Radio Diagnosis & Imaging 

About the Department

The Department of Imaging and Radio-diagnosis in SDMCMS&H is a specialized and a highly equipped unit providing state of the art services to the patients. The main aim is to practice a good clinical radiology with the help of various imaging modalities ranging from the very basic conventional radiography to few of the very advanced techniques like MR spectroscopy, perfusion MRI, Diffusion TENSOR imaging, MDCT investigations etc, thus helping the clinicians in all possible ways to reach to accurate diagnosis.

The department is equipped with the recent most version PACS and shortly awaiting tele-radiology. In spite of all these recent advances, adequate importance is given to the conventional radiology with a fully functioning dark room available in the department for emergency and teaching purposes.

 

Head of the Department

The department is headed by Dr. Shyamsundar Joshi, MBBS, MD (PGI), DMRD, Principal, SDMCMS&H, an excellent clinician and a dedicated academician who is serving in the field of radiology for over 35 years. Having secured a merit certificate and silver medal in PGI Chandigarh for being 1st in M.D. exams, he is credited for starting and developing the imaging departments in many medical colleges during his tenure. His work in ultrasound imaging is extraordinary with an extensive research in cheek and oral cavity ultrasound. Apart from this, his work in the field of research and publications makes him a distinguished personality. He has presented papers in various national and international conferences. He has delivered more than 100 lectures at state, national and international level.

 

Diagnostic Facilities

Department is equipped with 3 X-ray units with conventional and video fluoroscopy integrated with the CR system along with 8 portable X-ray machines.

CR system with 24 CR cassettes, two dry view cameras, two laser printers, and X-ray film digitalizer.

PACS – System: The images captured on CR system are easily made available within a few minutes, to the clinician on their personal computers, about 75 in number, located in OPD, Wards, OT and casualty etc.

This has grossly reduced the waiting period for image viewing and hence faster patient disposal. The reports too are pushed through HIS coupled with RIS.

Additional advantages areno film loss, far better image quality, no need to physically store the images. Easy to maintain the records on large memory devices and equally easier to archive the images within a short time of afew seconds.

Whole of this system has made our department as a filmless department. Image prints are given on request either on CD or laser prints at nominal charges.

 

Ultrasonography

The department is equipped with 6 high end ultrasound units with thermal printers and 2 portable machines and 1 ECHO machine. We have recently added two more portable USG units exclusively for NICU and theatre.

Investigations are performed at ultrasonography section include

  • Conventional utrasonography
  • High resolution scan for musculoskeletal system with panoramic imaging wherever required.
  • Small part studies including sono-mammography
  • Endo cavitatory ultrasound,
  • Neonatal ultrasound with specialized probes.
  • Colour Doppler studies
  • 3D/4D ultrasound
  • Guided interventions

Mammography: The department is equipped with a high end mammography unit for breast cancer screening.  

 

CT unit.

We have commissioned MDCT ( Multi Detector CT)128 slices, dual energy CT scanner adding strength to the departmental diagnostic performance. 

All the earlier CT investigations like Denta scan, Virtual CT bronchoscopy and colonoscopy, Multi-planer reconstruction, 3D and VRT, Perfusion scan and guided  interventional procedures are performed with highly improved image quality and lesser scan time.

 

Added advantages are :

Very short scan time e.g. whole body scan from head to toe, especially in poly trauma cases, can be covered in 10 to 12 seconds.

MDCT angiographies of any part of the body, MDCT coronary angiography with superb reconstructed images, is being regularly performed.

Being Dual energy Unit, Stone evaluation, metal artifact removal and other applications are being regularly performed.

Middle and inner ear studies can be performed utilizing sub-millimeter slice thickness.

All the post-processed images are of high quality produced within short period due to faster performance with thinner slices. 

The department is also equipped with the state of the art 1.5 T MRI with 10 coils including special coils for wrist, shoulder, ankle and temporo-mandibular joint. Special studies which are done using this equipment include

  • Volumetric brain imaging
  • Diffusion,  ADC mapping , diffusion TENSOR imaging, tractography
  • Perfusion imaging.
  • Chemical shift imaging (MR spectroscopy) with low, intermediate and high TE values.
  • Motion correction software for brain imaging.
  • Angiograms and venograms (2D and 3D TOF, PHASE CONTRAST, FLUORO-TRIGGERED contrast angiogram),
  • 3D FIESTA for cranial nerves
  • Basic functional imaging
  • Cartigrams and gradient imaging
  • Whole spine coronal pasted images
  • Whole body diffusion imaging
  • Multiphasic tissue enhancement for abdomen and pelvis (LAVA)
  • Multiphasic contrast angiogram(TRICKS).
  • MRCP,  MRuroraphy and MR myelography.                 

 

Teaching Program

The department is academically comparable with few of the apex departments in India. The department is equipped with an extensive image library, e-library, and a video library.

It has excellent teaching faculty interested in teaching, conducting all the teaching programs and guiding the students accordingly.

We have apart from UG training program, PG degree (M.D.) and Diploma, (DMRD)courses are being conducted.

