Thoracic Imaging
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Radiology Handbook
Formerly known as Chest
Radiology, the Thoracic Imaging Section of our department
is responsible for a variety of clinical chest-related
imaging, including computed radiographs (digital chest
x-rays), CT scans, chest biopsies (including lung),
and some cardiovascular imaging. In addition, the
section does research in these areas, as well as MR
imaging of the chest. They cover HUP, Radnor, and
partially Presbyterian, reading over 85,000 examinations
a year. Because those most vital organs, the lungs,
are included in the chest, the thoracic imagers have
weekly conferences with groups that include doctors
from pulmonary medicine, oncology, surgery, pathology,
and others, as well as daily conferences for the various
intensive care units. The section includes 8 full-time
faculty and 4 part-time faculty.
Dr. Gefter, section chief, says that this is the most
exciting time to be in chest imaging, with the new
functional imaging possibilities, new multi-dimensional
image display and analysis tools, and markedly improved
scanners available. Indeed, Penn is a major site for
functional lung imaging, with Dr. Gefter and thoracic
imaging colleague Dr. Torigian collaborating with
Rahim Rizi, an MR researcher in the department, to
develop hyperpolarized gas imaging of the lungs. (See
the article elsewhere in this issue.) Another functional
technique is being developed with Larry Dougherty,
another MR researcher, who is studying optical flow
imaging to help assess changes in the lungs over time.
Currently used to study lung nodules, they hope in
the future to be able to identify and quantify regions
of abnormal function and subsequently the disease
progression, or improvement with treatment. This can
be applied to studies of emphysema, pulmonary fibrosis,
pulmonary embolism, and the evaluation of transplant
or lung volume reduction surgery
Scheduling
Radiology appointments are made, either by the referring
physician's office, or by the patient, directly. Radiology
Main Scheduling can be reached at (215) 662-3000.
If you (the patient) scheduled the appointment, you will need to bring the referring physician's prescription (signature) to the examination.