Ultrasound
The Ultrasound (US) section at Yale offers a complete range of US studies using state of the art equipment. The section is composed of world class faculty who provide sub-specialty US expertise in both vascular and non-vascular pathology that encompass a full range of diseases in adults. We are closely allied with our clinical colleagues through our collaboration in tumor boards and research projects, and we routinely provide same-day add-on services, such as fine needle aspiration for thyroid nodules and intra-operative assistance, to our referring providers. Our facilities at both the Smilow Cancer Center and our outpatient sites provide an unparalleled experience for all our patients
Clinical Information
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The US section performs diagnostic ultrasound imaging of the abdomen, pelvis (gynecologic and first trimester pregnancy), and extremities. In addition, the section performs all vascular imaging including transcranial Doppler Imaging, evaluation of neck (carotid), abdomen, and pelvic vasculature, pre and post-op evaluation of peripheral vascular disease including stents and bypass grafts, renal artery stenosis, and hemodialysis access grafts. Specialized examinations including renal, pancreas, and liver transplant, elastography, transrectal US, musculoskeletal US, endocrine US (thyroid and parathyroid), scrotal US, and contrast enhanced US are also performed.
The section also performs non-invasive vascular screening studies including ABIs, PVRs and measurement of IMT (fibrointimal thickness) in the carotid arteries (a screen for asymptomatic cardiovascular disease). Yale US is accredited in vascular ultrasound by the ACR/AIUM.
Research Directions
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- GYN and first trimester US
- Dialysis graft US
- Carotid US
- IV US contrast
- Transplant complications imaged with US
- Prediction of thyroid cancer and location of Percutaneous Transluminal Angioplasty (PTA)'s by US imaging
- Correlation of vascular US with Magnetic Resonance Angiography (MRA), Computer assisted tomography (CTA) and cardiac echo
- Cranial ultrasound
- Vascular ultrasound
- Radiofrequency ablation and chemoembolization of liver tumors
- Venous access in oncology and hemodialysis patients
- Therapeutic ultrasound
- HIFU
- HIDU
- Histotripsy
Education
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The faculty in the US section are dedicated educators provide teaching services to medical students, sonography students, residents, fellows, and technologists. Resident education takes place on a daily basis through interactive readout sessions and there is a dedicated resident conference with a curriculum which cycles every 1.5 years.
The faculty also participate in the weekly Body Division Club conference where they lend their expertise to interesting cases shown by the fellows. The US section faculty also provides a separate fellowship lecture series which is given on Wednesdays and is divided amongst the faculty in the Body Division.
Medical students and physicians from other services (vascular surgery) routinely rotate through our various services and we regularly provide our expertise to help educate our technologist and sonography students.
Publications
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2026
- Peer-Reviewed Original ResearchConceptsImaging findingsNervous system infectionVector-borne infectionsRegions of nonendemicityClinical presentationLaboratory findingsDifferential diagnosisSystemic infectionPotential complicationsPotential sequelaeAccurate diagnosisImage featuresClinical informationImaging modalitiesLifesaving treatmentInfectionDiagnosisSequelaeEpidemiological factorsNeckRadiologistsSpineMedical mystery
ACR Appropriateness Criteria® Suspected and Known Renal or Splanchnic Artery Aneurysm
Imaging P, Partovi S, Li X, Aghayev A, Hedgire S, Abuzaid A, Ahmad S, Hamid A, Henkin S, Hulten E, Nagpal P, Pillai A, Revzin M, Ripley B, Saboo S, Shih R, Siracuse J, Solnes L, Thomas R, Majdalany B. ACR Appropriateness Criteria® Suspected and Known Renal or Splanchnic Artery Aneurysm. Journal Of The American College Of Radiology 2026 PMID: 41860517, DOI: 10.1016/j.jacr.2026.02.030.Peer-Reviewed Original ResearchConceptsSplanchnic artery aneurysmsArtery aneurysmPregnant patientsAmerican College of Radiology Appropriateness CriteriaRAND/UCLA Appropriateness Method User ManualAmerican CollegeClinical scenariosEstablished methodology principlesAppropriateness of imagingLife-threatening complicationsMultidisciplinary expert panelTreatment planning purposesGrading of recommendations assessmentPatient-centered managementEvidence-based guidelinesSignificant vascular abnormalitiesContrast exposureNonpregnant adultsCatheter angiographyNoncontrast MRAAppropriateness CriteriaRisk stratificationActive surveillanceVascular abnormalitiesDiagnostic performanceDeep Learning-Based Generation of Synthetic Multiphasic MRI In Hepatocellular Carcinoma and Cirrhosis
