New York Methodist Hospital’s Radiology Department is at the forefront of modern care
Photos By Amessé Photography
An early, accurate diagnosis is key to successful medical treatment. And over the past several years, high-tech advances in diagnostic radiology services have helped doctors in every field of medicine to uncover the cause of symptoms and to provide a plan of care.
“There have been very dramatic developments in the field of radiology over the past five to 10 years, and New York Methodist Hospital (NYM), which is recognized for excellence by the American College of Radiology, has been at the forefront, acquiring cutting edge equipment and technology that allows for images to be produced more quickly, with the highest degree of accuracy,” noted Steven Garner, M.D., chair of the hospital’s Department of Radiology. “These advances have allowed us to expand the depth and breadth of the procedures we perform, providing physicians with more options for diagnosis and treatment and providing patients with a very good experience.”
In addition to the traditional x-ray, the department’s most frequently used imaging modalities include computed tomography (CT) scans, magnetic resonance imaging (MRI), nuclear medicine, and ultrasound (sonography) examinations. During the past decade, the hospital has made significant investments in the most modern equipment in each
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“We’ve invested in an MRI unit with a very large opening that also significantly reduces the time a patient has to remain in the machine while being tested,” Dr. Garner said. “Most studies can be done within 10 minutes. That means that patients who fear being enclosed in the MRI tube will be more comfortable. At the same time, the machine produces excellent quality images that help our radiologists to provide readings that lead to quick and accurate diagnoses of conditions like tumors, vascular diseases, tissue and bone damage, nerve injury or infection.”
Advances in CT scans can now also create images of the entire body in under 10 seconds, Dr. Garner said, and NYM has advanced CT technology that can scan and provide three-dimensional images of any organ in seconds, exposing patients to minimal levels of radiation. This technology is especially useful in providing images of the heart and its surrounding blood vessels, which help doctors to detect and diagnose cardiovascular diseases.
“We also have several four-dimensional ultrasound units,” Dr. Garner said. “Four-dimensional imaging continuously refreshes to provide real-time sonogram images, producing a movie-like picture. This allows the physicians to see very fine details that can help them to determine diagnosis and plan treatment.”
Dr. Garner is proud that the department has also moved forward in the area of digital imaging. Until just a few years ago, radiological modalities, like consumer cameras, involved the use of film. Now, like family photos, most medical images are digital. “Digital imaging allows for a more flexible evaluation with greater detail,” Dr. Garner noted. “Because digital images can be manipulated to improve contrast, the need for repeat imaging is reduced, saving time, and limiting the patient’s exposure to radiation.”
Thanks to a grant received from the New York City Council and the Brooklyn Borough President’s Office a few years ago, the hospital’s Women’s Diagnostic Center offers digital mammography, which provides more accurate cancer detection in dense breast tissue. For particularly dense breast tissue, the Center also offers tomo-synthesis technology, which takes a three-dimensional digital image of the breast to better detect tumors.
Born and raised in Brooklyn to a family of educators, his mother a teacher and his father, Harvey Garner, a former chancellor of the New York City public school system, Dr. Garner, attended Chicago Medical School and completed his residency at Mount Sinai Medical Center. He served as a physician in the U.S. Air Force as a captain and in the U.S. Army reserves as a major before choosing his specialty.
“At first I was focused on emergency medicine, but later became interested in radiology,” Dr. Garner said. “It was such an interesting field because it involved the marriage of clinical knowledge and interpretation of images, which allow for the most effective evaluation and diagnosis.” He served as chief medical officer and chair of radiology at St. Vincent’s Catholic Medical Center before coming to NYM in 2006.
“I’ve been a Brooklyn resident my entire life, I live near Prospect Park and can actually walk to work,” Dr. Garner said. During his eight-year tenure at the hospital, Dr. Garner has helped to greatly expand the scope of his department and enhance patient care.
