Description
Diagnose and help manage brain, spine, and head-and-neck disorders using MRI, CT, angiography, and related neuroimaging; perform image-guided spinal and cerebrospinal fluid procedures; collaborate with neurologic teams for acute and elective care; and ensure imaging quality, safety, and effective communication.
- • Participate in neuroradiology quality improvement focused on stroke imaging, contrast safety, and reporting accuracy.
- • Maintain subspecialty expertise through continuing education in advanced neuroimaging and guidelines.
- • Contribute imaging guidance to multidisciplinary care plans for stroke, neuro-oncology, epilepsy, and spine disease.
- • Establish and enforce MR safety, CT dose optimization, and contrast media protocols.
- • Review, interpret, and transmit studies using PACS, voice recognition, and post-processing workstations.
- • Recognize and manage complications of lumbar puncture, myelography, and CT-guided spine procedures.
- • Prepare concise, structured neuroimaging reports with pertinent findings and recommendations.
- • Obtain pertinent neurologic histories from the EMR, patient interviews, and referring clinicians.
- • Consult with neurologists, neurosurgeons, ENT, oncologists, and emergency physicians on imaging-based diagnoses and next steps.
- • Instruct MR and CT technologists on neuro protocols, sequences (e.g., DWI, SWI, perfusion, DTI), and patient positioning.
- • Document indications, procedural details, and outcomes for LPs, myelograms, and image-guided biopsies.
- • Develop and monitor neuroimaging protocols and QA processes to ensure consistent, high-quality images.
- • Coordinate imaging support for stroke alerts, neurocritical care, and operative or planning conferences.
- • Counsel patients on procedure steps, risks, benefits, alternatives, and post-procedure care for LPs and myelograms.
- • Communicate critical and significant results rapidly to referring teams and, when appropriate, to patients or families.
- • Perform image-guided neuroradiology procedures, including lumbar puncture, myelography, CSF leak evaluation or therapeutics, and CT-guided spine or skull base biopsies.
- • Interpret brain, spine, and head-and-neck MRI and CT, including CTA or MRA, CT or MR perfusion, and diffusion imaging.
- • Interpret carotid or vertebral duplex ultrasound and neonatal head ultrasound when applicable.
- • Guide selection and safe use of gadolinium and iodinated contrast agents, including allergy prophylaxis and renal risk mitigation.
- • Tailor and prescribe neuroimaging protocols and parameters to the clinical question and patient factors.
- • Verify study completeness and technical adequacy before patient discharge or proceeding to therapy.
- • Recommend the most appropriate modality (MRI, CT, CTA or MRA, PET, ultrasound, or angiography) for specific neurologic conditions.
- • Direct technologists on urgent stroke workflows, motion mitigation, sedation needs, and artifact reduction.
- • Lead radiation, MR, and contrast safety education for staff and trainees.
- • Develop neuroradiology section policies, stroke imaging pathways, and head-and-neck cancer staging workflows.
- • Oversee contrast handling, MR screening for implants and devices, and timeout or checklist adherence.
- • Order and monitor contrast dosing and premedication when indicated; ensure documentation of reactions and follow-up.
- • Triage and protocol imaging requests, verifying indications, contraindications, and MRI device compatibility.
- • Teach neuroradiology to residents, fellows, and multidisciplinary teams; present at tumor boards and conferences.
- • Validate post-processing and visualization tools (perfusion software, 3D reconstructions, fMRI or DTI) and participate in equipment QA.
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Tasks & skills:
O*NET occupational data (work activities, skills, knowledge).
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Last reviewed: Jan 2026
