Neuroradiology

Advanced Imaging For Disease Diagnostics

Neuroradiology is a subspecialty of radiology that specializes in diagnostic imaging of the brain, spine and head and neck. Neuroradiologists work closely with other physicians to help interpret imaging and are vitally important in effectively diagnosing and managing various conditions. Medical Center Radiologists’ neuroradiologists are highly experienced in providing a precise diagnosis when examining even the most difficult of scans.

Our Hampton Roads, VA, Neuroradiologists

Neuroradiologists undergo extensive and rigorous training and must first obtain board certification in radiology. They then spend one or two years in neuroradiology fellowship training after diagnostic radiology residency focused on studying various diseases such as stroke, demyelinating disease, neurodegenerative disease, brain tumors, head and neck cancer, neurovascular disease, trauma, back pain and other neurologic diseases. They must then complete an examination in diagnostic neuroradiology every ten years. 

The MCR neuroradiologists work closely with both primary physicians and specialists, including neurologists, neurosurgeons and otolaryngologists. They participate weekly in the head & neck and neuro-oncology tumor board conferences, which are multidisciplinary conferences focused on complex cases. Our neuroradiologists are also trained to perform procedures such as lumbar punctures and myelograms.

Neuroradiology Imaging Modalities

MCR’s neuroradiologists use various imaging techniques in order to evaluate and then interpret brain, spine, head and neck function. The primary imaging modalities in neuroradiology are Computed Tomography (CT) and Magnetic Resonance Imaging (MRI); however, MCR neuroradiologists also provide interpretations for more advanced imaging including:

Radiologist reviewing brain mri scans at a workstation inside a diagnostic imaging suite.
  • Functional MRI: This type of imaging used in neuroradiology maps blood flow to detect changes in brain activity. It can help show what part of the brain activates during a particular task, as opposed to regular MRI, which captures the brain’s overall structure.

  • Spectroscopy: Spectroscopy is an imaging modality used in neuroradiology to examine body tissue (usually brain matter) and evaluate its chemical composition. It can help our neuroradiologists determine if an abnormality that shows up on an MRI scan is a tumor or not.

  • NeuroQuant: NeuroQuant Brain Analysis is a type of advanced radiology software that is used in neuroradiology to detect neurological conditions, particularly those involving atrophy of the brain, or loss (shrinkage) of brain tissue.

  • T/MRI Perfusion: Also known as perfusion magnetic resonance imaging, this helps our neuroradiologists see how the blood moves within tissue to determine how the brain is functioning. In turn, this aids our team in diagnosing conditions such as brain tumors and strokes.

  • Parathyroid 4D CT: This is a type of imaging that helps find disease in the neck by scanning the parathyroid glands using special X-ray technology.

Neuroradiology Procedures

In addition to using advanced imaging to detect abnormalities of the brain, neck, head and spine, our neuroradiologists are able to perform various minimally invasive procedures, which can be especially important in the diagnosing of certain conditions. Our neuroradiologists perform the following:

  • Lumbar Puncture: Lumbar puncture is a diagnostic procedure used to sample the cerebral spinal fluid (CSF). Neuroradiologists use X-ray guidance to safely insert a small-caliber spinal needle through the skin at the lower back into the CSF. Using X-ray guidance typically results in a quicker procedure with less patient discomfort compared to non-image-guided lumbar puncture. This neuroradiology procedure is used to diagnose infections, tumors and conditions, such as multiple sclerosis, affecting the brain and spinal cord.

  • Myelography: Myelography is a diagnostic imaging procedure that provides images of the spinal cord and its nerves. This is a two-step procedure: first a lumbar puncture is performed, followed by injection of a contrast agent (dye) into the CSF through the spinal needle. Myelograms are typically followed by CT of the spine. The procedure is used to diagnose abnormalities such as a herniated disc, narrowing of the spinal canal and tumors. It is used to supplement MRI or as an alternative if there are any contraindications to MRI.

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