Musculoskeletal Imaging and Intervention Fellowship

Fellowship Overview

The Musculoskeletal Imaging and Intervention Fellowship is a comprehensive one-year program, providing robust educational experience in all aspects of diagnostic and interventional musculoskeletal radiology.

The Division of Musculoskeletal Imaging and Intervention has 5 full-time faculty. The program is offered at 5 major facilities: Keck Hospital of USC, HealthCare Consultation Center, LAC + USC Medical Center, Norris Comprehensive Cancer Center and Hospital, and USC Verdugo Hills Hospital. Our faculty, the rich clinical material, and our excellent relationships with the referring clinicians, afford a robust educational environment for all aspects of diagnostic and interventional musculoskeletal radiology, in which our fellows thrive. At the conclusion of their training, our fellows are well- prepared for demanding practices, in both academic and private practice settings, and our program alumni occupy such positions in California and other states.

Curriculum

Our clinical setting is that of a major academic referral center for musculoskeletal disorders, and as such our fellows gain substantial exposure to a full gamut of musculoskeletal pathologies in our busy oncology, sports medicine, rheumatology, infection, metabolic imaging, and trauma services.

The Division of Musculoskeletal Imaging and Intervention is responsible for interpretation of adult musculoskeletal plain radiographs encompassing essentially the entire range of musculoskeletal pathologies, commonly serving as the basis for interpretation of advanced imaging.

Our facilities include state-of-the-art MRI (3.0 Tesla and 1.5 Tesla) and CT (up to 320 slice) equipment with dedicated musculoskeletal packages such as metal artifact reduction software and dual-energy acquisition capabilities. We provide interpretation for all adult and pediatric musculoskeletal MRI and CT examinations, while consultations on musculoskeletal MRI and CT studies acquired at non-USC facilities offer further exposure to interesting cases.

Our division also utilizes the most advanced ultrasound equipment with features such as shear-wave elastography as well as contrast-enhanced ultrasound, primarily in our rheumatology, sports medicine, and oncology services for evaluation of tendon, joint, and muscle pathologies as well as soft tissue masses.

The Division of Musculoskeletal Imaging and Intervention enjoys a busy interventional service, and a myriad of imaging-guided diagnostic and therapeutic procedures are routinely performed by our staff and fellows. Fluoroscopy, ultrasound, and CT are utilized for imaging guidance, and various procedural instruments are available for our interventions. Our fellows gain substantial experience in joint and bursa infections, aspirations, tendon interventions, nerve blocks, muscle biopsies, bone marrow aspirations, as well as bone and soft tissue biopsies for initial diagnosis of primary or metastatic tumors, infection, tumor re-staging and recurrence, as well as tumor molecular profiling and genomic testing.

Our division is a major referral practice for minimally invasive thermal ablation of benign and malignant musculoskeletal tumors. We utilize various thermal ablation technologies including radiofrequency ablation, cryoablation, and microwave ablation to treat benign bone tumors such as osteoid osteoma and chondroblastoma as well as local tumor control and/or palliation of malignant tumors of bone and soft tissues including musculoskeletal metastases.

Our service line includes pediatric musculoskeletal interventions, and a few of our staff perform spine interventions such as thermal ablations, biopsies, and injections.

Our division provides several didactic and case conferences for fellows and residents covering full range of pathologies in diagnostic musculoskeletal radiology as well as techniques in musculoskeletal interventions. Our fellows also participate in weekly didactic conferences offered by orthopedic surgeons.

We actively participate in several multi-disciplinary conferences including weekly orthopedic oncologic surgery and orthopedic sports medicine conferences, as well as a monthly rheumatology conference which provide in-depth experience in diagnosis, management, and follow up of complex cases.

There are ample scientific and educational research opportunities in musculoskeletal imaging and intervention available to our fellows. Cutting edge imaging equipment, including a high-field 7.0 Tesla MR scanner with dedicated musculoskeletal sequences, is available.

We also routinely publish in high-impact radiology journals and are active at many national meetings.

Applications Guidelines

The Musculoskeletal Imaging and Intervention Fellowship is participating in the National Resident Match Program (NRMP) for the 2022-2023 appointment year. Please review the Society of Skeletal Radiology website for further details.

We are offering 2 fellowship positions for the 2022-2023 academic year and will begin accepting applications on August 1, 2020.

Select applicants will be invited for virtual interviews, starting after November 1st, 2020 and running through January, 2021.

Applications Requirements

Please email your application file to:

Kevin Pacheco
Program Coordinator
E-mail: kevin.pacheco@med.usc.edu
Phone: (323) 865-9914
Fax: (323) 865-5565

Anderanik Tomasian, MD
Program Director, Assistant Professor of Clinical Radiology
E-mail: anderanik.tomasian@med.usc.edu