Supervisor: Dr. Lan Chau Kha
The division of Cardiothoracic Imaging at Sunnybrook Health Sciences Centre, which is affiliated with the University of Toronto, offers a combined Cardiothoracic Imaging fellowship. Sunnybrook is home to Canada’s first and largest regional trauma center, Edmond Odette Regional Cancer Center and Schulich Heart Centre, both leaders in Oncology and Cardiology.
The Cardiothoracic Imaging program is 12 months in duration with time evenly split between the cardiac and thoracic services. However, accommodations may be considered based on the applicant’s previous experience. There are up to 3 qualified applicants accepted each year (2 funded positions and 1 self-funded position). The fellowship is structured to provide comprehensive and advanced training in thoracic and cardiac imaging with services in conventional radiography, computed tomography (CT), magnetic resonance imaging (MRI) and thoracic interventions for practice in academic and community settings. There are excellent research and educational opportunities as well as availability of high-level mentorship for fellows pursuing scholarly activities.
The department houses four clinical CT scanners including three 64-detector GE and one research CT scanner (320 MDCT, Aquilion ONETM, Toshiba). There are three new clinical MRI scanners (two Siemens Aera and Sola 1.5T, two Siemens Vida 3T) and three research MRI scanners (GE 1.5T, GE 3T and a hybrid GE 1.5T- angiography suite), as well as a state-of-the-art hospital wide PACS system and voice recognition dictation systems.
The fellows are exposed to a high volume of cases approximately 20,000 thoracic CT and 600 MRI studies per year. These studies include level I trauma emergency exams, cancer workup which is multidisciplinary with various treatment modalities (including Stereotactic Body Radiation Therapy as Sunnybrook is one of the largest centers in Canada offering this modality of treatment) and a variety of adult and neonatal pulmonary diseases. There is an active interventional service performing several CT-guided lung biopsies each week.
In-depth case review occurs daily during readout sessions and throughout the week during a variety of multidisciplinary activities which involves the fellow’s participation. There are close ties with our clinical and scientific colleagues as we attend weekly respirology, trauma, tumor board rounds and several times a month participate in joint conferences, grand rounds and other activities.
At the completion of training the fellow should be an expert in the acquisition, processing and interpretation of thoracic radiography, CT, chest MRI and performance of image-guided thoracic interventions.
The fellow will gain exposure to and expertise in the acquisition, post-processing and interpretation of a large number of cardiac CT and MRI studies, with a main focus in the study of coronary arteries, ischemic heart disease and non-ischemic cardiomyopathies. Since the Schulich Heart Centre is a lead in numerous minimally invasive cardiovascular procedures, the fellow will become highly skilled in the preoperative assessment of pulmonary vein ablation, transcatheter aortic and mitral valve implantation and minimally invasive coronary artery bypass graft surgery. Approximately 2,000 Cardiac CT and 1500 cardiac MRI studies are performed annually in the department".
A variety of clinical, educational and research rounds are held in the Cardiology and Cardiovascular Surgery Departments and the fellow is encouraged to attend and participate
The fellow will also have accumulated the required cardiac CT experience to meet the qualifications for Level 3 certification.
The fellow will have one dedicated protected academic day a week to conduct at a minimum one, preferably two, thoracic or cardiac research project(s), gaining experience as a principle investigator in clinical research. She/he will participate in the annual research day and present at least one abstract at an international radiology meeting (funding assistance provided) and complete one manuscript for publication.