The temporal bone houses many small structures important in the hearing and balance mechanism. There are a number of structures and disease entities in the temporal bone with which one must be familiar in order to proficiently interpret a computed tomographic or magnetic resonance imaging study of the temporal bone. It is helpful to examine the region in an organized and systematic fashion, going through the same checklist of key structures each time. This approach is essential to understanding temporal bone anatomy, localizing a pathologic process,identifying pertinent positives and negatives, and formulating a differential diagnosis.
Dr. Gul Moonis concurrently serves as a radiologist and internist at Beth Israel Deaconess Medical Center in Boston and as an associate professor of radiology at Columbia University Medical Center in New York. In her practice, Gul Moonis, MD, maintains a clinical interest in head and neck radiology and techniques for imaging of the ear and temporal bone.
The temporal bone houses many small structures important in the hearing and balance mechanism. There are a number of structures and disease entities in the temporal bone with which one must be familiar in order to proficiently interpret a computed tomographic or magnetic resonance imaging study of the temporal bone. It is helpful to examine the region in an organized and systematic fashion, going through the same checklist of key structures each time. This approach is essential to understanding temporal bone anatomy, localizing a pathologic process,identifying pertinent positives and negatives, and formulating a differential diagnosis.
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Internist and radiologist Gul Moonis, MD, has provided her medical expertise in a variety of capacities, most recently with the Department of Radiology at Beth Israel Deaconess Medical Center. Dr. Gul Moonis also has fulfilled several positions at the University of Pennsylvania School of Medicine (Penn Medicine), including serving as an instructor in neuroradiology and assistant professor in radiology, as well as course director for Neuroradiology Departmental Fellowship. Spanning the course of five full business days, the Neuroradiology Departmental Fellowship is offered to seven individuals each year. To qualify for the fellowship, each applicant must have completed residency programs in radiology and be board certified or eligible for board certification. As an intensive training program, the fellowship provides the opportunity for participants to study crucial neuroradiology aspects, including angiography, head and neck radiology, resonance imagery, and image-guided diagnostic and interventional procedures. Fellows are also exposed to the use of MRIs and several types of equipment, such as multidetector CT scanners and state-of-the-art three-dimensional laboratories, routinely used within the field of radiology. A rigorous and multidisciplinary program ensures that fellows are exposed to clinical and academic activities in neuroradiology and how they relate to head and neck surgery, neuropathology and neurosurgery departments at Penn Medicine. Additionally, fellows have the opportunity to attend interdisciplinary conferences, as well as participate in funded research projects with the neuroradiology staff. To apply for the fellowship, each prospective fellow must provide three letters of recommendation, a personal statement, a letter from his or her medical school dean, and medical school transcripts, in addition to several other documents. Gul Moonis, MD, leverages extensive experience in radiology to serve as an assistant professor of radiology at Harvard Medical School and as a radiologist at Beth Israel Deaconess Medical Center. A recognized researcher in neuroradiology, Dr. Gul Moonis also maintains membership with professional organizations such as the Radiological Society of North America (RSNA).
The RSNA recently issued an article on the various challenges and opportunities in radiology, authored by prominent researcher James H. Thrall, MD, who leads the department of radiology at Massachusetts General Hospital, Boston. According to Dr. Thrall, a wide range of opportunities and measurable parameters have been created in radiology as a result of new digital technologies and energy sources, including sonic, nuclear, and radiofrequency. The array of measurable parameters has allowed medical imaging to expand into the spheres of pharmacology and physiology, as well as molecular and cellular biology, while increasing the scale of measurement from millimeters to nanometers. In the article, Dr. Thrall also explains that the next 10 years of innovations in x-ray-based imaging will lead to the submillisievert period of CT imaging as well as significant reductions in radiation exposure. With extensive experience in the field of neuroradiology, Gul Moonis, MD, serves as a radiologist at Beth Israel Deaconess Medical Center and as an assistant professor of radiology at Harvard Medical School. Dr. Gul Moonis also conducts research and stays abreast of developments in radiology techniques such as temporal bone imaging.
In a recent study published in the American Journal of Neuroradiology, researchers from the Mayo Clinic explored how to reduce radiation exposure and enhance image quality during temporal bone CT imaging. The researchers investigated this topic because the dose of radiation for temporal bone CT is often greater as a result of high spatial resolution requirements. During the study, the researchers sought to determine if there was less image noise and better spatial resolution from the combination of an iterative reconstruction algorithm and an ultra-high-resolution scan mode compared to a z-axis ultra-high-resolution protocol. After isolating eight suitable patients and 16 pairs of temporal bone images, the researchers compared ultra-high-resolution-iterative reconstruction and paired z-axis ultra-high-resolution images. The researchers concluded that ultra-high-resolution-iterative reconstruction scan mode for CT of the temporal bone offers comparable or somewhat improved resolution in comparison to the z-axis ultra-high-resolution mode while delivering significantly less image noise. According to the study abstract, this could allow the radiation dose to be decreased by about 50 percent. An experienced radiologist in Boston, Massachusetts, Gul Moonis, MD, is an adept reader of CT and MRI examinations, reviewing a large number of them each day at the Beth Israel Deaconess Medical Center. Medical professionals like Dr. Gul Moonis may use MRI scans to help diagnose or treat patients with certain types of injuries and medical ailments.