Abosabie S, Abosabie S, Dai W, Yang J, Gross M, Weinreb J, Revzin M, Parmar G, You C, Lin M, Gaddum O, Gebauer B, Savic L, Madoff D, Duncan J, Chapiro J. Deep Learning-Based Generation of Synthetic Multiphasic MRI In Hepatocellular Carcinoma and Cirrhosis. JHEP Reports 2026, 101813. PMID: 41887530, DOI: 10.1016/j.jhepr.2026.101813.Peer-Reviewed Original ResearchConceptsCycle-consistent generative adversarial networkGenerative adversarial networkVisual Turing testGround-truth imagesAdversarial networkSingle-center datasetDeep learningHepatocellular carcinomaMRI examsSymmetric mean absolute percent errorTuring testPerformance metricsGround truthDisease diagnosingCirrhosis patientsQuantitative metricsOverlap metricsImage qualityMulti-reader studyPrecontrast sequencesLiver Imaging ReportingMetricsContrast media useContrast-enhanced MRIEvaluate similaritiesMultisystem Imaging Manifestations of Fibromuscular Dysplasia.
Sailer A, Solomon N, Cahill A, Kim E, Dixe de Oliveira Santo I, Sullivan A, Pellerito J, Czeyda-Pommersheim F, Malhotra A, Marino A, Katz D, Revzin M. Multisystem Imaging Manifestations of Fibromuscular Dysplasia. RadioGraphics 2026, 46: e240239. PMID: 41642726, PMCID: PMC12973093, DOI: 10.1148/rg.240239.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsDiagnosis of fibromuscular dysplasiaFibromuscular dysplasiaPresence of aneurysmsVascular bedPotential complicationsEarly diagnosisComplication of fibromuscular dysplasiaMultifocal fibromuscular dysplasiaFeatures of fibromuscular dysplasiaBlood pressure managementTreatment of fibromuscular dysplasiaArea of stenosisNonatherosclerotic arteriopathySmall-caliber arteriesFocal fibromuscular dysplasiaMultivessel involvementMesenteric arteryClinical manifestationsSubarachnoid hemorrhageDevastating complicationsAngiographic appearanceArtery occlusionPrompt interventionMultifocal manifestationsCarotid arteryThe Utility of Elastography in Discriminating Stages of Liver Fibrosis and Risk Stratification in Patients With Primary Sclerosing Cholangitis: A Systematic Review
Hashemi P, Boyer J, Langdon J. The Utility of Elastography in Discriminating Stages of Liver Fibrosis and Risk Stratification in Patients With Primary Sclerosing Cholangitis: A Systematic Review. Journal Of Magnetic Resonance Imaging 2026, 63: 938-958. PMID: 41709322, DOI: 10.1002/jmri.70266.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsPrimary sclerosing cholangitisVibration controlled transient elastographyMayo risk scoreStage of liver fibrosisRisk stratificationAcoustic radiation force impulseLiver fibrosisSclerosing cholangitisFibrosis biomarkersLiver stiffnessMagnetic resonance elastographyRisk stratification of patientsSystematic reviewAssessment of liver fibrosisPoint shear-wave elastographyTotal liver volumeStratification of patientsTechnical failure rateChronic autoimmune diseasePattern of fibrosisStaging liver fibrosisOperator-independent techniqueShear-wave elastographyBiliary stricturesLiver volumeTranscarotid Artery Revascularization—What the Imaging Specialist Needs to Know
Gunabushanam G, Scoutt L. Transcarotid Artery Revascularization—What the Imaging Specialist Needs to Know. Journal Of Ultrasound In Medicine 2026 PMID: 41578715, DOI: 10.1002/jum.70181.Peer-Reviewed Original ResearchConceptsTranscarotid artery revascularizationPost-operative imaging findingsLow riskAccess site injuryInternal carotid artery stenosisRisk of periprocedural strokeCarotid artery stentingCarotid artery stenosisTransfemoral carotid artery stentingCarotid artery accessIntra-stent restenosisImaging workupImaging findingsArtery revascularizationEndovascular proceduresSurgical exposurePeriprocedural strokeArtery stenosisArtery stentingArterial accessComplicationsSite injuryQuality Improvement Report: Decreasing Incorrectly Scheduled Screening US for Hip Dysplasia in Premature Infants.
