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Thoracic

Supervisor: Dr. TaeBong Chung

The Thoracic Imaging division is one of the largest in North America with 14 staff radiologists working with state-of-the-art equipment. The hospitals are fully affiliated with the University of Toronto. The University of Toronto Centre of Excellence in Thoracic Surgery is located at Toronto General Hospital. 

The Thoracic Imaging fellowship offers a comprehensive multi-modality clinical experience in diagnostic and interventional techniques with over 500 MR, 40,000 CT, 118,000 CR/DR chest examinations and over 550 CT-guided lung biopsies each year.

Thoracic CT:  The current clinical caseload, ~40,000 cases per annum provides a wide spectrum of advanced thoracic imaging from one of the largest lung transplant centers (Toronto General Hospital) and one of the largest oncology centers (Princess Margaret Cancer Center) in North America. Research and clinical translation of low dose and ultralow dose thoracic CT has been a key feature of the thoracic program since 2004.

Lung Biopsies: There is a steady volume of CT guided percutaneous lung biopsies -550 per annum performed using CT fluoroscopy and fine needle aspiration ± core biopsies. On-site cytopathology is present for every case.

Thoracic MR: There is a large clinical caseload, ~500 per annum reflecting the full clinical spectrum of oncologic and non-oncological disease.

Equipment: There are 12 x 64MDCT and 4 x 320MDCT (Toshiba Medical Systems) and 6 x 1.5T and 3 x 3.0T systems (Siemens Medical Systems and General Electric). There is a dedicated research MR (1.5T, General Electric) adjacent to the chest reporting area and a dedicated research CT (FLASH, Siemens) in the O.R. setting. Additional research equipment; X-Ray (Carestream Health), a second dedicated research CT (320MDCT, Vision, Toshiba), an integrated MRI-PET system (Siemens) and Cyclotron (GE) will be installed in the Fall 2013.

Research: There is an active multi-disciplinary research program with clinician-scientists and clinician-teachers, all fellows have 20% dedicated research time and are expected to produce at least one manuscript during their fellowship. Presentation of research work at International scientific conferences is financially supported and encouraged.

Fellowship:  There are currently three funded clinical fellowship positions available with the possibility of a self-funded position if there is an appropriate candidate.  The fellowship lasts 12 months. 80% of the fellowship is clinical and 20% is dedicated to research.  It is the fellow's responsibility, under appropriate supervision, to triage, protocol, monitor and report CT and MR cases.  Lung biopsies are performed under graded supervision. The fellows attend the weekly Thoracic Oncology Tumour Conference and present at the weekly multidisciplinary Radiology-Respirology-Pathology rounds. 

The thoracic section is staffed by a group of fourteen radiologists. Faculty provides dedicated weekly thoracic teaching rounds and multiple weekly educational sessions comprised of case based and didactic lectures. In turn, the fellows have teaching commitments to Medical Students, Radiology and Respirology Residents and Fellows. 

After the initial 6 months of the thoracic fellowship, candidates have an option to be integrated into a busy cardiac radiology service (1800 Cardiac CT, 2500 Cardiac MR per year) for one week every month, for the remaining 6 months of the fellowship to allow concurrent training in cardiac imaging (CT and MR). Thoracic fellows are also eligible to complementary participation in the Level 2 Cardiac CT course run from the University of Toronto Advanced Imaging and Education Center (AIEC) located within the Medical Imaging Department at Toronto General Hospital. The cardiac schedule provides Level II training in cardiac CT and a foundation in cardiac MR.