Body Imaging Fellowship



We are now accepting applications for our 2021-2022 fellowship. All fellowship positions for 2019-2020 and 2020-2021 have been filled.

For all Canadian, military, Stanford affiliated applicants, and spouses: interviews and offers will be given on a rolling basis after receipt of a completed application.

For all United States radiology residents: interviews on-campus will be held between December 6, 2019-March 31, 2020.  Applications are now being accepted.  
 


Overview

The Stanford Body Imaging Fellowship is a one-year clinical fellowship that will provide structured training and broad exposure to abdominal/body imaging. Stanford Hospital is a tertiary care Magnet Hospital with an excellent breadth of pathology drawing from a comprehensive cancer center, high volume transplantation center, a Trauma I emergency department, as well as community physicians. State of the art equipment include high field strength MR scanners (3T and 1.5 T), latest CT technology including ASIR, MBIR, dual energy, CT colonography, and perfusion CT technologies, and the latest US technologies including contrast-enhanced US and elastography. Fellows fully participate in all aspects of clinical services, with frequent contact with our referring physicians. Teaching duties of the fellows include weekly case conferences, interdisciplinary tumor boards, and interdisciplinary GI conferences. A separate didactic lecture series is provided for body fellows at the beginning of the year.

Rotations include inpatient CT (2 blocks), inpatient ultrasound (1 block), outpatient CT (3 blocks), outpatient ultrasound (1 block), body MRI (2 blocks), and elective (up to 3 blocks).  During the elective blocks, fellows can choose 3 different rotations or may choose to concentrate in a specific field such as cardiovascular imaging, chest imaging, mammography/women’s imaging, informatics, musculoskeletal imaging, image guided biopsy, or PET-CT to name a few.

Currently we accept eleven body imaging fellows per year for the one-year fellowship.  The body imaging fellowship is a non-accredited program.  To be eligible for this fellowship, applicants must succesfully complete an ACGME radiology residency in a US or Canadian program.  A California Medical License is required prior to start of fellowship.

Through the Stanford Cancer Imaging Training (SCIT) program, we are able to accept up to two fellows for a two-year training program.   The mission of SCIT is to train the next generation of researchers in the development and clinical translation of advanced techniques for cancer imaging and its applications.  Learn more about SCIT at http://med.stanford.edu/scitpgrogram.html


Application

To apply for the Body Imaging Fellowship, please complete application here and include the following required materials:

  • Curriculum Vitae
  • Personal Statement
  • USMLE (or equivalent) scores
  • Digital headshot
     

Additionally, 3 letters of recommendation (dated, signed, and on official institutional letterhead) are required.  One letter must be from your program director and two from additional faculty members in your department.  

Applications must be submitted using the online system.  Applications will not be considered complete until all materials and letters are received.


Facilities

Stanford University Medical Center is unique as a university hospital. It is not only a tertiary referral center for advanced subspecialty care, but is also a Level-1 trauma center and a community hospital serving the Peninsula and surrounding Bay Area region. Thus, fellows are exposed to a broad range of specialty and community pathology.

The fellowship includes state-of-the-art equipment in CT, ultrasound and MRI, including advanced 3-D imaging and imaging reconstruction, dual-energy CT, low-dose CT techniques, and the latest MR sequences. In addition, we utilize the latest ultrasound technologies such as elastography and ultrasound contrast.

Our radiologists closely collaborate with basic scientists and physicists within the Department of Radiology to enhance and develop new MR sequences and CT technology. Many of our radiologists have their own laboratories in which they perform basic imaging research.


Rotations

Inpatient CT: Complex inpatient postoperative, post-transplant, and oncology cases, as well as emergency department cases are read on this rotation. Our clinicians routinely visit the body fellows in our inpatient reading room for opinions, which results in a rich understanding of the patient behind the scan. 

Inpatient US: You will see a wide variety of complex inpatient, transplant, oncology, and emergency department cases, including gynecology and first-trimester studies, on this rotation. In addition, ultrasound-guided renal biopsies, thyroid and lymph-node biopsies are performed. Intraoperative ultrasound guidance for surgical procedures is provided on this rotation as well.

Body MR: The body MR service sees a wide variety of pathology with a relatively high volume of body MR cases, including cirrhotic and HCC liver studies, pre- and post-transplant liver and kidney patients, MRCP, hepatobiliary pathology, gynecologic imaging, urologic imaging (including prostate MRI, PIRADS), and rectal MR. 

Imaging-guided Biopsies: Image-guided biopsies and drainages are performed with the interventional radiology division. You will round on patients with the IR service as a key and integral part of their team. (This is an elective rotation that is highly recommended.)

Cardiovascular Imaging: The cardiovascular service images all cardiac MR, cardiac CT, pulmonary CT (PE CT), and peripheral vascular CT and MR. Three-dimensional imaging with the latest volume-rendering software is a fundamental part of the rotation, and you will become adept at using a wide variety of 3D software to help you in your diagnostic acumen by the end of your rotation. (This is an elective rotation that is highly recommended.)

Elective: Many fellows choose to do their elective months in mammography, neuroradiology, musculoskeletal radiology, cardiovascular imaging, image guided biopsies, PET-CT. Others who are interested in academics may choose to concentrate on research projects or do additional months of MR or ultrasound. 

