Training future radiologists is central to the mission of the Mass General Department of Radiology. Chairman Emeritus James H. Thrall, MD, discusses our commitment to education and the key role residents and fellows play within the department. Watch now >
Goal of Fellowship
The Department of Imaging at Massachusetts General Hospital, Harvard Medical School accepts five fellows per year for a one-year fellowship in thoracic imaging, thoracic intervention and cardiac imaging. The Thoracic and Cardiac Imaging Fellowship consists of 9 months of fellowship training in diagnostic thoracic imaging and intervention, and 3 months of dedicated fellowship training in cardiac imaging.
The fellowship offers extensive training in digital inpatient chest radiography, digital outpatient chest radiography, thoracic CT, dual energy CT of the thorax, 3D imaging, thoracic PET/CT, thoracic MRI, thoracic PET/MRI, thoracic intervention (thoracic biopsy and ablation), cardiac CT, cardiac CTA, and cardiac MRI. The Divisions of Thoracic and Cardiac Imaging are supported by a dedicated 3D lab that provides 3D data sets for advanced visualization and diagnosis. The thoracic imaging training occurs in the Division of Thoracic Imaging under the direction of Dr. Jo-Anne Shepard and the dedicated thoracic imagers of the Division of Thoracic Imaging. The cardiac imaging training occurs under the direction of Dr. Nina Meyersohn, Dr. Brian Ghoshhajra, Dr. Udo Hoffman and the dedicated cardiac imagers of the Division of Cardiovascular Imaging.
Massachusetts General Hospital is a 1057-bed tertiary care hospital, with multiple intensive care units, including a burn ICU, neuro ICU, medical ICU, surgical ICU, cardiac surgical ICU and cardiac ICU. In addition, Mass General is a level-one trauma center, burn center, and transplant center (including heart and lung transplantation). Mass General is a major oncology referral center with high volume Medical Thoracic Oncology, Pulmonary Interventional and General Thoracic Surgical Services. Through the Pulmonary and Infectious Disease Services we are consulted on a multitude of interesting pulmonary diseases. The Thoracic Division alone performs over 100,000 imaging examinations / year and provides a concentrated experience in both usual and unusual medical and surgical conditions of the thorax. The Division of Thoracic and Cardiovascular Imaging Divisions work collaboratively with exceptionally strong medical, surgical and subspecialty services.
Three months of dedicated cardiac imaging training in cardiac CT, cardiac CTA and cardiac MRI is incorporated into the fellowship. The Division of Cardiovascular Imaging performs coronary artery calcium scoring, cardiac CTA, cardiac CT for morphology and function, and cardiac MRI for a variety of clinical indications. While in the Division of Cardiovascular Imaging, fellows work closely with and receive teaching from experienced and dedicated cardiac imagers.
Imaging Modalities and Clinical Rotations
Training in Thoracic and Cardiac Imaging at MGH incorporates all modalities of thoracic and cardiac imaging including: digital inpatient chest radiography, digital outpatient chest radiography, thoracic CT, dual energy CT of the thorax, 3D imaging, thoracic PET/CT, thoracic MRI, thoracic PET/MRI, thoracic intervention (thoracic biopsy and ablation), cardiac CT, cardiac CTA, and cardiac MRI.
Fellows rotate through the various clinical assignments of the Thoracic and Cardiovascular Imaging Divisions including: inpatient chest radiography, outpatient chest radiography, thoracic CT, thoracic MRI, thoracic PET/CT, thoracic intervention, cardiac CT and cardiac MRI.
The members of the Thoracic Division perform >500 percutaneous needle aspiration biopsies/year in a dedicated interventional CT scanner, with on-site cyto-pathology support. Fellows will learn:
- The indications for thoracic procedures, procedural risks, benefits and alternatives to the procedure.
- Patient selection, appropriate use of pertinent pre-procedural tests, and the contraindications of the procedure.
- How to effectively obtain informed consent and adhere to institutional universal “time out” procedural protocols.
- How to monitor sedation/analgesia, plan an appropriate biopsy approach, recognize pertinent anatomic landmarks, appropriately execute the biopsy, appropriately obtain samples (cytology, core biopsy and microbiology specimens), and recognize intra procedural complications.
- The methods of post-procedure patient recovery, recognition and treatment of biopsy complications (including chest tube placement and management of hemoptysis).
- The indications and techniques for fiducial marker placement to localize pulmonary lesions for surgical resection and radiotherapy.
- Fellows may also participate in thoracic ablative procedures including microwave and cryo-ablation for both primary lung malignancies and metastatic disease to the chest.
Fellows are taught to consult with primary care physicians and subspecialists with increasing independence throughout the fellowship year. By the end of the year, fellows learn to be expert consultants in cardiac and thoracic imaging through a variety of conferences and through daily clinical experience.
In addition to the clinical experience and teaching that occurs daily, didactic teaching is also provided:
THORACIC IMAGING CLINICAL CONFERENCES
- Thoracic Imaging Conferences
Weekly conference prepared by the Thoracic CT resident of current interesting thoracic CT and thoracic MRI cases. These outstanding cases serve as an excellent resource for didactic teaching of residents and fellows.
