The diagnostic armamentarium of the department of radiology includes 1.5 tesla magnetic resonance imaging (Philips intera), Computed Tomography (128 slice Wipro GE and Dual slice Wipro GE), 6 Ultrasound units (inclusive of 4D state–of–the–art colour Doppler units) a mammography unit, in addition to 1000mA digital HF system with image intensifier.

MRI:

The MRI 1.5 T high definition platformt capable of advance applications like Diffusion imaging, Total body imaging and MR spectroscopy. The chief merits of MRI include absence of exposure to ionizing radiation,  visualization of blood vessels without the usage of intravenous contrast and multiplanar imaging. MRI is the imaging technique of choice for the diagnosis of disorders pertaining to the Cranium, Spine and Musculoskeletal system.

MRCP (Magnetic Resonance Cholangio Pancreatography) has virtually replaced ERCP (Endoscopic Retrograde Cholangio Pancreatography), especially if intervention is not required.

CT:

There are two Computed Tomography systems, a 128 slice, Wipro GE machine and a Dual Slice Wipro GE. All routine scans of the Brain, Thorax, Abdomen & Musculoskeletal system are performed.

The 128 slice scanner is the most advanced among the latest generation of CT scanners and has revolutionized imaging protocols. The 3D workstation is attached.

The whole body can be scanned in a few seconds and high resolution 3D images of any organ system can be generated. The applications of this system are in field of noninvasive angiography and coronary angiograms which are being offered at very economical costs.

Ultrasound:

The department has around 5 Ultrasound machines including 4 Colour Doppler machines and Siemens Acuson 2000 with 4D Ultrasound. All routine Ultrasound scans of the Abdomen, Neck, Scrotum, Breast and Musculoskeletal system along with elastography are performed.

Transcranial, Transvaginal and Transrectal Ultrasounds are performed. Antenatal scan and Doppler of all blood vessels are performed routinely. Ultrasound guided interventions like Percutaneous Nephrostomy, Liver Abscess drainage and FNAC / Biopsies are also performed.

Mammography:

The Department also provides Mammography services where accurate imaging of the breast is performed for women over 40 years. It helps in early detection of breast cancers.

X-Ray:

The department has 1000mA, 800 mA, two 600mA, 500 mA, 300mA and several mobile x ray units. 1000 mA Flexavision has radiofrequency table and provision for digital radiography.All regular X-rays are taken. Special procedures like Barium studies, Fistuologram, MCU, etc are performed under fluoroscopic guidance.

Following facilities are available to facilitate teaching of undergraduates and postgraduate students within the department.

Library:

The department has a large collection of the latest Radiology books (131 books). There is also a vast E book collection ( >500 books). Also several RSNA and other CME video’s are available in the department. The department also receives six international and national journals.

Museum:

The department has a vast collection of X ray, CT and MRI films. This collection includes some of the common conditions in radiology as well as some of the rarest disease. There are more than 500 films in this collection and serves as a large learning source for the undergraduates and postgraduates.

Seminar Hall:

There is a seminar hall within the department with a seating capacity of 25 . It is fully equipped with all audio-visual aid and is used for postgraduate discussion and case presentations.

List of Journals

1. The Indian journal of radiology and imaging
2. Radiology clinics of north America
3. Radiology
4. Radiographics
5. MRI clinics of north America
6. Journals of US medicine
7. Journal of vascular interventional radiology

 

CLINICAL

We offer the following imaging services for the patients referred to us. We also render the services for the poor patients referred from outside

• X-Ray – Plain and Contrast
• Mammography
• Computer Radiography
• Ultra Sonography including Doppler & 4D
• CT Dual Slice Spiral CT
• Optima 128 slice CT scan .
• MRI – 1.5 Tesla
• CATH LAB for Vascular & Interventional Radiology

The following radiological investigation are performed in the department

X-RAY RADIOLOGICAL INVESTIGATIONS PERFORMED 

GIT  1. BARIUM STUDY:

• Barium Swallow.
• Barium meal.
• Barium follow through.
• Small bowel enema.
• Barium enema.
• Hypotonic Duodenography.