Outpatient CT/US: Our outpatient imaging centers provide a patient-centric radiology experience at several locations close to campus. State-of-the-art CT, US, and MR scanners are located at each imaging center. 


Faculty

Our world-renowned abdominal imaging faculty are acknowledged experts in the field, and are heavily involved in medical education at the administrative level as well as at the viewbox. Fellows interested in research or teaching opportunities during their training year will find a wealth of options amongst our faculty.

Kristen Bird, M.D.
Clinical Instructor

Lawrence Chow, M.D.
Clinical Associate Professor

Bruce Daniel, M.D.
Professor of Radiology

Terry Desser, M.D.
Professor of Radiology

Michael Federle, M.D.
Professor of Radiology, Emeritus

Marta Flory, M.D.
Clinical Instructor

R. Brooke Jeffrey, M.D.
Professor of Radiology
Acting Division Chief of Body Imaging

Aya Kamaya, M.D.
Associate Professor of Radiology
Program Director, Body Imaging Fellowship

Edward Lo, M.D.
Clinical Assistant Professor

A.J. Mariano, M.D.
Clinical Assistant Professor

Nayeli Morimoto, M.D.
Clinical Assistant Professor

Bhavik Patel, M.D.
Assistant Professor of Radiology

Peter Poullos, M.D.
Clinical Associate Professor 

Luyao Shen, M.D.
Clinical Assistant Professor

Andrew Shon, M.D.
Clinical Assistant Professor 

Volney Van Dalsem, M.D.
Clinical Professor

Luke Yoon, M.D.
Clinical Associate Professor 


Conferences & Teaching

  1. Body Rounds: This weekly CME-accredited conference is attended by all Body Imaging Fellows, residents, and body imaging faculty. Interesting cases from the week are presented and discussed. Journal Club is held monthly, with in-depth discussion of the selected journal club article, followed by presentation of clinical cases pertaining to the article. 
  2. Ultrasound Conference: At this monthly meeting attended by Body Imaging Fellows, residents, body imaging faculty and ultrasound technologists, Dr. Jeffrey highlights interesting cases, specific topics, or teaching points in ultrasound. 
  3. Digestive Disease Conference: At this weekly conference, a gastroenterology resident/fellow and surgery resident/fellow each present a case, usually as an unknown, and the Body Imaging Fellow presents the imaging findings. Cases presented are typically of a quality and interest level that they are often written up and published in Seminars in Digestive Disease and Sciences Journal.
  4. Tumor Boards:Body Imaging Fellows routinely present cases at interdisciplinary tumor boards such as Lymphoma Conference and OB/GYN conference, which provides a rich environment of teaching and exposure to interesting pathology.
  5. Grand Rounds: Twice a month at this CME-accredited conference, invited guests from around the world, as well as Stanford faculty, present lectures on various topics.
  6. Ultrasound Scanning Club: Once a week, Body Fellows focus on hands-on scanning of a specific anatomic structure with dedicated instruction on proper scanning technique, image optimization, and tips and trick in image acquisition.
  7. Didactic Fellow Lectures: This lecture series runs during July through September and is specifically designed for the Body Imaging Fellows, with presentations by the body imaging, cardiovascular, and MRI faculty. Topics covered include:
 
  • Protocoling tips & tricks (Mariano)
  • 1st trimester bleeding & ectopic pregnancy (Kamaya)
  • Post partum complications (Kamaya)
  • Right upper quadrant pain (Kamaya)
  • Liver transplant evaluation (Kamaya)
  • Chest trauma & X-ray of foreign bodies (Leung)
  • IV and oral contrast, contrast reactions, and indications (Morimoto)
  • Acute aorta I (Fleischmann)
  • Acute aorta II (Fleischmann)
  • Acute Pulmonary Embolism (Becker)
  • Emergency Body MR - protocols and interpretation (Vasanawala)
  • Acute bowel pathologies (Federle)
  • Acute abdominal vascular disorders (Fleischmann)
  • Appendicities & complicated cholecystitis (Jeffrey)
  • Quantitative cancer imaging & RECIST (Becker)
  • Intra-renal arterial doppler indices: What are they good for? (Desser)
  • BMT Complications (Desser)
  • Doppler evaluation of the liver, non-transplant (Kamaya)
  • Internal hernias (Chow)
  • Plumbing 101: post surgical anatomy and complications (Poullos)
  • Liver THIDS & THADS (Desser)
  • ER Body Imaging Pitfalls (Hsu)
  • Screening & diagnosis of HCC (Kamaya)
  • Thyroid imaging and TI-RADS (Kamaya)
  • Contrast enhanced US and Elastography (Kamaya)
  • Neuroendocrine & GIST tumors (Federle)
  • Dual energy CT (Patel)
  • CT colonography (Poullos)
  • Prostate MRI (Loening)
  • Nephrostomy, nephrectomy, and more: post-up upper GU tract (Shen)
  • Adbominal Spaces (Lo)
  • MR Artifacts (Vasanawala)
  • MR of diffuse liver disease (Brunsing)
  • Pelvic floor MRI (Sheth)
  • Endometriosis and uterus (Ghanouni)
  • MR Enterography (Daniel)
 

Books by Stanford Body Imaging Faculty

Aya Kamaya, MD


R. Brooke Jeffrey, MD


Michael P. Federle, MD


Terry S. Desser, MD


Peter Poullos, MD