Asch D, Gunabushanam G, van Luling J, Ehrlich L, Knoth L, Pahade J. Quality Improvement Report: Decreasing Incorrectly Scheduled Screening US for Hip Dysplasia in Premature Infants. RadioGraphics 2026, 46: e250072. PMID: 41343295, DOI: 10.1148/rg.250072.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsElectronic health recordsPremature infantsAuthors' institutionPlan-Do-Study-Act cyclesPlan-Do-Study-ActWeeks CGAQuality improvement projectScreening USUS examinationPediatric radiologistsFalse-positive rateScreening examinationDevelopmental dysplasiaRisk factorsInfantsHealth recordsImprovement projectDysplasiaBaseline rateExaminationHip dysplasiaWeeksUndue stressCgAHipImaging Manifestations of Parasitic Infections in the Abdomen and Pelvis
Samuelsen B, Solomon N, Calle F, Aswani Y, Sailer A, Sorkun M, Chammas M, Elsayes K, Dogra V, Lino P, Donato A, Katz D, Revzin M. Imaging Manifestations of Parasitic Infections in the Abdomen and Pelvis. Roentgen Ray Review 2026, 2 DOI: 10.2214/r3j.24.01072.Peer-Reviewed Original ResearchAltmetric
2025
From congenital variants to critical clues: A radiologic review of inferior vena cava pathologies
Khot R, Jarmakani H, Krasinski A, Menias C, Katz D, Revzin M. From congenital variants to critical clues: A radiologic review of inferior vena cava pathologies. Journal Of Clinical Imaging Science 2025, 15: 50. PMID: 41625552, PMCID: PMC12860299, DOI: 10.25259/jcis_249_2025.Peer-Reviewed Original ResearchCitationsAltmetricConceptsInferior vena cavaComputed tomographyRadiological reviewInferior vena cava pathologyBedside evaluationUltrasound (USCongenital variantVena cavaAcute emergency settingsNeoplastic involvementImaging examinationsClinical relevanceEmergency settingClinical implicationsUltrasoundPathologyImage featuresSystem conditionsCavaPatencyAbnormalitiesHemodynamicsReviewBudd-Chiari Syndrome: Update on Classification and Intravascular US.
