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Neuroradiology Events

2006

• Neuroradiology continues to have 100% passing rate on CAQ exam

Former Neuroradiology fellows, Drs. Loris Cedeno and Francisco Garcia-Morales have successfully passed the Neuroradiology CAQ exam in November 2006. Our congratulations to both of them.

• Visiting professor publishes paper on parotid abscess and DWI

Diffusion-weighted MR images are useful outside of the brain. An article entitled, "Diffusion-weighted imaging in an abscess in the parotid gland," by Dr. Naoya Kakimoto, et al. was recently published in the European Journal of Radiology Extra 60 (2006) 11-14.

• Dr. Bakos speaks on: "Is there a Strauss in the house?"

A very entertaining evening was held recently with the neurosurgeon Dr. Robert Bakos speaking on the life and history of the series of Strausses in the house.

• UR Study on Vertebroplasty presented at RSNA meeting

Article on vertebroplasty study conducted by Neuroradiology at the University of Rochester appeared in the RSNA Daily Bullletin on Monday, November 27, 2006, page 10A.

• Dr. Numaguchi back in Rochester

Dr. Yuji Numaguchi will be back in Rochester the beginning of December to work in the Neuroradiology section for a week. He will be giving lectures and conferences for the residents and fellows as well as participate in the clinical work.

• Dr. Westesson presents at Neurology Grand Rounds

• Dr. John Deveikis presents Grand Rounds

• New Procedure: Sacroplasty

Neuroradiology now offers a new procedure to help reduce pain for sacral insufficiency fractures called sacroplasty. This is a variant of vertebroplasty where cement is injected into the fractured sacrum.

• U of R had 17 presentations at 2006 ASHNR meeting

The University of Rochester had 17 presentations at the 2006 American Society of Head and Neck Radiology meeting in Phoenix, Arizona held from September 27 - October 1, 2006. A large number of our residents and fellows attended the meeting (see photo above).

• 3 Posters win awards at the 2006 ASHNR meeting.

Three posters from the University of Rochester were awarded prizes at the recent 2006 American Society of Head and Neck Radiology annual meeting. Peter Takeyama received a 2nd place award for his poster "Takeyama PH, Larheim TA, Westesson PL: MRI findings of rheumatoid arthritis in the temporomandibular joint." Brady Huang and Hannah Chang both received 3rd place awards for their posters "Huang B, Larheim TA, Westesson PL: Maxillary sinus pathology of odontogenic origin" and "Chang HC, Malhotra A, Westesson PL: Interventional sialography: Why and how?."

• Department is fully digital.

Our department is fully digital and no films are used in neuroradiology, with the exception of myelogram films going to the OR.

• Neuroradiology has new researcher.

• Cindy Zink praised for excellence in patient care.

	Cindy Zink, Physician Assistant in Neuroradiology, was recently acknowledged for her excellence in patient care in a Vital Signs Update newsletter (see above) .

• Dr. Joel Curé presents Grand Rounds

• Dr. Westesson keynote speaker at Japanese Society for the Temporomandibular Joint

Dr. PL Westesson was keynote speaker at the 1st International and 19th Annual Meeting of the Japanese Society for the Temporomandibular Joint in Nagoya, Japan. Dr. Westesson's lecture was entitled "Current and Future of TMJ imaging".

• Dr. Westesson keynote speaker at American Academy of Craniofacial Pain.

Dr. Westesson gave a keynote lecture entitled "Pathophysiology & Imaging of Internal Derangement" at the 22nd Annual Meeting of the American Academy of Craniofacial Pain in Denver, Colorado in July, 2006. The conference was attended by about 400 clinicians and spanned four days with lectures on the diagnosis and treatment of craniofacial pain.

• Dr. Westesson lectures at St. Luke's International Hospital in Tokyo, Japan

Dr. PL Westesson gave a lecture on "Kyphoplasty and TMJ imaging" at St. Luke's International Hospital in Tokyo, Japan. Dr. Numaguchi introduced the speaker.

