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The Neuroradiology Fellowship provides training in the performance and interpretation of all aspects of neuroradiology, including magnetic resonance imaging, computed tomography, myelography and head and neck radiology. The fellowship also provides training in advanced CNS imaging, including MR spectroscopy, perfusion MRI, diffusion tensor MRI and CT perfusion and angiography.
As part of Penn State Spine Center, the fellowship offers extensive hands-on training in spine procedures such as vertebral augmentation, radiofrequency ablation, sacroplasty, epidural and facet injections, disc-related procedures and biopsies.
The fellowship is centered at Penn State Health Milton S. Hershey Medical Center and Penn State Children’s Hospital, which is adjacent to the medical center. This is the tertiary-care center for the central Pennsylvania area.
There are seven full-time ABR- and CAQ-certified neuroradiologists on staff. Fellows are supervised by staff neuroradiologists and are responsible for the performance and interpretation of all examinations under the supervision of staff neuroradiologists.
A multidisciplinary approach to neuroradiology training is emphasized. There is a close relationship of the clinical and academic activities of the Division of Neuroradiology with the Department of Neurology, Department of Otolaryngology – Head and Neck Surgery, Department of Neurosurgery, Division of Neuropathology, Department of Orthopaedics, Division of Pain Management and Department of Physical Medicine and Rehabilitation.
The department is entirely electronic with an excellent picture archiving and communication system as well as speech-recognition software.
Annually, the Division of Neuroradiology performs about 26,000 neuro CTs, 24,000 neuro MRIs and 1,400 neurovascular procedures.
Learn More about the Fellowship
All applications must be submitted through ERAS, and the program participates in the National Residency Matching Program. Applications will not be received outside of ERAS, and positions will not be filled outside the match.
The program will start reviewing applications in ERAS Dec. 1.
Department of Radiology
Penn State Health Milton S. Hershey Medical Center
500 University Dr.
Hershey, PA 17033
General Contact Information
The Neuroradiology Fellowship includes four core rotations, week-long on-call shifts, conferences and academic and research activities.
The Diagnostic Neuroradiology rotation (approximately six months) encompasses general neuroradiology and head and neck imaging. This rotation provides exposure to the full gamut of neuroradiology studies, including CT, MRI, non-invasive CT and MR angiography, CT and MR perfusion studies, MR spectroscopy and myelography.
The Interventional Spine rotation (approximately two months) provides hands-on experience with both diagnostic and therapeutic spine procedures such as discograms, cervical and lumbar nerve root blocks, epidural steroid injections, facet blocks, lumbar drainage catheter placements, drainages and vertebral augmentations. Extensive experience in a wide range of CT-guided biopsies of the spine, intervertebral discs and paraspinal structures are also provided.
Neuroradiology fellows spend six weeks on the Neuroangiography service and take part in diagnostic cerebral angiography, acute stroke care, carotid stenting, aneurysm coiling, vascular malformation treatment and tumor embolization procedures. Fellows also participate in the structured vascular and neuroangiography online curriculum sponsored by the ASNR.
Fellows will spend one day per week (total of approximately six weeks) doing dedicated Pediatric Neuroradiology and are exposed to a variety of pediatric pathologies.
Neuroradiology fellows take week-long call on average one out of every four weeks during the year, consisting of in-house duty from 5 to 10 p.m. Mondays through Fridays and either in-house or at-home duty on Saturdays and Sundays. After-hours call for emergent procedures is covered by pager from home.
Potential responsibilities on pager call include emergent lumbar punctures, myelograms and triage/performance of spinal interventional procedures. Fellows are provided with workstation at home and VPN access to enable workflow from home similar to that in-house.
Fellows are encouraged to present at neuroradiology societal meetings such as the ASNR annual meeting, ASHNR, ASSR or ASFNR. Past fellows have also presented work at RSNA and ARRS. Fellows are given approximately one-half an academic day per week to pursue scholarly activities.
In addition to the benefits provided to all Penn State Health Milton S. Hershey Medical Center employees, fellows are provided an educational funding allotment during the 12-month fellowship for expenses such as meeting attendance, travel expenses, electronic education materials and e-readers, etc. Read more about fellow benefits here.
- 8 a.m.: Interesting case conference
- 7:30 a.m.: Dedicated fellow didactic conference
- 8 a.m.: Rotates between multidisciplinary pediatric neuro conference, journal club, head and neck case conference, and pediatric interesting case conference
- 4 p.m.: Head and neck tumor board
- 7 a.m.: Alternates between CNS tumor board and multidisciplinary spine conference
- 8 a.m.: Multidisciplinary neurosciences conference
- Six clinical MRIs (two 1.5T Siemens and four 3T Siemens)
- One research MRI (3T Siemens)
- Five MDCTs
- Dedicated CT scanner in emergency department (Siemens 256 detector dual energy)
- CT fluoroscopy suite
- Flat panel biplane Siemens Artis Angiogram equipment with DynaCT and rotational DSA capabilities
- PET/CT scanner (Phillips Gemini 16 slice)
- GE Centricity PACS (transitioning to Phillips PACS) with Powerscribe 360 Speech Recognition system
- Siemens and TeraRecon 3D reconstruction software with dedicated 3D lab with 3D printing capability
Cases seen in the program have included:
- Gadolinium-induced encephalopathy
- Balos concentric sclerosis
- Spinal cord sarcoidosis
- Abducens schwannoma
- Spinal cord hemangioendothelioma
- Variant CJD
- Amyotrophic lateral sclerosis
- Superior semicircular canal dehiscence
- Intergluteal dorsal dermal sinus
- Phalen McDermid syndrome
- Arboviral encephalitis
- S-adenosyltransferase deficiency