Departments

The Yale Child Study Center is an internationally recognized center of innovation in child and family mental health, dedicated to promoting healthy development and psychological well-being across the lifespan. We care for children and adolescents whose families are concerned about their child’s development and behavior. Common concerns include developmental delays, behaviors or worries that interfere with their child’s life, isolation and fear of school, and defiant and difficult behavior. Our first job is to listen. As we begin to understand the family and child, we will guide our patients through the evaluation, diagnosis, and treatment process. We provide office and home-based interventions as well as telehealth services, and we work with as many people involved in your child’s growth as possible, including parents, teachers and pediatricians. Above all, we care about your child’s development and your family’s well-being. We will use every means available—and maybe even invent some new ones—to help the child and their family. We are committed to working with every family to help them understand and address their child’s and family’s needs. Our interdisciplinary teams use up-to-date science to evaluate and then work with the family to develop a comprehensive treatment recommendations. Our treatment may include (one-on-one or group) therapy, family therapy, and parent-centered approaches and collaboration with schools. When appropriate, our providers will discuss the use of medication, providing detailed information so parents can make an informed decision. Many of our patients improve and thrive without medication, and for others it is a valuable part of their treatment. At the Yale Child Study Center, we are pioneering many treatments including approaches that help parents improve disruptive anger and aggression in children with autism and other developmental disorders. We are also developing new ways to help children overcome anxieties that may limit their daily lives, and treatment approaches designed to lessen the impact of an overwhelming event on the child and family. Finally, we work directly with parents around their own concerns about their roles as parents.

Our thoracic radiologists are internationally recognized experts in the field of thoracic imaging. Many of the radiologists in our section have advanced fellowship training in cardiothoracic imaging.We specialize in all aspects of lung disorders including: Interstitial lung disease Pulmonary infections Primary and secondary thoracic malignancies Mediastinal masses Pleural disease Occupational disorders Emphysema Diseases affecting the large and small airways (such as asthma, bronchiectasis, and tracheomalacia) We offer our patients a full range of diagnostic examinations, such as chest radiography, chest fluoroscopy, computed tomography (CT) of the chest, high-resolution chest CT, low-dose screening chest CT, and magnetic resonance imaging (MRI) of the chest. We have an active consultation service and work closely with clinicians at Yale New Haven Hospital, including those specializing in pulmonary and critical care medicine, general medicine and its subspecialties, thoracic and general oncology, cardiac and thoracic surgery, pulmonary pathology, radiation oncology, and cardiology. We regularly participate in multidisciplinary conferences that encompass a broad spectrum of comprehensive programs for common lung disorders, including pulmonary diseases rarely encountered elsewhere. In addition, we are a vital part of theYale Cancer Center’s Lung Screening Program.

An ultrasound is a high-frequency soundwave that can create images from inside the body. It is a commonly ordered diagnostic imaging tool used for screening and examining organs and tissues. It is often used to assist and guide doctors performing other medical procedures, such as biopsies. An ultrasound is painless and does not expose patients to any radiation. We specialize in both screening and diagnostic vascular ultrasound, including aortic aneurysm screening and follow-up post-aneurysm repair, evaluation of vascular access complications, arterial bypass graft surveillance, renal artery stenosis, venous thrombosis, and venous reflux.We also provide evaluation of dialysis fistulas and grafts, native peripheral arteries, and peripheral arterial disease. We have recently introduced two new ultrasound clinical applications that incorporate the latest advancements in technology: Elastography to assess liver fibrosis, and contrast-enhanced ultrasound of liver masses. Elastography to assess liver fibrosis This technique allows doctors to evaluate fibrosis in the liver while simultaneously assessing the liver with regular ultrasound to check for masses and other abnormalities. Noninvasive, image-guided elastography of the liver can accurately detect liver fibrosis, allowing patients with chronic liver disease to be safely monitored and avoid the risks associated with liver biopsy. We are also investigating elastography of lesions to determine if this technique can be used to differentiate between benign and malignant lesions. Contrast-enhanced ultrasound of liver masses The intravenous injection of microbubbles (tiny bubbles of gas), in combination with ultrasound, allows physicians to determine if a liver lesion is benign or malignant. This method can determine the risk of developing cancer or recurrence of a tumor in at-risk patients with cirrhosis, or those who have been treated with chemo or radiofrequency ablation for liver tumors. A relatively noninvasive procedure, this provides an alternative to the more invasive and costly computed tomography (CT) or magnetic resonance imaging (MRI) exams. We also perform many other services, such as: Fine-needle aspiration of the thyroid, parathyroid, and soft tissue masses Thyroid and parathyroid imaging Lymph node mapping prior to thyroidectomy, and screening for metastatic disease after a thyroidectomy Musculoskeletal ultrasound for ligament and tendon tears and joint abnormalities Evaluation of the anal sphincter and rectal cancer staging with transrectal ultrasound using the 360° Endorectal Probe Gynecological ultrasound, including first-trimester imaging, ovarian cancer screening, sonohysterography (ultrasound of the uterus), HyCoSy (ultrasound of the fallopian tubes), and other gynecologic imaging exams

