Neuroradiology Fellow Lectures
Dedicated lectures are provided specifically to the neuroradiology fellows by the neuroradiology faculty as well as guest speakers, including neuroradiology experts from other institutions, clinical neurology and neurosurgical faculty, as well as leading neuroradiology imaging researchers.
Every Wednesday at noon, a didactic lecture specifically aimed at neuroradiology fellows is given on a variety of neuroradiology topics. On Thursday at noon, an Interesting Case Conference is held to review interesting cases encountered in the preceding week, moderated by the neuroradiology faculty. In addition to the weekly Wednesday fellow lectures and Interesting Case Conference, there are dedicated fellow lecture series presented over the noon hour on specific subjects of importance to fellows:
Stroke Clinical Case Conference
Occurring every Monday, this conference focuses on interesting vascular cases of the preceding week. This is a case-based learning for opportunity for fellows to not only see unique and complex cases, but to understand how imaging guides decision making in vascular patients. Each case is examined for the likely mechanism (where, what and why) and is used as a springboard to discuss one or several cerebrovascular topics.
CSF Leak Case Conference
Barrow has become a leading referral center for CSF leaks and is an official referral center for the CSF Leak Foundation. Occurring every other Monday, this conference reviews patients treated for CSF leaks from the previous week and uses a multidisciplinary approach to plan treatment for upcoming CSF leak patients. This conference is a rare opportunity for fellows to participate in both the diagnosis and treatment of patients. Here, neuroradiologists act in both a diagnostic capacity, reviewing imaging, and a treatment capacity, planning percutaneous interventions on these patients. This is a growing field in neuroradiology, and competency in the diagnosis and treatment of CSF leaks is becoming a very valuable and sought after expertise.
Skull Base Tumor Board
Complex skullbase tumor cases from across the Phoenix area are discussed at this monthly meeting. Diagnostic dilemmas on rare lesions as well as treatment decisions are debated for a wide variety of pathologies. Lesions are seen arising intracranially, within the bone of the skull base itself, and extracranially. Fellows will be introduced to the full array of transcranial skull base approaches, including minimally invasive keyhole approaches such as transorbital and endoscopic-assisted retromastoid approaches, and endoscopic endonasal approaches. This conference provides a rare opportunity to see both complex skull base anatomy cutting-edge treatment of skull base disease.
Head and Neck Tumor Board
The Head and Neck Tumor Board meets monthly. This collaborative conference of ENT surgeons, oncologists, and radiation oncologists, discuss complex cases and referrals from across the Phoenix area. This tumor board provides exposure to a high volume of head and neck cases and includes patients undergoing cranial base surgery, major head and neck surgery, and those involved in chemoradiation protocols. Fellows are exposed to the role of conventional and PET/CT imaging in head and neck cancer and learn about different surgical approaches merged with modern radiation and medical oncology.
Pituitary Tumor Board
Barrow is the largest pituitary center in the southwest. At pituitary tumor board, dedicated skullbase neurosurgeons, neuroendocrinologists, and neuroophthalmologists and review difficult clinical and surgical cases. This conference allows fellows to understand the complex interplay between imaging findings, hormonal status, neuro-oplthalomoglic.
Every Wednesday, over noon, patients from the Epilepsy Monitoring Unit are reviewed by a collaborative team of experienced epileptologists, neuropsychologists, and neuroradiologists. This multidisciplinary conference provides an opportunity for fellows to correlate imaging with EEG findings, semiology, and neuropsychological testing. It also provides exposure to advanced imaging in epilepsy, including FDG-PET, SPECT, and MEG.
Brain Tumor Board
With the establishment of the Ivy Brain Tumor Center, the Barrow has become one of the world leaders in clinical trials for brain tumors. We perform more than 3,300 MR examinations each year for brain tumors. This tumor board allows fellows to see the treatment and care of a brain tumor from their initial imaging to surgery. Additionally, fellows will see rare tumors referred to the Barrow, as well as learn about imaging features associated with novel therapies for glioblastoma that are part of tertiary care.
Lawton Imaging Rounds
Dr. Michael Lawton, the head of the Barrow Neurological Institute, is referred complex cerebrovascular cases from all around the globe. At this case conference, neuroradiologists and fellows are given the unique opportunity to sit beside one of the world’s experts in cerebrovascular and skullbase surgery. Neuroradiologists assist Dr. Lawton in his recommendations on the most difficult neurovascular cases referred from tertiary referral centers seeking his expert opinion. Images from cases referred to Dr. Lawton are reviewed by him directly with neuroradiology, as he prospectively assesses patients and considers broad state-of-the-art treatment options. These rounds are held three times a week and provide fellows the opportunity to discuss complex cerebrovascular cases with Dr. Lawton, including aneurysms, arteriovenous malformations (AVMs), arteriovenous fistulas (AVFs), carotid disease, Moya-Moya, and cavernous malformations.