• Dr. Toshio Moritani presents Grand Rounds

• Dr. Yuji Numaguchi back at University of Rochester

Dr. Yuji Numaguchi will be back at the University of Rochester for a two week visiting professor sojourn in mid-August. We welcome him back and look forward to his teaching.

• Great Success for the American Society of Head and Neck Radiology

The Department of Imaging Sciences had great success with presentations at the American Society of Head and Neck Radiology. A total of 16 presentations were accepted this year, in addition to one invited presentation.

• Dr. Ziegelitz completes research year

Dr. Doerthe Ziegelitz has finished her one-year as a Visiting Professor in Research. Dr. Ziegelitz has worked intensively and successfully on MR Perfusion. She is now headed back to the University of Göteborg to finish her PhD on the subject.

• Dr. Sidhu completes 1st year of fellowship

Dr. Ravinder Sidhu completes her first year of Neuroradiology fellowship. She will continue with a second year.

• Dr. Kathuria completes fellowship

Dr. Sudhir Kathuria finished his Interventional Neuroradiology fellowship in February and is continuing on in the section.

• Fellow and Researcher Completes Neuroradiology Fellowship

Dr. Akio Hiwatashi has completed his diagnostic and interventional neuroradiology fellowship. Dr. Hiwatashi came to us in 2001 as a researcher and continued on as first a diagnostic and then an interventional neuroradiology fellow. He has now completed his training and will go back to Japan for a short period of time and then is anticipated to return to Rochester. During his stay in Rochester, Dr. Hiwatashi has produced an extraordinary amount of academic work. Plus, he has presented 32 posters, 61 presentations, 18 articles, 5 book chapters, and 1 book. We congratulate Dr. Hiwatashi and wish him best luck for his few months in Japan and look forward to his return.

• Dr. Carsten Wikkelsø Visiting Professor

• Visiting Professor from the Karolinska Institute gives Grand Rounds

Dr. Claes Kilander from the Karolinska Institute in Stockholm, Sweden visited the Division of Diagnostic and Interventional Neuroradiology and gave a lecture on diagnostic imaging of low back pain. Dr. Kilander is collecting large research material on the validity of imaging and its relationship to positive outcome from surgery. Dr. Kilander presented his approach to spine diagnosis and entertained lots of challenging questions. He is pictured above with Cindy Zink, our physician assistant.

• New Multipurpose Room Produces Exquisite Myelographic Quality

The new multipurpose flat-paneled detector room (seen above) has proven to provide exquisite details of myelographic images. This patient had clear symptoms of a left C-6 radiculopathy and the cervical myelography performed with cervical puncture clearly demonstrates the abnormality. The quality is superior to what we have seen in the past and the radiation doses are much lower.

• Neuroradiology Fellow Pays Return Visit

Dr. Jeevak Almast (pictured above with Dr. Westesson), who was our Neuroradiology Fellow from 2003-2005, returned to give lectures and board reviews to our radiology residents and to take the USMLE exams.

• Dr. Claes Kilander Visiting Professor

• New Flat Panel Multipurpose Radiographic Room

A new flat panel multi purpose radiology room is being installed for our myelography service. The room will be operational in the beginning of May and will accommodate our growing myelography and spine service. This room will easily allow us to obtain high quality images in all patient position using total digital technique.

• Japanese Cherry Blossoms in Bloom

photos by Mr. Takayuki Nohara, senior technologist at St Luke's International Hospital, Tokyo, Japan

Former Chief of Neuroradiology, Dr. Yuji Numaguchi, sends greetings from Japan with photographs of a very beautiful spring with cherry blossoms in bloom. Here in Rochester we are slowly waiting for spring after a very mild winter.

• "Pediatric Brain and Spine: An Atlas of MRI and Spectroscopy" receives rave review

The March 2006 issue of AJNR gives a wonderful review of Dr. Ketonen's book "Pediatric Brain and Spine: An Atlas of MRI and Spectroscopy". [see AJNR Am J Neuroradio 27:723-24, Mar 2006.]    "Overall, this is an excellent pediatric neuroimaging atlas, covering almost all pediatric central nervous system disorders and many other rare conditions with high-resolution images with the most current and relevant references. This atlas can serve as an excellent book for not only radiologists, but also pediatricians, neurologists, neurosurgeons, and pediatric neurologists."