2. SINOGRAM Fistulogram.
3. Loopogram. LIVER, BILIARY TRACT AND PANCREAS.

• Peroperative Chologiography.
• Post Operative (T-Tube) Cholangiography.
• Percutaneous transhepatic Cholangiography.

URINARY TRACT:

• Excretion Urography.
• Percutaneous renal puncture.
• Percutaneous nephrostomy.
• Retrograde Pyeloureterography.
• Micturating cysto urethrography.
• Ascending urethrography.
• Antegrade pyelography.
• Nephrostogram.

REPRODUCTIVE SYSTEM:

• Hysterosalphingography.

VENOUS SYSTEM:

• Peripheral Venogram

ARTERIAL SYSTEM:

• Aortogram.
• Arterography of limbs.
• Cerebral angiography.

SALIVARY GLANDS:

• Sialography.

ULTRASOUND PROCEDURES:

• Aspiration of Abscess.
• Pleural effusion tapping.
• FNAC – USG guided.
• Ultrasound guided Percutaneous nephrostomy.
• Pig tail drainage of Abscess.
• USG guided traded biopsy.
• Sonohyserosalphingography.

128 slice CT scan  PROCEDURES :

• Coronary angiogram
• Coronary catheterization
• Ct guided biopsy
• Cardiac CT

 All routine scans of the Brain, Thorax, Abdomen & Musculoskeletal system are performed.

TEACHING The department strives to provide quality undergraduate and postgraduate training. The department started postgraduate courses in the year 2008. The courses offered include M.D Radio diagnosis and Diploma in Medical Radio diagnosis. The annual intake is 6 seats and 1 seat respectively. The goals of our teaching programme and the curriculum for undergraduates and postgraduates are enumerated in Curriculum Section.

 

 

CME/Workshops conducted:

1. Interventional Radiology In Clinical Practice, Dec 2011. Dr. Radhakrishnan Ravikumar, MD,PhD, Senior Interventional Radiologist, Apollo Hospitals, Chennai
2. Interventional Techniques In The Management Of Ischemic Stroke, Jan 2013. Dr. Santhosh Joseph,MD, Professor & HOD SRMC, Chennai
3. CT Coronary Angiography, Jan 2014. Dr. Karthikeyan, Professor & HOD SIMS, Chennai

Forthcoming CMEs:

1. Roentgen Day Celebration- "Paediatric Radiology- Justify and Optimize"- Sunday 8th Nov 2015.
2. CME On Obstretric Ultrasound, Sunday 15th Nov 2015

 

ON - GOING PG DISSERTATION

1. Comparative and correlative study of Balthazar CTSI and modified CT Severity Index– Dr. Sekar Reddy.J
2. Correlation of colour Doppler in focal breast lesion with histopathalogical examination – Dr. Brinda K.V
3. Study to illustrate the MDCT angiographic appearance of normal Anatomy and Spectrum of common variants of renal vasculature – Dr. Mohit Vashishta
4. Quantification of calcium score in the patients referred for coronary CT and correlation with Carotid – Intima - Media thickness and subcutaneous fat thickness- Dr. Greeshma
5. MRI evaluation of post traumatic Internal Derangements of Knee- Dr. Gaurav Balpande
6. Role of MRI in evaluation of compressive myelopathy – Dr. Navya Sindhu
7. Anatomical variations in CT of nose and paranasal sinuses which predispose to sinonasal disease.-Dr Naveen N
8. Comparison of diagnostic accuracy of USG with MRI in detecting thee musculotendines pathology of shoulder- Dr Roshini
9. Evaluation of carotid intima-media thickness by b’mode ultrasonography in hypertensive patients compared with normotensive patients - Dr Mubarak
10. Functional assessment of kidneys before intervention for renal calculus :a comparative study between duplex-doppler ultrasonography KUB scan and CECT KUB scan - Dr Vijay Kumar
11. Ultrasonological correlative study of placental thickness with gestational age and fetal weight - Dr Anusha Reddy
12. Carotid doppler evaluation of transient ischemic attack and stroke patients and its correlation with ct scan head – Dr .MV.S Raju