We have introduced on-line teaching program for PGs, in collaboration with some of the teaching faculties from overseas Universities.

It has a separate departmental book library and a museum with many interesting radiological artifacts. The department conducts regular clinical postings for undergraduates and special postings for dental postgraduates. Regular seminars on interesting topics are conducted in the department. Specialized training programs and observer ship programs for ultrasound, CT and MRI are also being conducted in the department. The department conducts certificate and diploma courses in radiography. Specialized training programs for medical engineers are also conducted in the department. 

 

Publications

  1. Patil PB, kamalapur MG, Joshi SK. Isolated tuberculoma of cord: MRI evaluation. Biomedical Intervention and Imaging Journal
  2. Kamalapur MG, Patil PB, Joshi S, Shastri D. Pseudomalignant myositis ossificans involving multiple masticatory muscles: Imaging evaluation. Indian Journal of Radiology and Imaging. 2014 Jan; 24(1):75-9.
  3. Kamalapur MG, Patil PB, Joshi S, Shastri D. Nodular fasciitis of the masticatory space: magnetic resonance imaging evaluation. Hong Kong Journal of Radiology. 2013;16:149-54.
  4. Annigeri VM, Shanbhag R, Kulkarni V, Naik AS, Patil PB. Nasal Glioma: a case report. Karnataka Pediatric Journal. 2012 Sept; 28(2&3):
  5. Mahabalshetti AD, Aithal KR, Patil BS, Patil PB. Insulinoma- a misleading neuroendocrine tumour. International Journal of Biological and Medical Research. 2013; (1): 2975-2977.
  6. Hippargi HS, Tonne V. Pitfalls in diagnosing a tension pneumopericardium-a case report. International Journal of Clinical Medicine, 2013, 4, 205-207.
  7. Annigeri VM, Desai S, Dasar S, Kulkarni V, Halgeri AB. Lumbo-costo-vertebral syndrome-case report. Karnataka Paediatric Journal. 2013 Oct-Dec; 28(4):
  8. Rani H, Kulkarni AV, Rao RV, Patil P. Chiari III Malformation: a rare case with review of literature. Fetal & Pediatric Pathology. 2013 Jun; 32(3): 169-74.
  9. Harihar V. Hegde, Shanmukh Hiremath, Ashwin S. Kulkarni, M.P. Bharat, Srinivas K. Kalabhavi, Ravi L. Bhat. Emergency, anaesthetic and intensive care management of a case of eventration of diaphragm, Bochdalek hernia and an intra-thoracic gastric rupture with gastric gangrene. Trends in Anaesthesia and Critical Care 2011; 1: 42-45.
  10. Kamate MR, Tonne V, Babubnale S. “Eye of the Tiger” sign and classic pantothenate Kinase associated neurodegeneration. Indian Journal of pediatrics. 2011 Jan; 28(1): 121-2.
  11. Naikmasur VG, Sattur AP, Joshi SK, Rai A. Congenital syngnathia: case report and review of literature. The Cleft Palate-Craniofacial Journal. 2010 Nov; 47(6): 654-60.
  12. Guttal KS, Naikmasur VG, Joshi SK, Bathi RJ. Trigeminal neuralgia secondary to epidermoid cyst at the cerebellopontine angle: case report and brief overview. Odontology. 2009 Jan; 97(1): 54-6.
  13. Neelam, Malik, Joshi SK. Sodhi JS. Renal artery occlusion secondary to blunt abdominal trauma. Indian Journal of Surgery. 1982 April.
  14. Hegde N, Joshi SK, Neelam,Raghu MK, Sharma P. Diagnostic Fibrous Dysplasia: Study of 25 cases. IJR, 1983 Aug; 37(3):
  15. Neelam. Malik MD, Sharma SK, Nagi B, Joshi SK, Dhawan S, Jain S, Sodhi JS. Transcatheter therapeutic arterial embolization of renal tumours. Indian Journal of Cancer. 1981; 18: 218-221.
  16. Neelam M, Joshi SK, Lamba GS. Sacral RIB( Report of two cases). IJR, 1981 Feb; 37(1):
  17. Dibbad R, Deshmukh M, Merchant H, Shikhare S. Spontaneous intramural hematoma of the small bowel- a complication of anticoagulant therapy. Internet Scientific Publications.
  18. Rahalkar MD, Rahalkar AM, Joshi SK. Case series: congenital insensitivity to pain and anhidrosis. Indian Journal of Radiol Imaging. 2008; 18(2) 132-134.
  19. Patil PB, Kamalapur MG, Sindhur JC, Joshi SK. Hypothalamic cavernous angioma associated with memory and behavior disturbance attacks: role of imaging in diagnosis. Iran Journal of Radiology. 2012; 9(1) 42-44.
  20. Kulkarni PR, Rao RV, Alur MB, Joshi SK. Iniencephaly clausus: a case report with review of literature. Journal of Pediatric Neurosciences. 2011; 6() 121-123.
  21. Patil PB, Kamalapur MG, Joshi SK, Dasar SK, Rao RV. Lipoma arborescens of knee joint: role of imaging. Radiology Case. 2011; 5(11) 17-25.
  22. Parshawnath HA, Kulkarni PR, Rao RV, Joshi SK, Patil PB. Phosphaturic mesenchymal tumor of ethmoid sinus. Indian Journal of Pathology and Microbilogy. 2010; 53(2) 384-385.
  23. Yaliwal LV, Sunilkumar KS, Desai RM, Joshi SK. Cystic hygroma: a differential diagnosis for increased nuchal translucency. Asian Journal of Pharmaceutical & Health Sciences. 2012; 2(2) 305-307.
  24. Kamalapur MG, Patil PB, Joshi SK, Melkundi S, Patil SS, Ganavalli GS, Kulkarni RD. Role of magnetic resonance imaging in distinguishing fungal from nonfungal multiple brain abscesses. The Egyptian Journal of Radiology and Nuclear Medicine. 2011; 42() 397-404.
  25. Hegde HV, Yaliwal VG, Joshi SK, Rao RP. The Sheared Central Venous Catheter. Case Reports in Anesthesiology. 2011;1-4.
  26. Hegde DG, Bagalkot PS, Patil PB. Cerebro-costo-mandibular syndrome: pierre robin sequence with rib dysplasia. Indian Journal of Pediatrics. 2011; 78(7) 892-893.
  27. Annigeri VM, Hegde HV, Patil PB, Halgeri AB, Rao RP. Congenital giant megaureter with duplex kidney presenting as abdominal lump in a neonate. Journal of Indian Association of Pediatric Surgeons. 2012; 17(4) 168-170.
  28. Annigeri VM, Hegde HV, Patil PB, Halgeri AB, Pyloroduodenal duplication cyst. Joural of Indian Association of Pediatric Surgeons. 2012; 17(2) 80-81.
  29. Hegde HV, Patil PB, Rameshkumar R, Sunita TH, Bhat MT, Desai RM, Rao RP. A rare case of antepartum posterior reversible encephalopathy syndrome. Anaesthesia and Intensive Care. 2011; 39() 499-502.
  30. Annigeri VM, Pai VV, Dasar SK. Kaposiform hemangioendothelioma with kasabach-merritt syndrome in a newborn. Eur. J. Pediat Dermatolgy. 2012; 22 249-252.
  31. Phosphuturic mesenchymal tumor of ethmoidal sinus. Indian Journal of Pathology and Microbiology 53 (2), April-June 2010.
  32.  "A rare case of antepartum posterior reversible encephalopathy syndrome" Anesthesia and Incentive Care, Volume 39, No.3 May 2011.
  33. “The Sheared Central Venous Catheter?, “ Case Reports in Anesthiosiology Volume 2011 (2011), Article ID 379827.
  34. “Cerebro-costo-mandibular Syndrome: Peirre Robin, Sequence Right Rib Dysplasia”. Indian Journal of pediatrics - online journal Published on 09/01/2011

