Neuroradiology Imaging

The Neuroradiology Division provides diagnostic and interventional techniques related to disorders affecting the brain, head and neck, and spine regions. For this purpose, the division has access to the most modern diagnostic and therapeutic equipment which includes digital radiography units, 320 and 64 slice CT scanners, PET/CT, PET/MR, as well as 1.5T and 3T MRI scanners and two biplaner flat panel angiographic suites with hybrid OR and intraoperative MR capabilities.

UHN is a quaternary referral centre for the diagnosis and management of brain and spinal AVM, dural AV fistulae and vascular malformations of the brain, head and neck. The Toronto Western Hospital is designated one of three primary stroke centres in the Greater Toronto Area for acute stroke diagnosis and treatment. Our Neuroradiology team routinely performs stroke prevention techniques (extracranial and intracranial angioplasty and stenting).

Our Head and Neck Program is directly linked to the world-renowned cancer care program at the Princess Margaret Cancer Centre.

Some specialized neuro procedures we provided include:

• Modern Neuro-imaging techniques, such as Vessel Wall Imaging, four-dimensional CT Angiography as well as computational fluid dynamics and determination of shear stress forces, to determine the individual likelihood of rupture of vascular malformations or aneurysms
• Cerebral Vascular Reactivity imaging in MRI – a technique that is used to assess impact of steno-occlusive disease of neck and brain vessels for endovascular and surgical revascularization
• Minimally invasive procedures of the spine, including spinal biopsies, vertebral body augmentation, nerve and facet blocks

Division Head: Dr. Timo Krings

Radiologists

• Dr. Ronit Agid
• Dr. Laila Alshafai
• Dr. Eric Bartlett
• Dr. Richard Farb
• Dr. Walter Kucharczyk
• Dr. Dorothy Lazinski
• Dr. Daniel Mandell
• Dr. David Mikulis
• Dr. Eugene Yu
• Dr. Robert Willinsky
• Dr. Timo Krings
• Dr. Kieran Murphy
• Dr. Vitor Pereira
• Dr. Roger Smith

To make a referral to Diagnostic or Interventional Neuroradiology, please fax your referral to 416 603 4257. In addition, images along with a copy of your referral should be sent to:

Toronto Western Hospital
Medical Imaging Department
Division of Neuroradiology
399 Bathurst Street
Toronto, ON, M5T 2S8

Since 1990, Drs. Karel terBrugge and Timo Krings have organized an annual international Symposium on Interventional Neuroradiology in September which is attended by more than 200 participants yearly.

Dr. Karel terBrugge also organizes an international Neurovascular meeting every year, with a session in the spring and a session in the fall. This course has been held on several different continents around the world. For details on this course, please visit the website.