Radiology and Imaging

• High-field (1.5T, 3T) MRI, including wide bore
• MAVRIC (multiacquisition variable-resonance image combination) for all areas with metal presence
• Nerve imaging or MR Neurography (MRN)
• Cartilage imaging
• Peripheral angiography (MRA/MRV)
• MRI FAQs

• Division of Musculoskeletal Ultrasound
• Ultrasound evaluation for muscle, tendon, ligament and nerve injury 
• Ultrasound evaluation for arthropathy
• Image-guided therapeutic injections for tendonitis, arthritis and neuropathy
• Image-guided aspiration of joints, cysts and bursal sacs
• Ultrasound FAQs

• Extremity
• Spine
• FAI
• Metal
• PedCAT
• CT scan FAQs

• EOS imaging (full body and low dose medical imaging system)
• Conventional Radiology (X-Ray) FAQs

• Dual-energy X-ray absorptiometry (DEXA, sometimes also called DXA)

Copies of the reports from your imaging examination can be obtained through your referring physician's office. The physician can call our Image Records Department at 212.606.1135. Reports can be faxed or mailed free of charge to their office. There is a $35 charge per CD for copies of your images which can hold several imaging examinations, or $12 per sheet of X-ray film. Please have your name, address, date of birth, date of service, and type of exam readily available.

For your protection, patients requesting images and/or reports are required to complete a Request for Release of Information and fax it to 212.774.2327. Patients may pick up reports and/or images personally with proper ID for verification at The Belaire Building Image Records Department located at 525 East 71st Street, Suite 4K, New York, NY 10021. We also offer free FedEx ground shipping. For additional information please call 212.606.1135.

The Department of Radiology and Imaging provides safety and security of all patients, employees and visitors in regard to medical imaging including radiation hygiene, interventional procedures performed under imaging guidance and the use of contrast agents for enhanced imaging outcomes. Administrative controls and oversight are in place to establish policies and procedures which assure safety and security.

Members of the Department of Radiology and Imaging are musculoskeletal-fellowship-trained, board certified radiologists specializing in the interpretation of radiological tests and diagnosis of disease. The bill from HSS Radiologists is for the personal professional consultative services of the individual radiologist.

The separate, Hospital bill is for technical charges to cover the costs of the equipment, supplies, and services performed by the radiology technicians and other Hospital personnel in regard to the radiological tests performed.

What your bills for radiology services represent:

Questions regarding your bill

For questions regarding the HSS Radiologists bill call 866.689.8865

For questions regarding the Hospital bill call:

Inpatient Services:
Last name starting with A - L: 212.606.1388
Last name starting with M - Z: 212.606.1034

Outpatient Services: 212.606.1772

Billing Information
If you have insurance coverage from Medicare, Medical Assistance, a participating managed care carrier or a commercial healthcare insurer, and you have provided complete financial information to the Hospital at the time you received services, we will submit a claim to your carrier on your behalf.

Radiologic Interpretation
All imaging studies performed at HSS are interpreted by a musculoskeletal-fellowship-trained, board certified radiologists with subspecialty experience in the manifestations of orthopedic and rheumatic conditions. Board certification in radiology requires years of training beyond medical school, internship, residency, fellowship, as well as the satisfaction of both written and oral examinations. Certification by the American Board of Radiology assures quality care, expertise in quality image acquisition and safe use of ionizing radiation and magnetic resonance.

Official interpretation by an experienced radiologist enables subtle X-ray findings (for example, infections, systematic diseases, tumors, fracture, etc.) to be detected early, before an abnormality has progressed to where it is more obvious and easier to recognize from the imaging. A delay in getting an accurate diagnosis can considerably, negatively affect treatment and, ultimately, patient outcomes. It also adds to patient discomfort, inconvenience and increased medical costs. This is why early, expert interpretation of imaging by an experienced radiologist is key.

Quality of care is top priority at HSS. In order to assure quality of care and patient protection, HSS follows The Joint Commission (TJC) in requiring an official interpretation and an authenticated report by a radiologist for all imaging procedures and examinations performed in an accredited hospital. HSS is an accredited hospital and official interpretations of imaging studies are conducted by board certified radiologists with subspecialty training. Images generated and acquired by HSS, and the reports on their interpretation, are maintained in the Hospital medical records.

The Board of Trustees, the HSS administration, and the physicians of HSS are dedicated to delivering excellent quality patient care but are also concerned with escalating medical costs. Keeping costs down while assuring that cost-containing restrictions do not jeopardize a person's health, well-being or access to quality care is the responsibility of every physician. The radiologists and the staff of the Department of Radiology and Imaging take pride in reviewing orders for imaging examinations so as to eliminate unnecessary examinations and to prevent redundancy.

1. The fellowship has been a great experience all in all - the dedication to doing quality teaching despite the pandemic has been phenomenal and all around this has been some of the best education I have received during my medical training.
2. Very well rounded fellowship going above and beyond to prioritize fellow education above service. Excellent 1-on-1 readout sessions with attendings. Good balance of MSK MRI and procedures with absence of scut work. Amazing fellow-friendly work environment with very accommodating program director and collegial attendings.
3. Outstanding training with an excellent focus on wellness while also balancing clinical experience with teaching and research opportunities.
4. Overall this fellowship has been superb training and a wonderful experience. The prioritization of fellow education is unique. The cases are complex and diverse, with no end of opportunities for learning. Attendings have incredible expertise and are willing to go out of their way to teach.
5. This was the most educational year of my life to date. I really enjoyed the fellowship and the friends and mentors I've made along the way. I highly recommend this fellowship to anyone who asks me about it. I have nothing negative to say when people ask what I disliked most.

