Cardiothoracic Imaging Fellowship

chest corProgram Information

Program Director: Jannette Collins, MD, MEd, FCCP
Division Chief: Donald R. Yandow II, MD
Program Coordinator: Judy Imhoff

The Cardiothoracic Imaging Division offers a 12-month fellowship providing training and experience in the comprehensive diagnostic imaging of the chest, using radiography, computed tomography (CT), and magnetic resonance (MR) imaging.  State-of-the-art imaging techniques, new research development, and their clinical application include CT angiography, virtual bronchoscopy, 2D- and 3D-CT imaging, CT and radiographic CAD software, volumetric analysis of lung nodules, cardiac CT, a dedicated cardiac MR scanner, digital radiography with dual energy subtraction capability, and computed radiography.  Interventional procedures, including lung biopsy, chest tube placement, and tumor ablation are also performed by the Division.  The goal of the fellowship is to provide complete training in all aspects of cardiothoracic imaging.  Cardiothoracic Radiology faculty include members with national and international recognition.

The cardiothoracic fellowship is supported by the University of Wisconsin School of Medicine and Public Health, the Department of Radiology, and UW Hospital and Clinics.  Fellows must be graduates of an ACGME or Royal College of Physicians and Surgeons of Canada accredited program in diagnostic radiology, and must have a Wisconsin medical license.  Fellows are appointed to the faculty as clinical instructors.  They receive faculty benefits including paid vacation, a book fund, and travel reimbursement.  Academic time is given to support research and other academic activities.

Program Highlights

  • The fellowship is structured to allow the fellow to participate in upper level procedures such as cardiac MR, cardiac CTA, and interventional lung procedures such as CT-guided lung biopsy, chest tube placement, and tumor ablation.  A dedicated nurse coordinator is available for all interventional procedures.  Fellows also spend time reading chest radiographs and CT. 
  • Fellows have the opportunity to train with highly qualified Division members who collectively hold a variety of teaching awards.
  • The practice encompasses the full scope of cardiothoracic imaging.
  • Fellows actively participate in departmental and interdepartmental teaching conferences.
  • Fellows are scheduled for academic time and are expected to work with faculty on at least one academic project during their fellowship.  Participation in national and international meetings is encouraged.
  • Training is provided on state-of-the-art equipment staffed with trained personnel.  The UW Department of Radiology has strategic alliances with equipment manufacturers for early testing of pre-release imaging equipment.  Software is continually upgraded to remain current.

Facilities

chest mrThe UW Hospital and Clinics has been consistently named one of America's top hospitals by U.S. News & World Report magazine.  Services at UW Hospital and Clinics are comprehensive and wide-ranging.  The 478-bed hospital has more than 900 active medical staff who annually care for more than 20,000 inpatients from throughout Wisconsin and around the world.  More than 100 primary care and specialty clinics handle more than 400,000 outpatient visits yearly.

Computed Tomography

  • 2 GE VCT 64-slice scanners
  • GE Lightspeed 16-slice scanner with cardiac gating capability
  • GE Lightspeed Pro 16-slice scanner
  • 2 GE Ultra 8-slice scanners
  • GE Lightspeed Plus 4-slice scanner with fluoro capability
  • GE Discovery 4-slice PET-CT

All CT scans are read on state-of-the-art color ALI PACS workstations, and advanced post-processing performed on a Vital Images workstation or one of several GE Advantage Windows workstations.  Post-processing software includes 2D and 3D reformatting capability, volumetric analysis of lung nodules, CAD, virtual bronchoscopy, and cardiovascular software for CTA.  A full-time 3D CT technologist and 3D lab provide support and training for advanced workstation applications.  In-house technologists staff the CT scanners 24/7.

