Faculty

Introduction

Department of Radiology is one of the oldest Departments in NEIGRIHMS. Over time it has grown in stature offering diagnostic imaging services in nearly all modalities. It also offers an Interventional Radiology service which is unique to the entire North East Region. In addition the department offers three years MD & Senior Residency Program.

Our motto: 'Imaging to Detect, Diagnose & Treat' (DDT). 

Infrastructure

• MRI 1.5 Tesla AVANTO, Siemens AG, Germany (No - 1)
• Multislice (128 Slice) CT Scan, Definition AS+ Excel Seimens, Germany (No-1)
• Color Doppler Ultrasound Machines with 4 D, GE Logiq P 5 Premium( No-4)
• 1000 mA Digital Radiography System with Dual Detectors, Prognosys Medical Systems Pvt Ltd, Prorad 3 N with  Kodak Camera DV 6800, Canon Detectors, Sedecal X Ray System, Spain( No-1)
• 800 mA Digital Radiography System with Dual Detectors, Prognosys Medical Systems Pvt Ltd, Prorad 3 N with  Kodak Camera DV 6800, Canon Detectors, Sedecal X Ray System, Spain ( No-1)
• Digital Mammography with Stereotactic Biopsy, SENOGRAPHE  DS, GE HEALTH CARE ( No-1)
• Mobile X-Ray units  (300 ma), TMS 300, Technix, Italy ( No-11)
• Computed Radiography Systems, CR 850 with Dry view Camera DV 8900,
• C Arm IITV with DSA, BV Endura, Philips, Holland ( No-3)
• Bone Mineral |Densitometry (Dual Energy X \Ray Absorbsiometry)  Hologic  Discovery W, USA ( No-1)

Services

The department of Radiology & imaging provides advanced, high-quality diagnostic and interventional radiology services. Using state-of-the-art equipment, we support all of the medical and surgical divisions at the hospital.
X-Ray:
The department has two digital radiography and one computed radiography systems.  X-ray of all body parts is performed. There are also 11 mobile units which are used to take x-rays at the bed side.

The NEIGRIHMS's radiology Department offers ultrasounds service of both inpatients and outpatients. Doppler imaging is carried out for the neck & peripheral arteries & veins as also for the visceral vessels. Ultrasound guided interventional procedures performed in the department include aspiration, biopsies, pseudoaneurysm occlusion etc.

With the state of art CT scanner, the department caters to all types of CT studies such as non contrast & contrast studies of the brain, abdomen and lung. Cardiac CT, MSK CT, coronary CT, CT angiography for the vessels of the brain, abdomen, lung and peripheral arteries can also be performed.
Entire range of CT guided interventional procedures like aspiration / biopsy and therapeutic procedures like CT guided drainage procedures, ablation of tumours, CT guided alcohol injection into vertebral tumours, CT guided laser ablation of osteoid osteoma ( a bone tumour ) etc are performed.

We offer a wide range of diagnostic options through MRI, including routine imaging as also advanced imaging protocols. These include Cardiac MRI, MR angiography, diffusion weighted imaging, perfusion weighted imaging, MR spectroscopy, Diffusion tensor imaging, functional MRI, MSK MRI, MRCP, Breast MRI and Prostate MRI

The department offers services for a wide variety of vascular and non-vascular interventional procedures. It is one of the best interventional radiology centre of India, serving the people of northeast India (Assam, Meghalaya, Arunachal Pradesh, Nagaland, Manipur, Tripura, Mizoram & Sikkim) as well as other part of the country.

A detailed list of these procedures:

• Endovascular Angioplasty (PTA & STENTING)
  
• Endovascular Thrombolysis
  
• Endovascular Embolization
  
• Intracranial aneurysms coiling
  
• Intracranial Arterio-venous Malformation embolization
  
• Vein of galan malformation embolization
  
• Non Galenic AV Fistulas embolization
  
• Dural arteriovenous fistula (DAVF) embolization
  
• Carotid-cavernous fistula (CCF) embolization
  
• Spinal vascular malformation embolization
  
• Craniofacial vascular malformation embolization
  
• Preoperative embolization of head & neck tumors
  
• Epistaxis
  
• Post traumatic arteriovenous fistulaocclusion
  
• Traumatic arterial Injuries management
  
• Endovascular Treatment of Vasospasm
  
• Papavarine infusion
  
• Balloon Angioplasty
  
• Endovascular Blood sampling from
  
• Inferior Petrosal sinus and cavernous sinus
  
• Miscellaneous endovascular Procedure
  
• Superselective Chemotherapy of brain tumours
  
• Temporary balloon occlusion test of the internal carotid artery
  
• Wada's test
  
• Direct percutaneous glue injection in tumours.