The fellows enjoy a robust conference schedule to round out their education. Protected time is given for daily radiology conferences. Our radiology attending staff regularly attend (virtually and/or in-person) and participate in every conference. Oftentimes, there are more than 10 radiology attendings at conference, with each adding his or her perspective on the presented topic. Conferences last at least one hour.

Weekly Radiology Conferences:

• Mondays: Fellow/Attending Presentation – general topics in musculoskeletal imaging with the fellow presenting for the first 20-30 minutes, followed by a radiology attending presenting complementary cases on the topic for 30-40 minutes
• Every other Monday morning: hands-on Ultrasound Tutorial with ultrasound attendings present
• Tuesdays: MRI Conference – given by department radiologists covering all joints
• Wednesdays: Grand Rounds – typically given by an attending from another service (orthopedics – sports/arthroplasty/hand/foot/pediatrics/etc., rheumatology, pathology)
• Thursday noon conference: Teaching File Conference – case conference; lunch provided
• Every other Thursday afternoon: Ultrasound Lecture – given by an ultrasound attending
• Friday conference: Interesting Cases Conference – a selection of interesting cases from the week are discussed
   

Additional conferences that fellows regularly attend:

• Daily morning conference: Orthopaedics (including but not limited to: spine, trauma, pediatrics, sports, hip preservation)
• Every Tuesday morning: Physiatry Conference
• Every Thursday morning: Sports Conference
• Every Friday morning: Memorial Sloan Kettering Tumor Board
• Bone Club: held quarterly with institutions throughout NYC
• NY Pathology Bone Club: held monthly

Research is a vital component of fellowship training within the department of Radiology at HSS. A wide variety of research opportunities are available to Musculoskeletal Radiology Fellows, encompassing a spectrum of research designs ranging from simple case reports to NIH funded long term prospective studies. Projects pertaining to every imaging modality performed at HSS are available to fellows, as are collaborative projects with other hospital services and outside institutions. HSS Radiology attendings are available as research mentors should a fellow wish to pursue his or her own research ideas.

A requirement of the fellowship is submission of at least one abstract for consideration for the end of year HSS Clinical Fellow Research Presentations. Fellows will be required to select at least one project of sufficient scientific merit (i.e. data/hypothesis driven) in order to fulfill this requirement.

Research submitted to major national and international conferences is encouraged and reimbursed. 

Research Opportunities Available to Fellows

HSS MRI Lab: The HSS MRI lab is a multidisciplinary group of individuals, including radiologist clinician scientists, biomedical engineers, MRI physicists, veterinary radiologists, and computational scientists whose collaborative efforts are aimed at furthering advanced MR imaging techniques and their translation to clinical applications. Current research topics include MR imaging in the presence of metallic implants, parametric imaging of musculoskeletal tissues, advanced neurography techniques, and AI based image reconstruction. Ongoing research projects available to fellows within the MRI lab include investigation of MRI as a biomarker for adverse local tissue reaction in total hip arthroplasty, T2* relaxometry of the ACL in pre- and post-menopausal females, and AI based image reconstruction for 2D/3D cervical spine MRI, among many others.

Ultrasound Research: Research opportunities within the division of ultrasound are plentiful and include a number of grant-funded studies on a variety of topics. Current ultrasounds research topics include quantitative imaging of muscle and tendons, advanced neurosonography, and fracture healing. Ongoing research projects available to fellows within the ultrasound division include ultrasound of tendon impingement in the setting of distal radial fractures, ultrasound/MRI correlation of synovitis in total knee arthroplasty, and ultrasound of anatomic variations of the brachial plexus.

Research opportunities pertaining to interventional radiology, computed tomography, and radiographic imaging are also available.  Current fellow projects include utility of preoperative chest radiographs in the COVID era, C1-2 interventions under CT and fluoroscopic guidance, and effects of music therapy during spinal injections.
 

Fellows will take call for one week at a time beginning Friday evening and ending the following Friday morning. An attending is scheduled and readily available on back-up call for consultation. An on call laptop is provided and each fellow is given a monitor for taking call at home.

Stipend: $96,976 (2020–2021) per annum/benefits (subsidized housing also available)

Vacation and Educational/Conference Time: Each fellow is entitled to four weeks of paid vacation time (20 working days). Additional time for conference attendance may be granted based on factors including appropriateness and value of workshop, conference, or seminar to the Fellow’s training and responsibilities, whether the Fellow is presenting research findings at the conference, as well as staffing needs. 

Other benefits: 

• New York Roentgen Society membership
• Society of Skeletal Radiology membership
• e-Anatomy account
• Generous book fund
• Travel reimbursement for scientific meetings
• Excellent job placement
• Benefits of New York City

• Monthly Fellow/Attending Engagement Activities
• Annual Autumn Benefit
• Radiology & Imaging Department Holiday Party
• HSS Holiday Party
• Annual Robert H. Freiberger, MD Dinner 
• Fellows Meet and Greet
• Fellows Graduation Party