COMPLETED PG DISSERTATION

1. Role of colour Doppler imaging in urolithiasis correlated with composition of calculi - Dr. Ratna Vasanthan.
2. Ultrasonographic pattern of thyroid nodules and its correlation with FNAC/ Biopsy - Dr. Aditya Nutakki.
3. Evaluation of usefulness of ultrasound including colour Doppler in differentiation of benign from malignant neck nodes - Dr. Annitha Elavarasi J
4. Comparison and correlation between Ultrasonography and radiography in skeletal age assessment of children less than six years of age, based on CREULICH & PYLE atlas method - Dr. Dinesh.
5. Sonographic assessment of abdominal fat and its correlation with lipid profile and obesity - Dr. Siddarth N
6. Sonographic evaluation of pleural effusion and its correlation with thoracocentesis - Dr. Ajit Kumar Reddy
7. Comparative study of Sonographically guided catheter drainage and needle aspiration in the management of liver abscess - Dr. A. Jean.
8. MRI Detection of vertebral Numeric variation - Dr. Srilatha K
9. Significance of Ophthalmic artery in stroke - Dr. Govardhan
10. Evaluation of acute pancreatitis by MRI and correlating it with contrast enhanced computed tomography findings - Dr. Sathish Kumar
11. Comparison of MR Hysterography and Saline Sonohysterography in women with Abnormal Uterine bleeding - Dr. Tsella Lachungpa.
12. Evaluation of date syrup as a negative oral contrast in MRCP – Dr. Arun Kumar.
13. To detect the anatomical variants and anomalies of biliary passage in MRCP - Dr. Shyam Sundar
14. Colour Doppler Imaging of Orbital Vessels in Diabetic Retinopathy – Dr Vijay
15. Assessment of Umbilical artery, foetal MCA and uterine artery as Predictors of adverse outcomes in pregnancies complicated by oligohydramnios - Dr Haripriya.
16. Estimation of chemical composition of urinary calculi with attenuation values- Dr Aravind
17. Evaluation of normal variants, congenital anomalies of pancreatic duct by MRCP - Dr. Sathya Narayanan
18. MRI quantification of lumbar canal stenosis in symptomatic subjects – Dr.R.Siddarth
19. Evaluation of Circle of Willis variations in MRA –Dr.D.Jagadeesan
20. Evaluation of Date fruit syrup as negative contrast media in Magnetic Resonance Cholangiopancreatography in Obstructive Jaundice. – Dr. Murali Krishna
21. Foetal pyelectasis in second and third trimester and their post natal comparison - Dr Amit Kumar
22. Sonoelastography in characterizing focal breast lesion with ultrasonography and histopathology - Dr Ruby Babu
23. Sonoelastography in characterizing focal liver lesions - Dr Manu Jose
24. MRV patterns in chronic headache - Dr. Peyush
25. Sonoelastography of thyroid nodules with FNAC correlation - Dr Dimpu
26. USG evaluation in perforated and non perforated appendicitis - Dr Shiva

 

 

M.B.B.S.

GOAL:

The broad goal of teaching the undergraduate medical students in the field of Radio-diagnosis should be aimed at making the students realize the basic need of various radio-diagnostic tools in medical practice. They should be aware of the techniques required to be undertaken in different situations for the diagnosis of various ailments as well as during prognostic estimations.

OBJECTIVES

KNOWLEDGE:
The student should be able to:

1. understand basics of X-ray production, its uses and hazards.
2. appreciate and diagnose changes in bones - like fractures, infections, tumours and metabolic bone diseases.
3. identify and diagnose various radiological changes in disease conditions of chest and mediastinum, skeletal system, G.I. Tract, Hepatobiliary system and G.U. system. learn about various imaging techniques, including isotopes C.T., Ultrasound, M.R.I. and D.S.A.

SKILL
At the end of the course the student should be able to:

1. use basic protective techniques during various imaging procedures.
2. Interpret common X-ray, radio-diagnostic techniques in various community situations.
3. advise appropriate diagnostic procedures in specialized circumstances to appropriate specialists

M.D. RADIO DIAGNOSIS

GOAL

Goal of the course is to orient and train the students on different aspects of diagnostic and interventional radiology in the diseases of various organ systems of the human body. They should be able to apply this training at secondary and tertiary level of medical care.