MRI, or magnetic resonance imaging, is used as a noninvasive approach to investigating conditions occurring in organs, tissues, and the skeletal system. Since its implementation into the practice of medicine in the 1980s, it has been used to test and diagnose conditions occurring throughout the body and is frequently employed for imaging the brain and spinal cord. Using a system of magnetic fields to produce an image, MRI can help physicians diagnose eye and inner ear disorders, aneurysms, tumors, and bone infections, as well as other abnormalities of the organs and muscles. MRI scans do not emit radiation, and are a painless way for doctors to assess ailments and plan treatments for many patients. An radiologist, Gul Moonis, MD, joined the radiology team at Beth Israel Deaconess Medical Center in 2007. Dr. Gul Moonis is board certified in the field of radiology and possesses a subspecialty in diagnostic neuroradiology. Invited to review numerous medical publications, she utilizes her expertise to ensure accuracy of chapters and papers written about vascular diseases, brain tumors, and imaging of the temporal bone.
The use of high-resolution computed tomography (CT) scanning of the temporal bone dates back to the 1980s and has given medical professionals enhanced ability to accurately identify underlying issues in the body, including bony abnormalities and injuries. This is due in large part to a cross-sectional scanning method that rotates an X-ray beam around the head to capture sliced images of the skull. A person undergoing a CT scan of the temporal bone will be given a detailed explanation of the procedure beforehand. Depending on the type of issue, a technologist or radiologist may inject a contrast dye into the patient’s IV. A metal taste in the mouth and a warm sensation are typical. The patient must lie still during the entirety of the procedure, which includes being scanned in two different positions with the head placed in a holder. If at any point, the patient experiences nasal congestion, swelling, or itching, he or she should notify the medical professional, who is present at all times to monitor and administer the CT scan. A neuroradiologist, Gul Moonis, MD, has expertise in the field of head and neck radiology. Dr. Gul Moonis currently provides radiology services at the Beth Israel Deaconess Medical Center in Boston, Massachusetts. She has been a part of the team since 2007.
The field of radiology regularly uses computed tomography scans, also known as a CT scan, to create images of different parts of the body. While the amount of radiation is low, a new technique dubbed adaptive statistical iterative reconstruction (ASIR) was introduced to the field recently, which reduces the radiation levels even further. According to the American Journal of Roentgenology, when using ASIR to conduct a CT colonography, the radiation delivered is reduced by half. In addition, tests have shown a significant decrease of up to 66 percent in radiation levels for abdominal CT scans using the ASIR technique. The new approach also reduces noise in images, which provides clearer pictures of internal organs and tissues. A member of the Radiological Society of North America, Gul Moonis, MD, is an attending staff radiologist at the Beth Israel Deaconess Medical Center in Boston, Massachusetts. Over the course of her career, Dr. Gul Moonis has contributed to numerous medical publications and authored many chapters related to temporal bone imaging. In addition, she has presented on the topic at the medical center’s radiology conference and the American Society of Head and Neck Radiology .
Located at the base and sides of the skull, just below the temple, the temporal bone is the covering of the brain that serves as a site for muscle attachment and housing hearing organs. To gain insight on the bone’s condition, a computed tomography scan, commonly referred to as a CT or CAT scan, is used to capture different levels of the bone. The images are produced in slices, which allow a radiologist to closely exam multiple regions of the temple and skull and determine if any injuries or abnormalities exist. This information is then relayed to the attending physician to determine next steps for patient treatments. Gul Moonis, MD, serves as an attending staff radiologist at Beth Israel Deaconess Medical Center in Boston, Massachusetts. An involved member of the medical community, Dr. Gul Moonis is active with several professional organizations, including the Radiological Society of North America (RSNA).
RSNA has opened registration for its upcoming annual meeting, which will be held November 30 – December 5, 2014, at McCormick Place in Chicago. The six-day event will include an educational program featuring over 300 courses covering topics pertinent to radiologists working in every subspecialty. In addition, the meeting will incorporate thousands of scientific presentations and a range of education exhibits that attendees can explore throughout their stay. Attendees at the event will also have the opportunity to hear from a number of prominent guest lecturers, including Francis Collins, MD, PhD, the director of the National Institutes of Health. Outside of the educational programming, there are a number of activities planned to celebrate RSNA’s 100th annual meeting. Those at the event can take part in the celebration by attending the Sip & Savor Social on December 3rd and exploring the Centennial Showcase, an interactive exhibit that will highlight the advancements made by RSNA during its first 100 years. |
AuthorBoston Area Radiology Professor Dr. Gul Moonis Archives
October 2019
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