Diagnostic Radiology

The Department of Diagnostic Imaging (Radiology and Nuclear Medicine), is a subspecialty-oriented imaging group on the university model. Fellowship-trained radiology subspecialists deal with each of the recognized imaging specialties: Nuclear Medicine, Neuroradiology/Head-Neck, Body Imaging (CT, Ultrasound, and MRI from the thoracic inlet to the pelvic floor), GI Fluoroscopy, Angio/Interventional, and Breast Imaging.

Equipment is state-of-the-art and includes a 64-slice GE VCT, a triple-head large crystal Gamma camera (SPECT-capable), a dual-head total body gamma camera (SPECT-capable), GE Discovery ST PET/CT, McKesson PACS, Digital Mammography, stationary and multiprobe portable ultrasound units, and 1.5 Tesla MR. A 3.0 Tesla MR is pending.

The radiologic subspecialists provide far more than film interpretation, because the department is oriented towards imaging-guided organ biopsies and imaging-guided procedures of all kinds. The professional staff includes 11 full-time nurses trained in conscious sedation, to assist with over 15 guided procedures each day, and an 8-bed fully-staffed recovery ward is located adjacent to the department for this purpose. Three Radiology PA’s perform procedures, assist with research analysis, and interpret certain images under radiologist supervision.

Faculty

Zachary D. Grossman, MD, FACR
Chairman
Professor of Radiology
SUNY at Buffalo

Body Imaging

Peter A. Loud, MD
Director
Associate Professor of Radiology
SUNY at Buffalo

Lalit K. Gurtoo, MD
Steven Herman, MD
Peter Klieger, MD
Alan Klitzke, MD
Prasanna R. G. Kumar, MD
Stephen P. Laufgraben, MD
Roger M. Smith, MD
Rekha Vijaykumar, MD
Timothy Hanna, RPA-C

Neuroradiology, Head & Neck

Ronald A. Alberico, MD
Director
Associate Professor of Radiology
SUNY at Buffalo

Ahmed Abdelhalim, MD

Angio/Interventional Radiology

Garin M. Tomaszewski, MD
Director

Sadashiv S. Shenoy, MD
Michael Ryan, RPA-C, RT

Mammography

Ermelinda Bonaccio, MD
Director

Prasanna R.G. Kumar, MD
Lari M. Scorza, MD
Roger M. Smith, MD

Nuclear Medicine

Dominick M. Lamonica, MD
Director
Assistant Professor of Radiology
SUNY at Buffalo

Zachary D. Grossman, MD, FACR
Peter Klieger, MD
Alan K. Klitzke, MD

Administrative Director

Jack M. LaShomb, RT(R), MS

Recent research and academic efforts:

Cheruvu B, Henning K, Mulligan J, Klippenstein D, Lawrence D, Gurtoo L. Iodizanol: Risk of Subsequent Contrast Nephropathy in Cancer Patients With Underlying Renal Insufficiency Undergoing Diagnostic Computed Tomography Examinations. J Comput Assist Tomogr 2007;31:493-498.

The International ELCAP investigators. Survival of patients with stage I lung cancer detected on CT screening. N Engl J Med 2006; 355:1763-1771

The International ELCAP investigators. Women’s susceptibility to tobacco carcinogens and survival after diagnosis of lung cancer. JAMA 2006; 296:180-184

The International ELCAP investigators. Computed tomographic screening for lung cancer: prevalence and incidence of mediastinal masses. Radiology 2006; 239:586-590

Loud PA, Katz DS, Fantauzzi JP, Hoffman JC, Grossman ZD. Identification of chronic DVT, and serial evolution of DVT, on CT venography. Education exhibit submitted for presentation at the Radiological Society of North America meeting, Chicago, 2007.

Katz DS, Hoffman JC, Choi AY, Loud PA, Hon M, Grossman ZD. CT venography in suspected venous thromboembolism: findings, pitfalls, and controversies. Poster presentation at the Society of Interventional Radiology meeting, Seattle, 2007.