Sailer A, Nezami N, Tabeli Bouroujeni P, Fitzgerald K, Borse R, Solomon N, Dixe de Oliveira Santo I, Revzin M, Lubner M, Khot R, Marino A, Pollak J, Schlachter T. Budd-Chiari Syndrome: Update on Classification and Intravascular US. RadioGraphics 2025, 45: e240240. PMID: 41264511, DOI: 10.1148/rg.240240.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsBudd-Chiari syndromeInferior vena cavaInterventional therapyHepatic veinStent placementIntravascular USObstruction of hepatic venous outflowBaseline liver functionNodular regenerative hyperplasiaTechnical success rateSmall hepatic veinsContrast agent volumeHepatic venous outflowPortosystemic Shunt CreationHepatic sinusoidal pressureBudd-ChiariRegenerative hyperplasiaClinical presentationPortal hypertensionVena cavaProcedure timeShunt creationRight atriumPortosystemic shuntCentrilobular fibrosisEarly and delayed post-cesarean complications: an imaging review
Zacharias N, Panda A, Elmahdy A, Revzin M, Aswani Y. Early and delayed post-cesarean complications: an imaging review. Abdominal Radiology 2025, 51: 1489-1505. PMID: 41217474, DOI: 10.1007/s00261-025-05118-0.Peer-Reviewed Original ResearchCitationsConceptsCesarean deliveryCesarean scar ectopic pregnancyBladder flap hematomaOvarian vein thrombosisPost-cesarean complicationsScar ectopic pregnancyUterine artery pseudoaneurysmPelvic inflammatory diseaseProducts of conceptionPost-operative settingPost-partum periodFlap hematomaScar nicheUterine dehiscenceEctopic pregnancySeptic thrombophlebitisPostoperative findingsArteriovenous fistulaVein thrombosisArtery pseudoaneurysmBowel obstructionImaging findingsLive birthsAcute complicationsVascular complicationsQuantitative evaluation of recto-prostatic distance before and after SpaceOAR hydrogel placement
Ebrahimian S, Mishyn P, Arora S, Israel G. Quantitative evaluation of recto-prostatic distance before and after SpaceOAR hydrogel placement. Clinical Radiology 2025, 92: 107150. PMID: 41338158, DOI: 10.1016/j.crad.2025.107150.Peer-Reviewed Original ResearchConceptsHydrogel placementMagnetic resonance imagingFood and Drug AdministrationMid-glandRadiation toxicityConsecutive patientsStandard therapyProstate cancerSpaceOARProstateDrug AdministrationSagittal viewToxic purposesAxial viewRadiation exposureRectumResonance imagingPatientsPlacementTherapyCancerMicrosoft ExcelMidlineAdministrationComparative Analysis of Prostate Imaging Reporting and Data System and Prostate Imaging After Focal Ablation Scoring Systems in the Postfocal Therapy Assessment of Clinically Significant Prostate Cancer
Sivanesan N, Diaz G, Tan W, Arora S, Sprenkle P. Comparative Analysis of Prostate Imaging Reporting and Data System and Prostate Imaging After Focal Ablation Scoring Systems in the Postfocal Therapy Assessment of Clinically Significant Prostate Cancer. Urology Practice 2025, 13: 11-12. PMID: 40986434, DOI: 10.1097/upj.0000000000000899.Peer-Reviewed Original ResearchImaging of Trauma in Pregnant Patients.
Langdon J, Chai N, Patel A, Steenburg S, Itani M, Katz D, Moshiri M, Revzin M. Imaging of Trauma in Pregnant Patients. RadioGraphics 2025, 45: e240043. PMID: 40966129, DOI: 10.1148/rg.240043.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPlacental abruptionPregnant patientsEvaluation of pregnant patientsPregnant trauma patientsImaging modalitiesElectronic fetal monitoringRisk of exposure to ionizing radiationExposure to ionizing radiationMaternal stabilizationFetal monitoringObstetric abnormalitiesRadiological evaluationFetal ageTrauma patientsClinical challengeGeneral radiologistsPotential riskPregnancyContrast mediumAccurate diagnosisImaging assessmentPatientsClinical concernManagement pathwayTraumatic injuryBrain Imaging Manifestations of Parasitic and Vector-Transmitted Diseases
Dixe de Oliveira Santo I, Solomon N, Calle F, Aswani Y, Sorkun M, Lino P, Donato A, Driver Z, Marcelino L, Katz D, Revzin M. Brain Imaging Manifestations of Parasitic and Vector-Transmitted Diseases. Roentgen Ray Review 2025, 1 DOI: 10.2214/r3j.24.01034.Peer-Reviewed Original ResearchAltmetricNoninvasive Tumor Profiling: Quantitative Contrast-Enhanced MRI Markers Predict PD-L1 and CTNNB1 Status in Hepatocellular Carcinoma.