- Interstitial Lung Disease Rad-Path Conference
A bi-weekly conference presented jointly by the Pulmonary Medicine, Thoracic Radiology and Pulmonary Pathology Services. Interesting Interstitial Lung Disease cases are presented with clinical, radiology and pathology correlation.
- ICU Rounds
Daily ICU rounds with Thoracic Radiologists and ICU staff in Medical, Surgical and Cardiac Intensive Care Units.
- PET-CT Conference
A monthly conference presented to discuss chest and abdominal PET-CT cases.
- Thoracic Surgical Conference
A weekly conference presented by the Thoracic Surgical Service at which radiological correlation and patient management of thoracic surgical conditions are discussed.
- Medical Thoracic Oncology Conference
A weekly conference presented by the Thoracic Oncology Conference at which the diagnosis and management of lung, esophageal and other thoracic tumors are discussed.
- Pulmonary Medicine Conference
A weekly conference in which the Pulmonary service reviews radiology studies on their inpatients.
- Pulmonary Grand Rounds
A weekly conference presented by the Department of Pulmonary and Critical Care Medicine, including case presentation and invited lecturers.
- Infectious Disease Conference
A conference presented jointly by Radiology and the Infectious Disease Services. Interesting Infectious Disease cases are presented with radiology correlation.
- Cytology Conference
A quarterly conference during which interesting biopsy cases are reviewed. The indications, technique and cytology results of thoracic biopsy are reviewed with radiology and pathology in attendance. This conference provides an excellent opportunity to see the yield, usefulness of thoracic fine needle aspiration and core biopsy.
- Lung Screening Conference
A weekly multidisciplinary conference attended by thoracic radiology, thoracic oncology, thoracic surgery, pulmonary medicine, and thoracic radiation oncology. Cases are presented and a multidisciplinary management decisions are made regarding pulmonary lesions found on lung cancer screening or non-screening chest CT exams.
THORACIC IMAGING DIDACTIC CONFERENCES
- Thoracic and Cardiac Mini-Courses
A total of two months of noon lectures focused on Thoracic and Cardiac Imaging. This series of lectures is given to the residents, fellows and staff of Mass General. Several expert grand rounds speakers are invited as visiting professors.
- Resident Thoracic Case Conference
Every Tuesday morning resident case conference in which the staff present teaching cases to the Mass General Radiology residents. Fellows may participate in the teaching of residents later in the fellowship year.
- Thoracic Fellow Conference
A series of didactic fellow level lectures conducted by thoracic imaging staff in the first 6 months of the fellowship on advanced thoracic imaging and intervention.
- Post-Graduate Chest Course
This post-graduate course is presented jointly by the Departments of Radiology at Massachusetts General Hospital and Brigham and Women's Hospital. This course is held every other year in November in even years. Internationally renowned speakers traditionally visit as guest lecturers.
CARDIAC IMAGING CONFERENCES
- Dedicated Cardiac conferences include weekly Cardiovascular Imaging Seminar, Cardiac Catheterization Conference, weekly Cardiac MR/CT Conference, Congenital Heart Disease Conference and Cardiac ECHO/MRI Conference.
Fellows are given opportunities to develop their own clinical educator skills during fellowship. Fellows are given the opportunity to present a lecture at the thoracic mini-course, give resident case conferences, and present research material at national meetings.
The Division of Thoracic Radiology maintains a current library of the major imaging and clinical textbooks in Thoracic and Cardiac Imaging. Fellows are encouraged to borrow and use these resources. The Division also owns DVDs which are useful in preparation for the cardiac board exam. The Division also maintains a large teaching file of exceptional cases from the last 10 years of clinical practice. This material is invaluable for teaching file material and lectures. Almost all major journals are available electronically on line. The hospital library and Harvard Medical School library are also available if additional reference material is needed.
Vacation and Conference Time
Fellows receive 20 vacation days per year some of which may be used for presentation of research, abstracts or educational exhibits at national meetings.
Fellows receive faculty feedback and mentoring throughout the fellowship year. Fellows are formally evaluated every 3 months and provided feedback on their progress. Fellows also formally evaluate the faculty, the program and the degree to which educational objectives are being met twice a year. Every 4 months, formal meetings with the Program Director and assistant program director are conducted to mentor fellows, ensure educational goals are being met and adjust the program to career objectives (when appropriate).
1. Society of Thoracic Radiology Core Curriculum in Thoracic and Cardiothoracic Imaging, 2012.
The Thoracic and Cardiac Divisions have active clinical research programs. The faculty participates in RSNA, ARRS, STR, NASCI and Fleischner Societies. At the Massachusetts General Hospital, abundant opportunities exist for scholarly activity including: educational exhibits, review articles, book chapters and original research. Fellows are expected to participate in clinical research projects in conjunction with the staff.