Children’s safety is our top priority. Our dedicated radiologists are trained in pediatric radiology and provide compassionate and personalized care to each of our patients. We use advanced imaging techniques and work closely with pediatric providers to determine the best way to diagnose a specific problem. We maintain the highest standards of care and patient safety. For exams that require radiation, special attention is given to minimize the radiation dose during a child’s exam without affecting image quality. We offer the latest in technology and equipment, and utilize a variety of imaging techniques, such as fluoroscopy, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and X-rays to accurately detect and diagnose disease.

Our physicians play a critical role in the timely diagnosis and management of acutely ill patients. As an integral part of a Level I trauma center, we provide comprehensive imaging services for our inpatients and outpatients. We provide highly specialized care in all areas of acute care imaging, and are pioneers in developing emergency radiology standards of care.

The breadth of experience among our doctors is reflected in their unique approach to patient care, management of complex medical cases, expertise in imaging guidelines and unwavering commitment to clinical excellence. Magnetic resonance imaging (MRI) is a noninvasive medical test that physicians use to diagnose and treat medical conditions. It uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures. An MRI does not use radiation. A computed tomography scan, more commonly known as a CT scan, is a diagnostic medical test that produces multiple images of the inside of the body. The cross-sectional images generated during a CT scan can be reformatted in multiple planes, and can even generate three-dimensional images of internal body structures. We also specialize in fluoroscopic imaging—real-time moving pictures displayed on a monitor. This specialized technology helps us detect conditions that affect the gastrointestinal as well as the urinary and reproductive (genitourinary) tracts. Our experts perform esophagrams, upper GI series and barium enemas to look for swallowing and digestion conditions. In addition, we do a variety of other imaging tests, including cystograms to detect voiding issues and hysterosalpingograms, which help us see if a woman’s fallopian tubes are open or blocked.

The Smilow Cancer Hospital Lung Cancer Screening Program is a multidisciplinary program that provides lung cancer screening to patients at risk for lung cancer. Our program has a coordinated approach that offers a complete and seamless screening process. Our team includes world-recognized pulmonologists (doctors who treat diseases of the respiratory system), specialized chest radiologists (doctors with advanced skills in reading CT scan images of the lung), thoracic surgeons and thoracic oncologists (doctors who treat lung cancer), tobacco/smoking cessation counselling specialists, and specialized nurse practitioners. Our goal is to provide lung cancer screening in the context of a care process that takes patients from risk assessment to screening to resulting and referral, if needed. Should an abnormal finding be identified, our team will guide and support our patients through next steps. Our program is comprehensive and coordinated, and provides the patient with access to a specialized, expert team of caregivers. Our processes are efficient and seamless. Additionally, our team has the knowledge, experience, and compassion to provide patients with the best lung cancer screening experience. Because of this, our team is available to guide patients throughout the screening process and beyond, if needed. Whether it’s an annual follow-up scan or further evaluation, we have the people and resources to care for each patient. Our team uses nationally established guidelines to care for our patients. Our tobacco treatment services are available in person or via telehealth visits. Read our list of frequently asked questions regarding lung cancer screening . National Cancer Institute: Lung Cancer Screening Lung Cancer Prevention National Lung Screening Trial National Lung Screening Trial - Questions and Answers Lung Cancer Screening (PDQ)- Patient Version Centers for Medicare and Medicaid Services (CMS.gov): NCA - Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) American Cancer Society: American Cancer Society Guidelines on Lung Cancer Screening Early Detection, Diagnosis, and Staging Causes, Risk Factors, and Prevention United States Preventive Services Task Force (USPSTF) A & B Recommendations