Matuschewski N, Sobirey R, Revzin M, Zeevi T, Gross M, Kasolowsky V, Shewarega A, Meister E, Kao T, Tefera J, Bousabarah K, Batra R, Strazzabosco M, Lin M, Gebauer B, Savic L, Duncan J, Madoff D, Zhang X, Chapiro J. Noninvasive Tumor Profiling: Quantitative Contrast-Enhanced MRI Markers Predict PD-L1 and CTNNB1 Status in Hepatocellular Carcinoma. Radiology 2025, 316: e242750. PMID: 40762840, PMCID: PMC12405729, DOI: 10.1148/radiol.242750.Peer-Reviewed Original ResearchCitationsAltmetricImaging of the Uterus after Endometrial Ablation.
Revzin M, Nezami N, Osman M, Jha P, Butler K, Pellerito J. Imaging of the Uterus after Endometrial Ablation. RadioGraphics 2025, 45: e240040. PMID: 40705686, DOI: 10.1148/rg.240040.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsEndometrial ablationUterine bleedingImaging findingsPathophysiology of abnormal uterine bleedingAbnormal uterine bleedingCross-sectional imaging modalitiesAlternative to hysterectomyExcessive uterine bleedingTreatment of excessive uterine bleedingMinimally invasive surgerySurgical historyEndometrial cancerImaging reviewUterusAssociated with EARadiology literatureInvasive surgeryRadiological interpretationImaging modalitiesPostablationMedical conditionsBleedingPathological conditionsOptimal assessmentPathological processesMultimodality Imaging of Helminthic Infections.
Solomon N, Calle F, Sorkun M, Vijan A, Aswani Y, Sailer A, Dogra V, Donato A, Lino P, Elsayes K, Chammas M, Revzin M. Multimodality Imaging of Helminthic Infections. RadioGraphics 2025, 45: e240086. PMID: 40705688, DOI: 10.1148/rg.240086.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAscaris lumbricoidesEchinococcus granulosusTreatment of patientsMultisystem disease manifestationsMultiple imaging modalitiesImaging findingsDisease manifestationsSpectrum of organismsImaging modalitiesOrganism-based approachesDisease development mechanismsImmunological reactionsDiseaseRadiologistsParasite transmissionParasitic wormsImaging techniquesImaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting.
