pediatric radiology:
abdomen and pelvis. RSNA 92nd Scientific
Assembly and Annual Meeting. Chicago,
November 2006.
Cohen HL. Ultrasound in the evaluation of the
pediatric scrotum. Presentation (part of
Pediatric Ultrasound Categorical Course-“Big
problems from small parts”). AIUM Annual
Convention, New York, March 2007. {abstract
in J Ultrasound Med 26:S44, 2007}
Cortegiano MJ. Joint Venture Arrangements
and Entrepreneurial Partnerships, AAARAD
Annual Meeting, Chicago, IL, May 2006.
Cortegiano MJ. Chair/Administrator Teams
Presentation, SCARD Annual Meeting, Stowe,
Vermont, October 2006.
Cortegiano MJ. Radiologist Productivity Update,
AAARAD Spring Meeting, Boston,
Massachusetts, April 2007
Cortegiano MJ. Productivity Issues, American
College of Radiology, Practice Leaders
Meeting, Washington, DC, September 2007
Cortegiano MJ. Productivity Issues, American
College of Radiology, Practice Leaders
Meeting, Santa Monica CA, October 2007
Fan Y, Lu H, Hao C, Liang Z. Fast analytical
reconstruction with non-uniform attenuation
compensation for dynamic cardiac SPECT
imaging. The 53rd Annual Meeting of the
Society of Nuclear Medicine.
Franceschi D, Matthews R, Cabahug C, Relan N.
Incidental foci of colonic FDG uptake in most
cases represent premalignant adenomas. No
2320, 9th Congress of the World Federation of
Nuclear Medicine and Biology. Oct 2006,
Seoul, Korea.
Franceschi D, Relan N, Cabahug C, Matthews R.
Bone marrow FDG uptake in patients with
extensive neoplastic disease at initial presentation. Abstract and Presentation. Euro J Nucl.
Suppl 14, 2006. No. 321. Annual Congress of
the European Association of Nuclear Medicine.
Oct 2006, Athens, Greece.
Harrington DP. Chair/Administrator Teams
Presentation. SCARD Annual Meeting, Stowe,
Vermont, October 2006.
Harrington DP. Imaging Biomarkers: The meeting of images and informatics. The New York
Academy of Sciences Short Course in
Advances in Medical Imaging: Techniques,
applications, and target organs. The Four
Dimensional Future. April 19-20, 2007 in New
York City.
Johnson JA, Schweizer S, Lubinsky AR. A
glass-ceramic plate for mammography. 8th
International Symposium on Crystallization in
Glasses and Liquids, Jackson Hole, Wyo.
Katz DK, Choi A, Perlmutter S. Characterization
of bladder hernias identified on CT. The
American Roentgen Ray Society 107th Annual
Meeting, May 6–11, 2007 in Grande Lakes
Orlando, Florida.
Katz DK, Choi A, Perlmutter S. Characterization
of bladder hernias identified on CT. Abdominal
Radiology Course 2007, April 15 – April 20,
2007 in Bonita Springs, Florida. Society of
Uroradiology and European Society of
Uroradiology.
Mangrulkar V, Cohen HL. Cervical rib: A clinical
mimicker of a neoplastic neck mass in children that can be diagnosed by neck ultrasonography. AIUM Annual Convention, New
York, March 2007. {abstract in J Ultrasound
Med 26:S39, 2007}
Meo AM, Denbow N, Gould ES, Cohen HL, Hurst
LC. Multimodality imaging of foreign bodies in
the hand. The 13th Annual Orthopaedic
Therapeutics. June 21, 2007.
You J, Li T, Liang Z. A comparison study on
Novikov and Tretiak-Metz Formulae for inversion of the exponential radon transform. The
53rd Annual Meeting of the Society of Nuclear
Medicine.
You J, Wang J, Liang Z. Consistency condition
and ML-EM Checkerboard Artifacts. IEEE
Annual Conference on Medical Imaging.
Zawin M, Cohen H. Unusual Cardiovascular CT
Cases: “Thinking Out of the Box”. NASCI 35th
Annual Meeting, Washington, DC.
Zawin M, Cohen H. Unenhanced Images: Their
Importance in Cardiovascular Diagnoses.
NASCI 35th Annual Meeting, Washington, DC.
Wei Z., Andriole KP, Samei E. Digital radiography and fluoroscopy, Chapter 1, in Advances
in Medical Physics, Ed. Wolbarst AB,
Zamenhof RG, Hendee WR. Medical Physics
Publishing, Medison, Wisconsin.