• Teleradiology changes the practice and economics of radiology

A recent NEJM article discusses the practice of teleradiology and its impact on how radiology is traditionally practiced.

• Pudendal Neuralgia Brochure Updated

The patient brochure on Pudendal Neuralgia and Pudendal Nerve Block has been updated. This patient brochure describes the signs and symptoms of Pudendal Neuralgia, the treatment for Pudendal Neuralgia with Pudendal Nerve Blocks, and other methods. Also see Procedures:Interventional, Pudendal Nerve Blocks.

• Neuroimaging Clinics of North America add to Neuroradiology Library

The Neuroradiology Division has made an addition to its library. Starting January 1, 2006 we are now subscribing to the Neuroimaging Clinics of North America, which is a quarterly 200-page book. The current issue entitled "Stroke II: Imaging techniques and future directions" is interesting and very pertinent to what we do. Neuroimaging Clinics will be listed under a separate book list and will be available to the faculty and fellows from our library.

• Major Review Article on Aneurysmal Subarachnoid Hemorrhage Published

A major review article on the diagnosis and treatment of subarachnoid hemorrhage was published in the New England Journal of Medicine on January 26, 2006 [N Engl J Med 2006;354:387-96]. From an imaging point of view it is interesting to see how CT angiography is gaining acceptance and has almost replaced regular angiography.

• Dr. Kakimoto leaves for Denmark

Dr. Naoya Kakimoto recently finished his term as a visiting professor in the Division of Diagnostic & Interventional Neuroradiology. During his stay Dr. Kakimoto wrote three papers on maxillofacial imaging, two are in rendition and one was submitted to a prestigious journal. He also made a major contribution to the Larheim and Westesson “Maxillofacial Imaging” book which was released at the 2005 RSNA.       Dr. Kakimoto will continue his sabbatical stay by going to the University of Copenhagen in Denmark. He will study 3-dimensional imaging of the maxillofacial area before he returns to his home university in Osaka, Japan. It was a great pleasure to have Dr. Kakimoto with us for this one year.

• Neuroradiology Library Expanding

Our Neuroradiology Library which was started in 2001 has continued to grow. We now have 167 books in the Fellows Study and Research Room. The most recent addition to the Neuroradiology Library is a book dedicated to the imaging of stroke. This group from Europe has a long and deep experience of MR imaging in ischemic stroke and had presented this combined experience in a 300-page volume with clinical imaging and quality of studies of ischemic stroke. The book is well-written and provides information about imaging, clinic, and the correlation between the two and is up-to-date on this hot topic.

• Fifth Chapter of Neuroimaging Anatomy now online

• Nonsynostotic Occipital Plagiocephaly

Dr. Joseph E. Losee, Chief of Pediatric Plastic Surgery at the Children's Hospital of Pittsburgh, recently published a landmark article entitled: "Nonsynostotic Occipital Plagiocephaly: Radiographic Diagnosis of the 'Sticky Suture'," Plast Reconstr Surg. 2005 Dec;116(7):1860-9, with co-authors from the Division of Diagnostic and Interventional Neuroradiology at the University of Rochester (Manoj Ketkar, P-L Westesson). The conclusion of this article is in contradiction to previous reports - lambdoid craniosynostosis is not radiographically unique among suture fusions. This work establishes the radiographic diagnosis of nonsynostotic occipital plagiocephaly.
FIG.3. Computed-tomography scan of a right-sided non-synostotic occipital plagiocephaly demonstrating focal fusion of lambdoid suture.	FIG.4. Computed-tomography scan of a right-sided non-synostotic occipital plagiocephaly demonstrating lambdoid suture endocranial ridging.
	FIG.9. Computed-tomography scan of a left-sided lambdoid craniosynostosis demonstrating ectocranial ridging.