Magnetic Resonance Imaging

  • 5 GE 1.5T EXCITE™ HDX scanners
  • 3 GE 3.0T EXCITE™ HDX scanners
  • 1 GE 0.7T Open Speed scanner

Software is continually upgraded to remain state-of-the-art.  MR scans are read on a state-of-the-art color ALI PCS, and advanced post-processing is performed on one of several GE Advantage Windows workstations.  A full-time 3D technologist and 3D lab provide support and training for advanced workstation applications.  In-house technologists staff the MRI Section from 6:30 AM – 11:45 PM, with on-call services from 11:45 PM – 6:30 AM.  The Section also has dedicated nursing personnel to assist with patient screening, injections, and conscious sedation.  Research personnel are available to assist with patient recruitment, human subject compliance, data reconstruction, and statistical analysis.

Chest Radiography

  • 2 GE Digital XRD Radiography units, both with dual energy subtraction capability
  • Multiple Fuji 5000 CR units for portable inpatient imaging and 3 off-site outpatient clinics
  • Film-screen images from outreach clinics (limited number of daytime exams)
  • Riverain Chest CAD

All DR and CR images are read on state-of-the-art high-resolution ALI PACS 4-monitor workstations.  In-house technologists are available 24/7.  Outpatient technologists are available from 8 AM – 5 PM. 

The newly remodeled Cardiothoracic reading room features ergonomically designed workstations.  Exam reports are dictated using state-of-the-art voice-activated dictation equipment with electronic signature.

Formal teaching includes daily departmental conferences with the Total Life Care (TLC) intensive care unit, weekly Pulmonary and Thoracic Surgery multidisciplinary conferences, and weekly Radiology Grand Rounds, as well as dedicated weekly Cardiothoracic Division journal review/interesting case sessions.  In addition, an outstanding MRI physics didactic teaching program is provided during the fellowship.

chest sagResearch and Advanced Applications

The world-renowned on-site MR Lab Research Group, headed by Frank Korosec, PhD, consists of medical physicists, biomedical engineers, electrical engineers, and undergraduate and graduate students in these disciplines.  The group collaborates closely with the Cardiothoracic Division in cutting edge MR and CT advances.  A strategic partnership with GE Medical Systems helps bring the latest advanced software and hardware packages to our site ahead of most facilities.  A state-of-the-art animal lab and full-time research technologists support a large number of basic and industrial research studies.  Research interests among the faculty include cardiovascular MR imaging, cardiac imaging, imaging of the tracheobronchial tree, multidetector CT imaging and CT angiography, high-resolution CT, lung tumor ablation, 3He MR imaging in emphysema.  Faculty have been awarded $5.6 million in NIH grants during the most recent funding cycle.

Division Faculty

Jannette Collins, MD, MEd, FCCP
Professor of Radiology and Medicine
 
Thomas Grist, MD
John Juhl Professor
Chair, Department of Radiology
 
Christopher Francois, MD
Assistant Professor of Radiology
 
Janet E. Kuhlman, MD, MS
Professor of Radiology
 
Scott Reeder, MD
Associate Chief, MRI
Assistant Professor of Radiology
 
Frank Thornton, MD
Assistant Professor of Radiology
 
Donald R. Yandow, MD
Professor of Radiology
Director, Medical Student Radiology Course
 

Application Procedure

To apply, please submit:

  • A completed application: download PDF PDF file
  • A current curriculum vitae
  • A personal statement including career goals and professional plans
  • Three letters of recommendation requested by you from current and former professors

The above documents are required prior to issuing invitations for an interview.  Please e-mail, fax, or mail the application materials to:

Judy Imhoff
Cardiothoracic Imaging Fellowship Coordinator
University of Wisconsin
600 Highland Avenue
Madison, WI  53792-3252
ph: 608-263-8821
fax: 608-263-0876
jimhoff@uwhealth.org

Contact Information

For additional information on the Cardiothoracic Radiology Training Program, please contact:

Jannette Collins, MD, MEd, FCCP
UW Department of Radiology - E3/311 CSC
600 Highland Avenue
Madison, WI 53792-3252
ph: (608) 263-0599
fax: (608) 263-0876

If you wish to speak with a past fellow, contact Judy Imhoff (608-263-8821, jimhoff@uwhealth.org ) who can connect you with someone who has completed the fellowship. 

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