 The Diagnostic Radiology Department offers a full spectrum of
state-of-the-art imaging facilities and equipment. It includes
digital fluoroscopic and special procedure rooms, as well as ultrasound,
PET, MRI, multirow detector CT and digital angiography equipment.
Fully integrated with PACS, the new state-of-the-art reading room
accommodates the majority of imaging modalities, including the
major subspecialties of neuroradiology, body, chest, and ultrasound.
With fellowship-trained attending, the majority of radiology subspecialties
are covered thoroughly and an excellent education is available
to all residents.
Fluoroscopic procedures are frequently performed, giving the residents
an opportunity to gain experience with a wide variety of diagnostic
and therapeutic interventions.
The breast imaging section of the Department of Radiology at Monmouth
Medical Center is based at the Jacqueline M. Wilentz Comprehensive
Breast Center, designated as a Breast Center of Excellence by the
ACR for every year in which this designation became available.
The center was the first in New Jersey to offer digital mammography,
and will be a fully digital center by the end of 2008. Screening
and diagnostic mammographic examinations, high resolution breast
ultrasound, ultrasound guided needle biopsies (including fine needle
biopsies and core biopsies), stereotaxic biopsies, needle localizations
and galactography are all perfomed on site; breast MRI and MRI
guided biopsies are also available in the hospital, with a new
3T unit to be located near the breast center anticipated for 2009.
Newly diagnosed breast cancer cases are presented at the Multidisciplinary
Team Meeting each week, in which all specialists in breast cancer
develop a prospective comprehensive treatment plan for the patients.
MMC was recently awarded the highest level of recognition for a
community based teaching hospital by the Commission on Cancer,
one of only a handful in New Jersey to earn this honor.
Teaching and research are highly valued; all radiology residents
since 2002 have passed the breast imaging section of their boards,
and many have participated in peer reviewed research projects.
The center was one of 55 sites in North America to participate
in the prestigious ACRIN DMIST trial, and several subsequent papers
based on the data accrued in that trial. The center currently is
participating in the PMA study of CTLM (Computed Tomography Laser
Mammography), an adjunctive modality currently in clinical use
in Europe and Asia.
The Vascular and Interventional Radiology (VIR) section at Monmouth
Medical Center performs a broad range of procedures. The service
performs approximately 2,500 procedures per year in the state of
the art Siemens Flat Panel Artis Angiography Suite. Included among
these are diagnostic and therapeutic angiography, chemoembolizations
for liver tumors, radiofrequency ablation of liver, lung and kidney
tumors, uterine fibroid embolizations, external carotid artery
embolizations, biliary drainage, gastrostomy tube placements, renal
interventions, vertebroplasty, TIPS, IVC filter placement, abscess
drainage, image guided biopsies, dialysis access maintenance, fallopian
tube recanalization, pulmonary AVM embolization, bronchial artery
embolization, varicose vein ablation and central venous access.
With an active inpatient service and outpatient pre- and post-procedure
consultations, the full gamut of the interventional radiology experience
is covered. In addition, the VIR section oversees the interpretation
of the CTAs and MRAs. The residents have the opportunity to gain
experience with noninvasive vascular studies within the only radiology
run peripheral vascular lab in the region.
The VIR section participates in multiple interdisciplinary conferences
such as tumor board and surgery M&M conferences. Didactic and
case-based teaching conferences are an integral part of the residency
education.
The MMC VIR section is involved in multiple ongoing research projects
and supervised resident participation in research is strongly encouraged.
Recent past residents have been able to match with their first
choice fellowship programs in IR.
Monmouth's Nuclear Medicine Department is fully equipped with
Gamma, PET and SPECT cameras. All nuclear studies, including nuclear
stress testing, are performed by the department. With two Nuclear
Medicine boarded radiologists on the faculty, a thorough education
in this subspecialty is readily obtained by all residents.
Monmouth’s adjoining Pediatric Hospital allows the residents
daily exposure to pediatric cases intermixed within each imaging
modality. With a fellowship-trained, dedicated Pediatric Radiologist
as part of the faculty and a pediatric training program, the education
available exceeds expectations. A vast array of pediatric procedures
are performed in the fluoroscopic suite. This training is also
supplemented by a lengthy, pre-scheduled away-rotation in pediatric
radiology at the world renowned Children’s Hospital of Philadelphia.
The radiology library contains a complete set of the American
College of Radiology teaching files and syllabi, the departmental
teaching file, the major radiology journals, the major textbooks
in the subspecialties of radiology, and several computer-based
programs for educational purposes. Up To Date and Stat DX is available
within the hospital computer system as a resource for electronic
referencing.
The resident carrels offer the young radiologists a quiet and
secluded area to study the intricacies of each portion of radiology.
Located within the hospital department, this unique resource is
coveted by the residents.
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