Departments

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 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.

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.

Urologic cancers include prostate, bladder, kidney, urothelial upper tract, testicular, penile, and urethral cancer. The Smilow Cancer Hospital Prostate and Urologic Cancers Program at Yale Medicine is uniquely qualified to treat these cancers. Our program utilizes the most advanced technology and techniques available to diagnose, manage, and treat urologic cancers. We are leaders in the use of MRI/US Fusion prostate biopsy (which blends MRI and ultrasound for increased accuracy), utilizing the ExactVu and Artemis systems across the region. This technology allows us to detect the cancer early and closely monitor it. When surgery is needed, our urologists provide extensive expertise in nerve-sparing laparoscopic and robotic surgery, traditional open surgery, and novel targeted or “focal“ treatments. Our patients also benefit from the expertise of a collaborative approach to cancer care, which personalizes treatment. We engage experts who specialize in medical oncology, radiation oncology, surgical oncology, pathology, and diagnostic imaging. Patients also have access to caregivers who can help with the physical, emotional, and psychological issues related to these cancers. The extended team includes health educators, social workers, dieticians, and complementary therapists. Our goal is to ensure the highest standard of care to support our patients and their families. Imaging and Interventional Radiology Our radiologists are experts in magnetic resonance imaging (MRI), ultrasound, computed tomography (CT), and fluoroscopy, and combine their clinical expertise with advances in technology including MR-US fusion for prostate imaging, as well as positron emission tomography (PET) scans and advanced nuclear medicine scans. In addition, Blue Light™ Cystoscopy, an advanced endoscopic technology, is employed to improve bladder cancer detection and reduce risk of cancer recurrence. Surgery Our experienced urologic surgeons are committed to achieving optimal cancer outcomes, emphasizing organ preservation and the safeguarding of sexual and urinary function as much as possible. Through advanced techniques including minimally invasive and robotic surgery, our urologists are able to optimize both cancer care and surgical recovery. Cryoablation (tumor freezing) may be a good option for some patients with prostate or kidney tumors. Focal therapy is also available for appropriate patients with prostate cancer, as it is able to treat the cancer without the use of radiation or surgery, preserving the prostate, as well as urinary and sexual function. Similarly, for some patients with cancers of the ureter or upper urinary tract, a laser can be used to treat the tumor and preserve kidney function. Medical Oncology Chemotherapy is an important component of cancer care for many patients, as it can delay or prevent tumors from recurring when used before surgery. It can also help patients with advanced or metastatic disease. As a major national

Urologic diseases affect more than 20 million men, women, and children in the United States. Yale Medicine Urology, named one of the nation’s best urology programs by U.S. News & World Report, cares for adults and children with conditions that affect the bladder, kidneys, pelvic floor, penis, testicles, and urinary tract. Some urologic conditions are present at birth, and others develop over time. Whether for a routine checkup or highly specialized care, our urologists and caregivers provide the most advanced treatment, grounded in research. Our urologists are leaders in the fields of female pelvic medicine and reconstructive surgery, as well as men’s health. Our oncology team has made key research breakthroughs in the treatment of metastatic bladder cancer and kidney cancer. In addition, we offer specialized care for kidney disease, incontinence, stone disease, sexual medicine, neurogenic bladder, transgender care, and reconstructive surgery after trauma. We use the most advanced technology and procedures to give our patients the best care available. Our urologists offer Artemis MRI-ultrasound fusion for prostate biopsy, advanced imaging, laparoscopic and daVinci Si robotic surgery, Holmium Laser Enucleation of the Prostate (HoLEP), as well as UroLift and GreenLight laser procedures. Our doctors and the hospitals where we provide care rank among the best in the country. In addition to providing treatment at Yale New Haven Hospital, Smilow Cancer Hospital, Yale New Haven Children’s Hospital, Greenwich Hospital, and Lawrence + Memorial Hospital, we also have offices located in communities across Connecticut. Above all, at Yale Medicine Urology, we believe in the importance of the patient-doctor relationship. It is the cornerstone of what we do—provide compassionate, quality urologic care to every patient, every day. A multidisciplinary team of urologists, specialty-trained nurses, caregivers, and support staff will take care of patients and their families. The urologist leads the care team, providing a diagnosis and treatment recommendations, as well as performing surgery, if needed, and overseeing the patient’s recovery and postsurgical care. The nurse coordinator is the patient’s advocate and care manager throughout care. Studies show that using nurse coordinators can reduce the length of hospital stays and enhance patient outcomes. Practice nurses provide the day-to-day care during clinical appointments or hospital stays. They administer medications, track vital signs, review general test results, respond to patients’ specific needs, and report to other members of the team. They are available around the clock to answer questions and to help patients through their care. The intake specialist helps to ensure patients are ready in advance of their appointment and have all forms and records completed and sent in advance. Intake specialists are experts at understanding the patient appointment and transfer process. If faced with a diagnosis o