 

Dissertations/ Research

  1. HRCT temporal bone non traumatic temporal bone lesion evaluation.
  2. HRUSG of shoulder rotator cuff & non neoplastic lesion evaluation .
  3. HRCT chest - role in chronic interstitial lung disease            .
  4. Triplex doppler evaluation of carotid and vertebral system in pateint with cerebro-vascular insufficiency.
  5. Diffusion weighted MRI in evaluation of intracranial lesion.           
  6. Sonographic evaluation of umbilical cord thickness and its perinatal outcome.
  7. CSOM versus cholesteatoma, radiological features on HRCT temporal bone.

 

Faculty

1
Dr. Narendrakumar M. Shah
Professor & HOD
2
Dr. Shyamsundar K. Joshi
Professor
3
Dr. Moham S Bhavikatti
Associate Professor
4
Dr. Preetam B. Patil
Associate Professor
5
Dr. Rajeev B. Dibbad
Assistant Professor
6
Dr. Devaraja S M
Assistant Professor
7
Dr. Vinayak Tonne
Assistant Professor
8
Dr. Santosh K. Dasar
Assistant Professor
9
Dr. Ambika S Gayad
Assistant Professor
10
Dr. Ashok Kumar
Assistant Professor
11
Dr. Bapusaheb R. Patil
Sr. Resident
12
Dr. Suhas Hanchinmani
Sr. Resident
13
Dr. Yogi Datta
Sr. Resident
14
Dr. Bharati
Sr. Resident
15
Dr. GururajBangari
Sr. Resident
16
Dr. Kiran Biradar
Jr. Resident
17
Dr. Radha K R
Jr. Resident
18
Dr. Kiran R
Jr. Resident
19
Dr. Arpita Sanikop
Jr. Resident
20
Dr. Karthikeya D Hebbar
Jr. Resident
21
Dr. Patil Sushil Harshavardhan
Jr. Resident
22
Dr. Charvi S Patel Lalani
Jr. Resident
23
Dr. Tushar Kumar
Jr. Resident
24
Dr. Meshach Praveen Kumar M
Jr. Resident
 
 

 

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