The department provides secretarial assistance and the support of the Radiology Educational Media Service (REMS) in preparation of exhibits, presentations, and manuscripts. Assistance with statistical analysis is available through the Massachusetts General Hospital Institute for Technology Assessment. Departmental support is provided to fellows for presentation of research at major medical meetings. Dedicated academic time may be assigned to fellows who demonstrate a research commitment. Academic time is at least 12 days per year and may be as high as 1 day per week for fellows who demonstrate a serious research commitment.
Research interests in the Divisions of Thoracic and Cardiac Imaging are extensive and include:
- Computer Aided Diagnosis
- Artificial intelligence and machine learning in thoracic imaging
- CT Technology and Dose Reduction: extensive research including iterative reconstruction techniques, MBIR, kV modulation, new imaging technologies, etc.
- Sub milli-sievert imaging
- Dual Energy CT
- Thoracic MRI
- Thoracic Microwave Ablation
- Thoracic Cryoablation
- Thoracic Biopsy
- Thoracic fiducial marker placement
- Imaging Biomarkers
- Imaging of lung cancer: staging, imaging, imaging of novel mutation tumors, imaging of drug and treatment related toxicities
- Lung cancer screening
- Imaging the post-operative chest: techniques and complications
- Critical care imaging
- Thoracic Imaging in underserved populations
- Coronary Artery CTA: Calcium Scoring, Stenosis Imaging, Myocardial Infarction, Congenital Anomalies
- Coronary CT Angiography in the Emergency Department
- Imaging of atherosclerotic plaque and coronary risk stratification
- Aortic Aneurysm and Endovascular aortic repair
To apply for the combined Thoracic & Cardiac Imaging Fellowship
The MGH Thoracic and Cardiac Imaging Fellowship is currently full for the 2019-2020 and 2020-2021 academic years.
The Massachusetts General Hospital Department of Radiology has joined 90 radiology departments across the United States in pledging to follow the October 2018 guidelines for fellowship interviews and acceptances established by SCARD (Society of Chairs of Academic Radiology Departments). In accordance with this guideline, applications for the 2021-2022 academic year may be submitted after August 1, 2019. Applications may be submitted electronically by email or in the form of hard copy sent by US mail. Reference letter authors may send their letters by email, however we ask that the original signed hard copies of the reference letters be sent by US mail to follow (address listed below). Interviews for the 2021 academic year will be conducted after December 1, 2019 in accordance with the 2018 SCARD guidelines:
To apply please complete and send the following:
- Current Curriculum Vitae
- Fellowship application
- Personal statement (letter of intent)
- Three current letters of recommendation addressed to Dr. Jo-Anne Shepard (see below). One letter must be from the Residency Program Director or current supervisor
- Copies of USMLE scores (if taken)
To apply or for questions regarding the fellowship, please contact Matthew D. Gilman, MD, Associate Fellowship Director.
Jo-Anne Shepard, MD
Matthew D. Gilman, MD
U.S. Mailing Address:
Jo-Anne Shepard, MD
Massachusetts General Hospital
Division of Thoracic Imaging
Department of Radiology
55 Fruit Street, Founders 202
Boston, MA 02114
MGH Thoracic and Cardiothoracic Fellowship Graduates
|Ralph Shipley, M.D.
David Spizarny, M.D.
Anthony Zancanaro, M.D.
Pierre Bourgouin, M.D.
Philip Templeton, M.D.
John Kosiuk, M.D.
Robert Filion, M.D.
Scott Montesi, M.D.
Adam Guttentag, M.D.
Joanne Le Blanc, M.D.
Victorine Muse, M.D.
Ella Kazerooni, M.D.
Gerald Abbott, M.D.
Ronald Kuzo, M.D.
Jeanne Ackman, M.D.
Beatrice Trotman-Dickenson, M.D.
Priscilla Slanetz, M.D.
Philip Boiselle, M.D.
Mylene Truong, M.D.
Jane Ko, M.D.
Suzanna Lee, M.D.
Bradley Sabloff, M.D.
Amita Sharma, MBBS
Genevieve Belley, M.D.
Andrew Lee, M.D.
Simeon Abramson, M.D.
|Nitra Piyavsetpat, M.D.
Boon Kwek, M.D.
Paul McGinnis, M.D.
Subba Digumarthy, MBBS
Matthew Gilman, M.D.
Alan Legasto, M.D.
Jana Taylor, M.D.
Keith Begelman, M.D.
Aashish Goela, M.D.
Ashwin Asrani, MBBS
Michael Bolen, M.D.
Arun Nachiappan, M.D.
Rathachai Kaewlai, M.D.
Jeff Jednacz, M.D.
Nik Goyal, M.D.
Seth Kligerman, M.D.
Terrance Healey, M.D.
Jonathan Chung, M.D.
Brent Little, M.D.
Ahmed El Sherief, M.D.
Brett Carter, M.D.
Leila Khorashadi, M.D.
Felipe Martinez Gonzalez, M.D.
John Lichtenberger, M.D.
James Woo, M.D.
Rishi Agrawal, M.D.
Cameron Hassani, M.D.