Sailer A, Dixe de Oliveira Santo I, Revzin M, Chan S, Borse R, Cornman-Homonoff J, Cardella J, Perez Lozada J, Marino A. Imaging of Arteriovenous Fistulas: Maturation, Maintenance, and Declotting. RadioGraphics 2025, 45: e230082. PMID: 40471834, DOI: 10.1148/rg.230082.Peer-Reviewed Original ResearchImaging Overview of Cosmetic Procedures and Their Complications
Dixe de Oliveira Santo I, Solomon N, Sorkun M, Calle F, Luchs J, Andrejeva L, Lubner M, Pickhardt P, Mellnick V, Katz D, Revzin M. Imaging Overview of Cosmetic Procedures and Their Complications. Roentgen Ray Review 2025, 1 DOI: 10.2214/r3j.24.01059.Peer-Reviewed Original ResearchAltmetricGastrointestinal oncologic emergencies: a radiologists’ guide
Wang M, Furrow M, Gao M, Nasrullah A, Shehata M, Shaaban A, Shenoy-Bhangle A, Revzin M, Katz D, Elsayes K. Gastrointestinal oncologic emergencies: a radiologists’ guide. Abdominal Radiology 2025, 50: 5708-5718. PMID: 40464849, DOI: 10.1007/s00261-025-05012-9.Peer-Reviewed Original ResearchCitationsAltmetricConceptsOncologic emergencyAirway-esophageal fistulaLife-threatening conditionPrevalence of cancerCancer related complicationsTreatment related effectsUnderlying malignancyIntestinal perforationSystemic manifestationsImaging manifestationsGastrointestinal bleedingRelated complicationsIntestinal ischemiaIntestinal obstructionCancer stageCancer patientsBowel changesGastrointestinal systemCancerMalignancyReview articleFistulaBleedingMetastasisComplicationsOncologic pitfalls and mimics in the abdomen and pelvis
Warrington N, Shetty A, Heller M, Thompson C, Tan N, Elsayes K, Revzin M, Zulfiqar M. Oncologic pitfalls and mimics in the abdomen and pelvis. Abdominal Radiology 2025, 50: 6235-6250. PMID: 40459593, DOI: 10.1007/s00261-025-05017-4.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsBenign entitySpontaneous regressionNegative tumor markersAggressive growth patternCase-based reviewSuperimposed malignancyInfiltrative malignancyBenign pathologyPrimary malignancyBenign findingsConcomitant complicationsTumor markersBenign neoplasmsEnhancement patternInfectious/inflammatory conditionsMalignancyDisease progressionOncologic imagingImaging pitfallsDiagnostic uncertaintyDiagnostic precisionAbdomenPelvisNeoplasmsAnatomical structuresPostmortem CT: Applications in Clinical and Forensic Medicine.
Solomon N, Elifritz J, Adolphi N, Decker S, Filograna L, Kroll J, Gascho D, Thali M, Gosangi B, Sanchez H, Revzin M, Sinusas A. Postmortem CT: Applications in Clinical and Forensic Medicine. RadioGraphics 2025, 45: e240192. PMID: 40372934, PMCID: PMC12142271, DOI: 10.1148/rg.240192.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsUS of the Neck beyond the Thyroid Gland: Parathyroid Glands.
Khot R, Dixe de Oliveira Santo I, Shen L, Itani M, Sailer A, Kirsch J, Revzin M. US of the Neck beyond the Thyroid Gland: Parathyroid Glands. RadioGraphics 2025, 45: e240182. PMID: 40440190, DOI: 10.1148/rg.240182.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsParathyroid lesionsThyroid nodulesMinimally invasive parathyroidectomyFour-dimensional CTImaging modalitiesAbnormal parathyroid tissueSolitary parathyroid adenomaDetection of thyroid nodulesAlternative imaging modalityHyperparathyroidism managementNeck USEctopic glandsParathyroid adenomaParathyroid hyperplasiaParathyroid imagingLymph nodesParathyroid tissueParathyroid glandsMultiple adenomasThyroid glandImaging evaluationAdenomasPathological conditionsGlandThyroidDecreasing inappropriate MRCP with contrast exams: impact of an EMR-Embedded clinical care pathway
Asch D, Gunabushanam G, Cole K, Holland C, Pahade J. Decreasing inappropriate MRCP with contrast exams: impact of an EMR-Embedded clinical care pathway. Abdominal Radiology 2025, 50: 5774-5781. PMID: 40439723, DOI: 10.1007/s00261-025-05022-7.Peer-Reviewed Original ResearchConceptsPlan-Do-Study-ActClinical care pathwayCare pathwaysClinical appropriatenessPlan-do-study-act cycle 1Clinical guidanceElectronic medical recordsReduce healthcare costsChi-square testHealthcare costsEmergency departmentMedical recordsResultsAt baselinePatient characteristicsAppropriate ordersStudy periodResource useProvidersStatistical significanceBaselineExamAppropriatenessIV contrastIntravenous contrastGadolinium exposure