“Our department is made up of a collaborative blend of highly trained and credentialed radiologists who work together and maintain their proficiency, even as the advances in the field continue to demand new skills,” Dr. Garner said. The team includes physicians trained in a variety of diagnostic subspecialties, including muscular
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skeletal radiology (bone and joint imaging), neuroradiology (nervous system, head, neck and spine imaging), mammography (breast imaging) and body imaging.
Another subspecialty, nuclear medicine, makes use of special cameras to depict the inner-workings of the patient’s organ, tissue or bone, enabling the identification of abnormalities that can indicate the site of infection or the presence of tumors.
“Nuclear medicine differs from other types of diagnostic radiology because it can determine the cause of a medical problem based on the way in which an organ is functioning, as opposed to other diagnostic modalities, which use anatomy or appearance to indicate the existence and type of disease,” Dr. Garner said.
We also have interventional radiologists, who can perform amazing procedures, not possible even a decade ago” Dr. Garner said. While diagnostic radiology is used to find answers: screen for certain diseases, look for the cause of symptoms, and assess how a treatment is working, interventional radiology involves capturing images that allow physicians to guide small needles or catheters (long thin tubes), through blood vessels to deliver interventions, like placement of a stent. Many of the conditions that are treated with interventional radiology—such as aneurysms or problems with blood flow—traditionally required open surgery, which can lead to a longer time in the operating room and a longer stay in the hospital. Interventional radiology allows similar procedures to be performed minimally invasively, resulting in quicker recovery time and an overall better experience for the patient.”
New York Methodist’s interventional radiology program includes biplane technology to treat stroke, vascular disease, aneurysms, and other complex neurological and vascular conditions. The biplane produces images that
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are displayed on two separate planes, or angles, simultaneously on separate screens. That allows physicians to have dramatically better visualization of arteries and vessels in three dimensions, which can significantly cut procedure time.
“Stroke reversal is one of the most important and exciting procedures that use the biplane. Using the 3-D images, the surgeon removes blood clots through the femoral artery using a catheter attached to a pump. This procedure can mitigate or entirely void the potentially damaging effects of a stroke.”
“In certain types of cancer cases, physicians are able to use imaging to deliver cancer-killing chemicals directly into a malignant tumor,” Dr. Garner said. “This is an alternative to having the chemicals flow through the entire body as they do with conventional chemotherapy, lessening the chance of unwanted side effects.”
In the future, Dr. Garner anticipates additional growth in the area of interventional radiology. “I predict that radiologists will have increasing roles, far beyond diagnosis, in the direct treatment of patients,” he said.
Dr. Garner, who frequently appears on major television networks, including Fox News, where he is a guest analyst, has been the host of Ask the Doctor, on the Catholic TV channel, since its inception 20 years ago. He also writes a weekly Ask the Doctor column for The Tablet newspaper. Dr. Garner is a member of numerous national organizations including the American College of Health Care Executives, the American College of Radiology and the American Heart Association.
At New York Methodist Hospital, Dr. Garner and the members of his department interact with medical specialists in every field. “The radiologists act as consultants to nearly every other type of physician, providing information and assistance that can help lead to a diagnosis or, in some cases, help to treat or cure a disease,” Dr. Garner said. “That’s the importance of radiology. The key is to involve all departments and make them part of our team. We meet several times a week with doctors from other departments to discuss specific cases. During those meetings we consider questions like: ‘Was the right test ordered? What did it reveal? Will further testing be needed?’”
“Although our field is one that involves looking at images, we never lose sight of what those images mean to real people. We emphasize the importance of a patient centered approach to all members of our staff and they–radiologists, physician assistants, nurses, radiologic technicians and clerical staff members— do everything possible to make patients feel comfortable and relaxed at a time when they may be anxious or under stress. All of us understand that the images we capture and read can lead to important answers that serve our patients. And at NYM, that patient focus is what matters most.”
New York Methodist Hospital
Department of Radiology
718.780.5870
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