Thoracic Radiology Fellowship
The Division of Diagnostic Imaging at The University of Texas MD Anderson Cancer Center accepts one individual per year for a one-year fellowship in thoracic radiology.
The fellowship offers extensive clinical experience in thoracic radiography, CT, MRI and PET/CT as well as an optional month of CT and US guided biopsies. Academic time of 20% is
allocated and one to two elective months are part of the program.
- Eight MRI scanners (1.5T)
- Three MR (3.0T)
- 12 multislice helical CT scanners (six 16-slice)
- 10 ultrasound scanners (in addition to two in the OR)
- Four PET/CT
- One each: GE AW and Vital Images Workstation
Overall, the Division performed 320,000 procedures in FY 03/04. Approximately 500 CTs and 110 MRIs are performed daily, including 90 thoracic CTs. There are eight dedicated thoracic radiologists and three part time faculty. The patient mix is 80% outpatient and 20% inpatient.
Goals and Objectives
The objectives of the Thoracic Imaging Fellowship are to:
- Educate trainees in the advanced interpretation of chest radiography, computed tomography, magnetic resonance imaging, positron emission tomography/ computed tomography and in the performance of ultrasound and CT guided procedures
- Educate trainees in the biology, epidemiology, diagnosis, staging, pathology, treatment and complications of malignant tumors, particularly lung cancer
- Provide an opportunity for academic research, with the case material and resources of MD Anderson Cancer
Criteria for Selection of Trainees
Trainee must have completed an ACGME approved (or equivalent) residency training program in diagnostic radiology and should be board certified or eligible by the American Board of Radiology. Selection will be supervised by the program director of thoracic radiology, with the consultation of other faculty members in the section. Materials solicited for review will include a CV, medical school transcripts, residency program director's recommendation, three other letters of reference and a personal statement. Interviews will be required. One fellow will be appointed each year. This will depend on the applicant pool and the availability of funds.
The University of Texas MD Anderson Cancer Center is an equal opportunity employer.
Duties and Responsibilities of Trainees
The trainee will spend his or her time in the areas of chest radiography including studies from the intensive care units, CT, MRI, PET/CT and interventional radiology. In CT and MRI, responsibilities will include protocol design for patient studies and monitoring of studies for patient safety and diagnostic accuracy. However, the focus will be on the interpretation of clinical cases. The studies will all be reviewed by a faculty member, and then dictated by the fellow. Graded responsibility will be given over the year for the consultation service with clinicians including the multidisciplinary conferences for lung cancer, esophageal cancer and mesothelioma. The trainee will review the films and patient histories with the faculty assigned to that conference and attend and/or present the cases at that conference to clinicians including those from Thoracic Medical Oncology, Thoracic Surgery, Radiation Oncology, Pathology and Pulmonary Medicine.
Other Available Rotations
- The Vascular /Interventional Service to plan and perform CT and ultrasound-guided biopsies and drainages
- PET/CT to enhance the trainee's knowledge of the staging of lung cancer
The trainee is responsible for "call" on a rotating basis, but no more than every third or fourth weekend. Physical requirements are those related to visual perception, communication and manual dexterity.
Thoracic Imaging Fellow Research Papers
The trainee will have one day per week off the regular schedule for research. It is the responsibility of the trainee to identify a project early in the year and to complete a potentially publishable paper by the end of the year. Research papers previously produced by radiology fellows (in bold) include:
Ng CS, Munden RF, Libshitz HI. Malignant Pleural Mesothelioma: the Spectrum of Manifestations on CT in 70 Cases. Clinical Radiology 54 (7): 415:1999.
Koenig TR, Munden RF, Erasmus JJ, Sabloff BS, Gladish GW, Komaki R, Stevens CW. Radiation Injury of the Lung after Three-Dimensional conformal radiation therapy. AJR Am J Roentgenol 178 (6): 1383-8: 2002.
Faculty will provide supervision on all cases interpreted by the trainee. Procedures will initially be closely supervised; however, it is expected that less faculty involvement will be required as the year progresses.
Duration of the Training Program
The average duration of the program will be one year.
Evaluations of the trainees will be performed twice during the year, by means of a standardized form with comments. The program director will meet with the trainee informally to discuss his or her progress. The trainee will also evaluate the program at the end of the year and discuss his or her experience with the program.
Mylene Truong, M.D.
Program Director of Thoracic Radiology Fellowship
Division of Diagnostic Imaging, Box 57
1515 Holcombe Blvd.
Houston, Texas 77030