OBJECTIVES

In order to achieve the goal of this course, following objectives are to be accomplished by the time the candidate completes the 3 years course.

Three broad domains of the objectives are:

• Cognitive domain (knowledge)
• Psychomotor domain (Skills)
• Attitudinal domain (Human values, ethical practice etc.)

Cognitive Domain (Knowledge)

Describe aetiology, pathophysiology, and principles of diagnosis and management of common problems including emergencies, in adults and children.

Demonstrate understand of basic sciences relevant to this specialty.

Identify important determinants in a case (e.g. social, economic, and environmental) and take them into account for planning therapeutic measures.

Recognize conditions that may be outside the area of specialty/competence and to refer them to Advise regarding the management (including interventional radiology) of the case and to carry out the management effectively.

Update oneself by self-study and by attending courses, seminars, conferences and workshop which are relevant to the field of radio-Diagnosis.
Carry out guided research with the aim of publishing his/her work and presenting work at various scientific forums.

Psychomotor Domain (Skills)

• Take a proper clinical history, examine the patient, perform essential diagnostic/interventional procedures and interpret the result to come to a reasonable diagnosis or differential diagnosis in the condition.
• Provide basic life saving support service in emergency situations.
• Undertake complete patient monitoring including the care of the patient.

Attitudinal Domain

Adopt ethical principles in all aspects of his/her practice. Professional honesty and integrity to be fostered.

Develop communication skills in order to explain the various options available in management and to obtain a true informed consent from the patient.

Be humble and accept the limitations of his knowledge and skills and to ask for help from colleagues/seniors when needed.

Respect patient rights and privileges including patient’s right to information and right to seek a second opinion.

DISSERTATION
Thesis

Every candidate pursuing MD degree course is required to carry out work on a selected research project under the guidance of a recognized post graduate teacher. The results of such a work shall be submitted in the form of a dissertation.

The dissertation is aimed to train a post graduate student in research methods and techniques. It includes identification of a problem, formulation of a hypothesis, search and review of literature, getting acquainted with recent advances, designing of a research study, collection of data, critical analysis, comparison of results and drawing conclusions.

Chief guide will be from the department of Radio-Diagnosis while co- guides will be from either the department or other disciplines related to the dissertation topic.

Every candidate shall submit a thesis protocol to the Dean of the Institute in the prescribed Performa containing particulars of proposed dissertation work four months from the date of commencement of the course. The thesis protocol shall be sent through the proper channel.

Protocol in essence should consist of:-

• Introduction and objectives of the research project.
• Brief review of literature
• Suggested material and methods
• Bibliography

Submission of thesis. discussion

Thesis will be submitted at the end of two and a half (2½) years.
Thesis should consist of

• Introduction
• Review literature
• Aims and objectives
• Material and methods
• Result
• Discussion
• Summary and Conclusion
• Tables
• Annexure
• Bibliography

Two copies of dissertation thus prepared shall be submitted to the Dean, six months before the final examination.

The dissertation shall be valued by two external examiners appointed by the Institute. Approval of dissertation work is an essential precondition for a candidate to appear in the final MD examination.

Dissertation is graded as follows:

• Highly commendable
• Commendable
• Satisfactory
• Rejected

Log book

Each candidate should be required to maintain a log book in which following details will be entered:

• Investigation performed by him.
• Presentations in journal clubs along with title and journal & Issue with title.
• Cases presented in clinical meetings with other departments.
• Presentations in departmental seminars.
• Schedule of interdepartmental rotation.
• Details of apprenticeship.
• Conference attended-national/international.
• Papers presented at conferences with title name of the conference, date of presentation.
• Paper published with title, name & issue of the journal.
• Cases worked up for radionuclide therapy.