INTERNET ARTICLES
Denbow N, Gould E, Cohen H, Meng H. Foreign
Body on Sonography. 8/27/07 http://caseinpoint.acr.org/edactic/QMachine.ASP?UID=21E
0QVFL
Dougherty D, Mark R, Meng H, Gould E.
Cardiac Angiosarcoma. ACR Case in Point.
http://caseinpoint.acr.org/edactic/QMachine.AS
P?UID=1PV0O8S0 7/6/06
Dougherty D, Mark R, Meng H, Gould E.
Osgood Schlatters disease on MRI. ACR Case
in Point http://caseinpoint.acr.org/edactic/
QMachine.ASP?UID=1PV0N99N 8/10/06
Fields J, Meng H, Gould E. Lipoleimyoma. ACR
Case in Point. http://caseinpoint.acr.org/
index.htm 12/29/06
Franceschi D, Cohen HL. Incidental diagnosis of
primary colon tumor. ACR Case in Point.
http://caseinpoint.acr.org/edactic/QMachine.AS
P?UID=1NT0NKWI 3/21/06
BOOK CHAPTERS AND
PROCEEDING ARTICLES
Li L, Eremina D, Wang S, Wei X, Wang Z, Liang
Z. A new electronic colon cleansing method
for virtual colonoscopy. Proc SPIE Medical
Imaging, vol. 6511, 65112J1-6.
Liang Z, Li L, Eremina D, Lu H. Tissue mixture
characterization in the presence of MRI inhomogeneity by the EM algorithm. Proc IEEE
International Conference on Acoustics, Speech
and Signal Processing, Toulouse, France,
pp.115-118.
Wang J, Lu H, Liang Z. Multiscale penalized
weighted least-squares sinogram restoration for
low-dose x-ray computed tomography. Intl Conf
of IEEE Engineering in Medicine and Biology,
New York, USA, pp.101-104.
Wang S, Li L, Wang Z, Wang J, Liang Z. Gain
by mixture-based image segmentation for virtual colonoscopy with colonic material tagging.
Proc SPIE Medical Imaging vol. 6511,
65110V1-10.
You J, Wang J, Liang Z. Consistency condition
and ML-EM checkerboard artifacts. Conf
Record IEEE NSS-MIC, in CD-ROM.
EXHIBIT
Cohen HL, Naik M, Koutras I. Ultrasound cases
of the day. Scientific Exhibit—92nd Annual
Convention. RSNA. Chicago, 2006. 1.
Submucosal myoma, 2. Testicular microlithiasis and seminoma, 3. Rete testes, 4.
Subclavian steal syndrome and innominate
artery stenosis, 5. Ultrasound of 3 part penile
prosthesis, 6. Angiomyolipoma of kidney.
GUEST LECTURER
Matthews R. PET cardiac imaging - Expanding
the scope of nuclear cardiovascular imaging.
Long Island Society of Nuclear Medicine
Technology (LISNMT), Fall Symposium, The
Dematteis Center, Old Brookville, NY October
21, 2006.
Matthews R. FDG PET-CT: Clinical application
in the oncologic patient. Long Island Society of
Nuclear Medicine Technology (LISNMT), Fall
Symposium, October 21, 2006. The
Dematteis Center, Old Brookville, NY.
MENTORSHIP PROGRAM
Naiem A, Cohen HL, Moore WH.
Adrenal hyperplasia. ACR Case in Point.
http://caseinpoint.acr.org/edactic/QMachine.AS
P?UID=1WP0TJLG 4/4/07
Gould E. Mentor through the American
Medical Women’s Association (AMWA) for
Stony Brook Medical students, 2006-2007.
RSNA INTERNET TEACHING COURSE
Gould E, Meng H, Penna J, Dougherty D. Virtual
MR Arthroscopy of the Shoulder following MR
Arthography. Women in Medicine Research
Day, April 18, 2007. State University of New
York at Stony Brook.
COD78 Ultrasound Cases of the Day 2006
http://www2.rsna.org/Timssnet/products/TNT_p
roducts.cfm?prod=COD78
CME PROGRAMS
Cohen HL. CME video program. Topics in
Emergency Ultrasound. Includes: Ultrasound
in the evaluation of lower abdominal and pelvic
pain in adolescents. AIUM Product #05TE
(Video), #05TECD (CD-Rom), #05TEV (DVD),
2006.
Cohen HL, Naik M, Patel M, Wachsberg R,
Langer JE. Internet CME course. Ultrasound
case of the day 2005 - RSNA COD-64. CME
course in Education Portal (Internet), 2006.
Interact ED-online CME
BOOKS
Castillo M, Smirniotopoulis JG , Cohen HL,
Price D. (eds) Neuroradiology (Third Series)
Test and Syllabus, American College of
Radiology. Virginia 2006.