The Body Imaging division at Yale consists of two cohesive sections (Abdominal Imaging and Ultrasound) whose faculty members provide world-class subspecialty clinical care across a wide range of diseases. Our commitment to clinical excellence, compassion for our patients, and reputation for progressive innovation has allowed us to remain on the forefront of clinical medicine. Equipped with cutting-edge technology, the section of Abdominal Imaging provides comprehensive Body MR, Body CT, and fluoroscopy imaging services that encompass a full range of diseases involving the abdomen and pelvis with a focus on high-end oncology imaging. The Ultrasound section offers a comprehensive range of imaging exams that encompass a wide-range of both vascular and non-vascular pathology. Our state-of-the-art equipment, coupled with our world-class facilities at both the Smilow Cancer Center and our various outpatient sites provide an unparalleled experience for all our patients.

Our program was formed in 2013 to address the clinical issues and concerns faced by patients and their families with pancreatic disease, such as pancreatic cancer, pancreatic cysts, and pancreatitis. We provide the latest treatments in collaboration with other Yale programs such as the Yale Cancer Center. Our team comprises doctors from several fields to provide patients with the most comprehensive care, including advanced endoscopy, gastroenterology, surgery, medical oncology, radiation oncology, pathology, and genetics. Our nurses and advanced practice nurses are also highly experienced in pancreatic diseases. It is important to us that we educate our patients about pancreatic disease and its related procedures and treatments. We believe this empowers patients and family members to take an active role in their health care decisions, which can lead to an improved quality of life. We specialize in treating the following conditions: Pancreatic cancer Pancreatic cysts Chronic pancreatitis Acute pancreatitis We also offer the following services: Endoscopic ultrasound Endoscopic retrograde cholangiopancreatography Medical oncology Radiation oncology Pancreas surgery

We are committed to providing patient-focused, evidence-based care to all of our patients, pairing clinical expertise with the latest advances in technology. We offer a comprehensive range of imaging services, and tailor each exam to meet each patient’s specific needs. Our board-certified doctors are national and international leaders in diagnostic imaging and advanced image-guided therapies, and they are dedicated to maintaining the highest standards of care in patient safety, quality, and satisfaction. We employ a multidisciplinary approach to care, and collaborate with physicians from all medical specialties to make the most accurate diagnosis and determine the best treatment options. Yale patients have access to highly advanced imaging equipment, including an intraoperative MRI/IR/OR suite, and 3D tomosynthesis. Our radiologists conduct advanced research in MRI, MRS, PET, interventional oncology, and image processing. Specialized care is offered in the following areas: Abdominal imaging Breast imaging Cardiovascular imaging Emergency and trauma radiology Neuroradiology Nuclear medicine and molecular imaging (including PET/CT) Pediatric radiology Thoracic imaging Vascular/interventional radiology Rapid, in-house subspecialist imaging interpretations Overnight coverage by three in-house attending radiologists at Yale New Haven Hospital Leader in 3D tomosynthesis mammography imaging and research Leader in screening breast ultrasound Comprehensive multidisciplinary lung cancer screening program with ultra-low-dose CT scanning Cardiac CoreValue planning service, providing a minimally invasive transcatheter aortic valve implantation option for patients with severe aortic stenosis MRI for pacemaker patients Ultrasound contrast and elastography imaging Dedicated peripheral vascular ultrasound Integrated musculoskeletal ultrasound device Subspecialized pediatric interventional radiology expertise Recognized expertise in management of primary and secondary liver cancer Molecular imaging for recurrent prostate cancer and the diagnosis of Alzheimer’s disease Advanced tumor imaging for optimizing best treatment outcomes DaTscan, a diagnostic test for Parkinson’s Disease Portable neuro Intensive Care Unit (ICU) computed tomography (CT) scanning Interventional radiology with state-of-the-art minimally invasive image-guided therapy, including targeted and precision cancer treatments, back pain treatment, and biliary stone laser treatment, among others

Yale Cancer Center is Connecticut's only cancer center designated as a Comprehensive Cancer Center by the National Cancer Institute—and one of only 57 in the nation. The significance of this designation has profound implications for those who choose Smilow Cancer Hospital as the place where they will be cared for and receive treatment for their cancer. National Cancer Institute cancer centers are national leaders in cancer research, prevention, detection, and treatment. This provides patients at Smilow Cancer Hospital with novel treatment options and expert care.