Teaching method:

The following methods are to be used for the teaching of the post-graduate students:

1. Journal club: one hour duration-paper presentation/discussion-one per week.
2. Seminar: One seminar every week of one hour duration.
3. Lecture/Discussion: Lectures on newer topics by faculty, in place of seminar/as per need.
4. One Long Case presentation: One per week. Residents will present a clinical case for discussion before a faculty and discussion made pertaining to its imaging approach.
5. One Short Case presentation: One per week. Residents will present a clinical case for discussion before a faculty and discussion made pertaining to its imaging approach.
6. Surgico-radiological Conference: One per month special emphasis is made on the surgical pathology and radiological aspect of the case.
7. Research Methodology: Course and lectures are to be arranged for the residents for the languages proficiency by humanity teachers besides few lectures on human values and ethical issues in patient care.
8. Writing Thesis: Thesis progress is presented once in three months and discussion made in the department. Guides/Co-Guides is to hear the problems of the candidates; can provide assistance to the student.

DIPLOMA IN MEDICAL RADIO-DIAGNOSIS (D.M.R.D)

GOAL

Goal of the course is to orient and train the students on different aspects of diagnostic and interventional radiology in the diseases of various organ systems of the human body. They should be able to apply this training at secondary and tertiary level of medical care.

OBJECTIVES

In order to achieve the goal of this course, following objectives are to be accomplished by the time the candidate completes the 2 years course.
Three broad domains of the objectives are:

• Cognitive domain (knowledge)
• Psychomotor domain (Skills)
• Attitudinal domain (Human values, ethical practice etc.)

Cognitive Domain (Knowledge)

Describe aetiology, pathophysiology, and principles of diagnosis and management of common problems including emergencies, in adults and children.

Demonstrate understand of basic sciences relevant to this specialty.

Identify important determinants in a case (e.g. social, economic, and environmental) and take them into account for planning therapeutic measures.

Recognize conditions that may be outside the area of specialty/competence and to refer them to proper specialist or ask for help.

Advise regarding the management (including interventional radiology) of the case and to carry out the management effectively.

Update oneself by self-study and by attending courses, seminars, conferences and workshop which are relevant to the field of radio-Diagnosis.

Psychomotor Domain (Skills)

Take a proper clinical history, examine the patient, perform essential diagnostic/interventional procedures and interpret the result to come to a reasonable diagnosis or differential diagnosis in the condition.

Provide basic life saving support service in emergency situations.

Undertake complete patient monitoring including the care of the patient.

Attitudinal Domain

Adopt ethical principles in all aspects of his/her practice. Professional honesty and integrity to be fostered.

Develop communication skills in order to explain the various options available in management and to obtain a true informed consent from the patient.

Be humble and accept the limitations of his knowledge and skills and to ask for help from colleagues/seniors when needed.

Respect patient rights and privileges including patient’s right to information and right to seek a second opinion.

Log book

Each candidate should be required to maintain a log book in which following details will be entered:

• Investigation performed by him.
• Presentations in journal clubs along with title and journal & Issue with title.
• Cases presented in clinical meetings with other departments.
• Presentations in departmental seminars.
• Schedule of interdepartmental rotation.
• Details of apprenticeship.
• Conference attended-national/international.
• Papers presented at conferences with title name of the conference, date of presentation.
• Paper published with title, name & issue of the journal.
• Cases worked up for radionuclide therapy.

Teaching method:

The following methods are to be used for the teaching of the post-graduate students:

1. Journal club: one hour duration-paper presentation/discussion-one per week.
2. Seminar: One seminar every week of one hour duration.
3. Lecture/Discussion: Lectures on newer topics by faculty, in place of seminar/as per need.
4. One Long Case presentation: One per week. Residents will present a clinical case for discussion before a faculty and discussion made pertaining to its imaging approach.
5. One Short Case presentation: One per week. Residents will present a clinical case for discussion before a faculty and discussion made pertaining to its imaging approach.
6. Surgicoradiological Conference: One per month special emphasis is made on the surgical pathology and radiological aspect of the case.
7. Research Methodology: Course and lectures are to be arranged for the residents for the languages proficiency by humanity teachers besides few lectures on human values and ethical issues in patient care.
8. Writing Thesis: Thesis progress is presented once in three months and discussion made in the department.
9. Guides/Co-Guides is to hear the problems of the candidates; can provide assistance to the student.