• Arterial Endovascular Percutaneous Tranluminal non-coronary angioplasty and /or stenting
  
• Endovascular Thrombolysis
  
• Peripheral vascular occlusion
  
• Acute thromboembolism
  
• Vascular graft occlusion
  
• Endovascular Embolization
  
• Peripheral aneurysm embolization
  
• Peripheral AVM embolization
  
• Pulmonary AVM/AVF embolization
  
• Hemoptysis
  
• Gastro intestinal bleeding
  
• Epistaxis
  
• Uterine artery embolization
  
• Testicular vein embolization vericoceles
  
• Ovarian Vein embolization
  
• Acute haematuria due to disease process or post nephrostomy
  
• Aortopulmonary collaterals before or after surgery for congenital heart disease
  
• Transarterial chemoembolization of hepatocellular tumor
  
• Endovascular Peripheral AVF Closure
  
• Stent Graft placements in aortic and other arterial aneurysm
  
• Endovascular Venous Procedures
  
• Superior Vena caval venoplasty and stenting
  
• Inferior Vena cava  and hpatic venoplasty and stenting in Buddchiari syndrom
  
• Inferior Vena cava filter placement for deep vein thrombosis
  
• Varicose vein ablation using laser or radio frequency.
  
• TIPSS

• Musculoskeletal procedure and Backache Management
  
• Percutaneous vertebroplasty
  
• Steroid injection for painful facet joint
  
• Epidural injection of steroid / xylocaine.
  
• Laser Assisted nonvascular intervention
  
• Percutaneous laser disc decompression.
  
• Laser ablation of osteoid osteoma.
  
• Trachea Bronchial and osophegeal Procedures
  
• Tracheal stenting
  
• Percutaneous ablation of bronchial tumours.
  
• Biopsy of lung, mediastinum and chest wall
  
• Esophegeal stenting
  
• Hepatobillary:
  
  • PTBD
    
  • Billary stenting
    
• Renal:
  
  • Percutaneous nephrostomy (PCN)
    
  • Miscellaneous Procedures
    
• Laser of RF ablation of tumours of liver, bone, lung and other organs.
  
• Abscess drainage
  
• Retrieval of foreign bodies
  
• Biopsy of abdominal lesion
  
• CT/US guided aspiration
  
• CT/US guided needle biopsy
  
• Emergency Procedures
  
• Thrombolysis of Acute stroke syndrome
  
• Acute tumour bleeding
  
• Acute epistaxis
  
• Intracranial Aneurysmal Bleed
  
• Treatment of cerebral Vasospasm
  
• Angioplasty of vasospasm
  
• Posttraumatic facial or nasal bleeding
  
• Carotid and vertebral injury embolization
  
• Acute Gastrointestinal bleeding
  
• Embolization of acute hematuria
  
• Embolization of Primary or secondary Postpartum bleeding
  
• Embolization Acute bleeding from gynecological Malignancy
  
• Embolization Acute Mesentric Ischemia
  
• Embolization Acute bleeding from Nasopharyngeal Angiofibroma
  
• Embolization of Aortopulmonary collaterals in emergency for congenital heart disease

Academic Activities

The department of Radiology & imaging is committed to offering the highest quality education and training for all of its participants. Ongoing education is provided via three avenues: Classes in radiology and other related topics, Seminars & Conferences that range from clinical conferences, journal clubs and seminars, to annual symposia, and Continuing Medical Education (CME) that serves to continuously develop the knowledge and skills of our medical professionals on an ongoing basis.
The Department of Radiology offers the following academic programme

1. MD Radiodiagnosis: NEIGRIHMS's Radiology is very proud of its postgraduate programs, share a profound commitment to teaching and training future generations of  radiologists. Currently we are accepting 2 postgraduate resident annually.
2. Senior residence: We are accepting senior residents from upcoming qualified radiologist. They have hands on training with close supervision by faculty for different diagnostic and interventiontional fields. Residents are excepted to take active perticipation in all clinical rounds and academic activites.
3. Observership: The Department of Radiology, Shillong offers an observership program for qualified physicians, medical students and radiology technologist. Observers will have the opportunity to view a variety of radiologic studies and techniques on which radiologists and clinicians from other disciplines rely for the diagnosis and treatment of patients. Interested participants will be able to observe radiology procedures being performed with state-of-the-art equipment in our Vascular/Interventional Radiology suites. Observers also participate in daily read-outs with the attendings as part of a team.

Curriculum:

Research:

Ongoing Project

• Multimodality imaging in diagnosis of non-specific aortoarterities: comparison of MRI with contrast enhanced MR angiography and multi-detector CT angiography to determine extent of disease involvement and activity: PI- Dr. Kalyan Sarma. Funded by DBT
•  Mean Signal Intensity Curve Analysis of Brain Tumour by Dynamic Susceptibility Contrast MR (DSC MR) Perfusion Imaging: PI- Dr. Ranjit Meher. Funded by DBT
• MRI  in evaluation of football (soccer) associated knee injuries: PI-Dr. Mukesh Sharma
• Study of coronary artery diseases (cad) by coronary CT angiography using 128 slice multi detector computed tomography (128 slice mdct) in comparison with conventional coronary angiography: PI- Dr. P.P.Rajan.R
• Corelation of DTI findinging with Neurological evaluation in Japanese Encephalites, PI-Dr. Pranjal Phukan.

Vision of the Department