Liang Z. Guest Editor of International Journal of
Image and Graphics (2006 – present)
GRANT REVIEW
Liang Z. Review research grants for the
National Institute of Health (NIH)
Liang Z. Review research grants for the Hong
Kong government
Liang Z. Review research grants for City
University of New York
POSTER PRESENTATION
Zawin, M, Cohen H. Unenhanced Images:
Their Importance in Cardiovascular Diagnoses.
North American Society for Cardiac Imaging,
October 5-9, 2007. Washington DC.
Zawin, M, Cohen H. Unusual Cardiovascular CT
Cases: “Thinking Out of the Box”. North
American Society for Cardiac Imaging, October
5-9, 2007. Washington DC.
REVIEWER
Harrington DP. Reviewer for Radiographics.
VISITING PROFESSOR
Cohen HL. Sri Ramachandra Medical College
and Research Institute (Chennai, India)
(Radiology 1/06 -Cases in pediatric and fetal
USI).
Cohen HL. Barnard Medical College (Chennai,
India) (Radiology 1/06 - Cases in pediatric and
fetal US II, US in neonatal vomiting analysis).
EDITORIAL SERVICE
Cohen HL. Bangalore Medical College
(Bangalore, India) (Radiology 1/06 - Pediatric
gynecologic US, adolescent gynecologic US).
Cohen HL. Editorial Board: Ultrasound
Quarterly
Cohen HL. SUNY-Downstate CHRP (Ultrasound
3/06 - Perinatal neurosonography).
Cohen HL. Editorial Advisory Board, Journal of
Ultrasound in Medicine
Cohen HL. SUNY-Downstate (Radiology 5/06 Board review and pediatric gynecologic US).
Cohen HL. Editorial Board: Current Medical
Imaging Reviews
Cohen HL. Albany Medical Center (Radiology
5/06 - Board review and pediatric and adolescent Gynecologic US).
Cohen HL. Editorial Board: Journal of Women’s
Imaging
Cohen HL. Editorial Board – DOCS (Digital
Operator Consultant Systems, Inc) Audobon
Biomedical Science and Technology Park of
Columbia University
Cohen HL. Medical Editor, Radiology:
eMedicine
Liang Z. Associate Editor of IEEE Transactions
on Medical Imaging (1999 – present)
Liang Z. Guest Editor of Chinese Journal of
Medical Physics (1999 – present)
Cohen HL. University of Vermont Medical
Center 6/06 - case review, Perinatal GU ultrasound and pediatric and adolescent Gyn ultrasound.
Cohen HL. Bronx Lebanon Medical Center
11/06 - Pediatric and adolescent gynecologic
ultrasound, case review potpourri.
Cohen HL. Maimonides Medical Center 4/07Scrotal ultrasound-case based approach
SUNY-Downstate (Radiology 5/07 - Grand
Rounds) - Controversies in pediatric gynecologic US and ultrasound board review.
THE RADIOLOGY LETTER
7
R ADIOLOGY LETTER
A Radiologist’s Approach to Imaging Vistas
n
Non-Profit
U.S. Postage
PAID
Stony Brook, NY
Permit No. 65
State University of New York at Stony Brook
DEPARTMENT OF RADIOLOGY
Room 120, L4 Health Sciences Center
State University of New York at Stony Brook
Stony Brook, New York 11794–8460
Faculty & Staff
Donald P. Harrington, M.D., M.A., F.A.C.R.
Professor and Chairman
Professor of Biomedical Engineering
Radiologist-in-Chief
Harold L. Atkins, M.D.
Professor Emeritus of Radiology
Terry M. Button, Ph.D.
Matthew A. Barish, M.D.
Erica J. Posniak, M.D.
Associate Professor of Clinical Radiology
Director, Medical Physics Track in Biomedical Engineering
Director, Medical Imaging Technology Program
in School of Health Technology and Management
Assistant Professor of Clinical Radiology
Division of Body MRI
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Cliff S. Bernstein, M.D.
Christopher Saradoff, M.D.
Assistant Professor of Clinical Radiology
Division of Breast Imaging
Assistant Professor of Clinical Radiology
Community Imaging Division
Corazon J. Cabahug, M.D.
G. Lucy van de Vegte, M.D.
Paul R. Fisher, M.D.
Associate Professor of Clinical Radiology and Surgery
Division of Diagnostic Radiology and Breast Imaging
Director, Breast Imaging
Assistant Professor of Clinical Radiology
Director, Division of Nuclear Medicine
Assistant Professor of Clinical Radiology
Division of Cross-sectional Imaging
Associate Professor of Radiology and Electrical Engineering
Bruce M. Chernofsky, D.O.