M.M. Javle, P. Shah, V. Bhagat, A.M. Litwin, et al.: Cystic Pancreatic Tumors (CPT): Predictors of Malignant Behavior. Journal of Surgical Oncology 2007 Feb 23;95(3):221-228.

B. Gupta, C. LeVea, A.M. Litwin, M.G. Fakih: Reversible Grade 4 Hyperbilirubinemia in a Patient with UGT1A1 7/7 Genotype Treated with Irinotecan and Cetuximab. Clinical Colorectal Cancer – March 2007.

M. Sullivan, D.M. Casey, R.A. Alberico, A.M. Litwin, N.G. Schaaf: Hyperostosis in an orbital defect with craniofacial implants and open-field magnets: A clinical report. J Prosthet Dent 2007;97:196-9.

 

New York Early Lung Cancer Action Project Investigators (Klippenstein D, et al). CT screening for lung cancer: diagnoses resulting from the New York early lung cancer action project. Radiology 2007; 243(1): 239-49.

Loewen G, Natarajan N, Tan D, Nava E, Klippenstein D, et al. Autofluorescence bronchoscopy for lung cancer surveillance based on risk assessment. Thorax 2007; 62: 335-340.

Klippenstein DL, Lamonica DM. Preoperative Imaging for Metastasectomy. Surg Oncol Clinics North America 2007; 16(3): 471-92.

Cheruvu B, Henning K, Mulligan J, Klippenstein D, et al. Iodixanol: risk of subsequent contrast nephropathy in cancer patients with underlying renal insufficiency undergoing diagnostic computed tomography examinations. J Comput Assist Tomogr 2007; 31: 493-98.

Carter D, Vazquez M, Flieder DB, Brambilla E, Gazdar A, Noguchi M, Travis WD, Kramer A, Yip R, Yankelevitz DF, Henschke CI, ELCAP and NY-ELCAP Investigators. Comparison of pathologic findings of baseline and annual repeat cancers diagnosed on CT screening. Lung Cancer 2007; 56(2): 193-9.

International Early Lung Cancer Action Program Investigators. Computed tomographic screening for lung cancer: individualizing the benefit of the screening. European Respiratory Journal 2007; 30: 843-7.

D. Klippenstein and D Lamonica, Preoperative Imaging for Solid Cancer Metastases. In preparation Surg Oncol Clin N Am 2007

Chadha MK, Iyer R, Nava ME, Abdelhalim A, Gibbs JF. Leptomeningeal metastases from signet ring adenocarcinoma of the cecum. J Clin Oncol. 2007 Nov 1; 25(31):5028-9.

Abdelhalim A, Barcos M, Block AW, Sait SN, Starostik P, Wetzler M, Wang ES. Remission of Philadelphia chromosome-positive central nervous system leukemia after dasatinib therapy. Leuk Lymphoma. 2007 May; 48(5):1053-6.

Battiwalla M, Paplham P, Almyroudis NG, McCarthy A, Abdelhalim A, Elefante A, Smith P, Becker J, McCarthy PL, Segal BH. Leflunomide failure to control recurrent cytomegalovirus infection in the setting of renal failure after allogeneic stem cell transplantation. Transpl Infect Dis. 2007 Mar; 9(1):28-32.

Grossman, Z.D.: The uses of PET and PET/CT in cancer staging. Patient Care, July 2006. CT Venography in Suspected Venous Thromboembolism: Findings, Pitfalls, and Controversies. Katz DS, Grossman ZD, Loud P, Hoffmann J.

Association of University Radiologists 55th Annual Meeting, April 2007.

Chronic Deep Vein Thrombosis on CT Venography. Loud P, Lin CT, Katz DS, Fantauzzi JP, Hoffman JC, Grossman ZD.

Society of Thoracic Radiology Annual Meeting, March 2008.

Cost-Effective Diagnostic Imaging: The Clinician’s Guide, 4th edition, Mosby/Elsevier, June 2006, Zachary D. Grossman, MD, Douglas S. Katz, MD, Ronald A. Alberico, MD, Peter A. Loud, MD, Jonathan S. Luchs, MD, Ermelinda Bonaccio, MD