Paul L. Vitulli, D.O.
Elaine S. Gould, M.D.
Assistant Professor of Clinical Radiology
Division of Neuroradiology
Gene R. Gindi, Ph.D.
Dvorah Balsam, M.D.
Professor of Radiology
Chief, Pediatric Radiology
Nancy E. Budorick, M.D.
Professor of Clinical Radiology
Division of Cross-sectional Imaging
Harris L. Cohen, M.D., F.A.C.R.
Professor of Radiology
Associate Chair for Research Activities
Director of Body Imaging
Chief, Ultrasound
Chief, Pediatric Body Imaging
Associate Professor of Clinical Radiology and Orthopaedics
Director, Core/Orthopaedic Radiology
Administrative Director MR
Medical Director, Imaging Center
Seth O. Mankes, M.D.
Associate Professor of Clinical Radiology
Division of Cross-sectional Imaging
James V. Manzione, M.D., D.M.D.
Associate Professor of Clinical Radiology, Surgery
and Neurological Surgery
Division of Neuroradiology
John A. Ferretti, M.D.
Steven Perlmutter, M.D., F.A.C.R.
Professor of Clinical Radiology and Surgery
Medical Director, Department Clinical Service
Director, Residency Program
Director, Angiography and Interventional Radiology
Associate Chair, Quality Assurance
Associate Professor of Clinical Radiology
Division of Diagnostic Radiology and Cross-sectional Imaging
Medical Director, Peconic Bay
Community Imaging Division
Arie E. Kaufman, Ph.D.
Professor of Radiology and Computer Science
Clemente T. Roque, M.D.
Associate Professor of Clinical Radiology,
Neurosurgery and Neurology
Division of Neuroradiology
Jerome Z. Liang, Ph.D.
Solomon Spector, M.D.
Professor of Radiology and Computer Science
Associate Professor of Clinical Radiology
Division of Diagnostic Radiology
Chief, GI/GU, Emergency
Morton A. Meyers, M.D.
Sheri L. Ford, M.D.
Assistant Professor of Clinical Radiology
Division of Breast Imaging
Assistant Professor of Clinical Radiology
Division of Nuclear Medicine
Margaret Johnstone, M.D.
Assistant Professor of Clinical Radiology
Division of Breast Imaging
Andrei Kranz, M.D.
Assistant Professor of Clinical Radiology
Division of Angiography and Interventional Radiology
Maryanna Mason, M.D.
Assistant Professor of Clinical Radiology
Division of Diagnostic Radiology
Assistant Director, Imaging Center
Assistant Professor of Clinical Radiology
Division of Nuclear Medicine
Director, Clerkship Program
William H. Moore, M.D.
Associate Professor of Research Radiology
Medical Physicist
Robert G. Peyster, M.D.
James D. Badia, M.D.
Professor of Radiology and Neurology
Division of Neuroradiology
Roxanne B. Palermo, M.D.
Assistant Professor of Clinical Radiology
Community Imaging Division
Assistant Professor of Clinical Radiology
Division of Breast Imaging and Cross-sectional Imaging
Wei Zhao, Ph.D.
Assistant Professor of Clinical Radiology
Director of MRI Research
Assistant Professor of Clinical Radiology
Division of Breast Imaging and Cross-sectional Imaging
Henry H. Woo, M.D.
Assistant Professor of Clinical Radiology and Neurosurgery
Division of Angiography and Interventional Radiology
Zengmin Yan, M.D.
Assistant Professor of Clinical Radiology
Division of Neuroradiology and Cross-sectional Imaging
Marlene L. Zawin, M.D.
Assistant Professor of Clinical Radiology and Surgery
Division of Cross-sectional Imaging
Chief, Cardiovascular CT Imaging
Chief, Computed Tomography
Chief, Non-Invasive Cardiovascular Imaging
Robert Matthews, M.D.
Professor Emeritus of Radiology
Zvi H. Oster, M.D.
Mark E. Wagshul, Ph.D.
Barbara Wajsbrot-Kandel, M.D.
Dinko Franceschi, M.D.
Assistant Professor of Clinical Radiology
Division of Diagnostic Radiology
Chief of Thoracic Imaging
Associate Director, Residency Program
Professor Emeritus of Radiology
Assistant Professor of Clinical Radiology
Division of Angiography and Interventional Radiology
ADMINISTRATIVE STAFF
Michael J. Cortegiano
Administrative Officer
Patricia George
Maria Wolfe, R.T.
Medical Practice Plan Administrator
Anthony Indelicato
Associate Hospital Director of Radiology and Cardiology
Hospital Director of Radiology and Cardiology