Our specialists treat a diverse range of benign (non-cancerous) urinary tract conditions, including male urinary issues (enlarged prostate, difficulty urinating, overactive bladder, urinary incontinence), female pelvic floor disorders (urinary incontinence, overactive bladder, pelvic organ prolapse), urinary tract reconstruction, and penile and scrotal reconstruction. Genitourinary tract reconstruction Our fellowship-trained specialists offer a wide range of options to address congenital or acquired issues of the urinary tract and male genital tract. We partner with patients to achieve their goals, restore urinary and sexual function, and improve quality of life. Benign prostatic hyperplasia Benign prostatic hyperplasia (BPH) is one of the most common reasons patients have bothersome voiding symptoms or difficulty with urinating. Our specialists can help get to the root cause and offer several treatments, including minimally invasive surgeries such as Urolift. We were also the first in Connecticut to offer Holmium Laser Enucleation of the Prostate (HoLEP). Neurogenic bladder We expertly treat those experiencing loss of bladder control after an injury to the nervous system. Our specialists serving those with neurogenic bladder help deliver treatments that can restore independence and make symptoms more manageable. Urogynecology / Female Pelvic Medicine and Reconstructive Surgery [FPMRS] More than 50% of women report bladder issues, such as urine leakage or overactive bladder (urinary urgency or frequent urination). Another common issue is pelvic organ prolapse, a condition in which the uterus and vagina can drop, causing a feeling of a vaginal bulge. There are nonsurgical treatments, such as pelvic floor physical therapy, as well as effective office procedures and minimally invasive surgeries that can treat many of these symptoms. Our specialists will work with our patients to develop an individualized treatment plan and get them back to their active lifestyle, restoring their quality of life.

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.

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

Covering every aspect of health care for adults, Internal Medicine is the largest department in the Yale School of Medicine, and the largest clinical service at Yale New Haven Hospital. We provide comprehensive and specialized services in all areas in a variety of outpatient settings as well as the Veterans Affairs (VA) Connecticut Health Care System campus in West Haven. Our culture of collaboration and research gives patients access to expert opinions from nearly 1,000 doctors, as well as opportunities to get tomorrow’s health care today through more than 100 clinical trials. Most importantly, we attend to our diverse community of patients with compassionate, thorough care. Specialized care is offered in the following areas: Allergy & clinical immunology Cardiovascular medicine Digestive diseases Endocrinology General internal medicine Geriatrics Hematology Infectious diseases Medical oncology Occupational health & environmental medicine Nephrology Pulmonology, critical care & sleep medicine Rheumatology International reputation for work in understanding function, independence, and quality of life in older persons Key research breakthroughs of the past decade that include the development of a protective Lyme bacillus disease vaccine, exploration of the underlying causes of allergic disease, and the discovery of novel inherited immunological diseases Largest interventional cardiology program in Connecticut Major referral center for patients with type 1 and type 2 diabetes, as well as other metabolic conditions Nationally ranked program in kidney diseases and the largest kidney transplant program in New England, with multidisciplinary care clinics One of the largest peripheral vascular programs in the country, with leadership and participation in multiple new percutaneous device trials Once of only a few motility centers in Connecticut to provide all motility procedures and services Unique medical forensic exams for individuals with claims of torture who are seeking asylum in the U.S.

Nuclear medicine is a specialized field within radiology that uses small amounts of radioactive substances during imaging procedures to help doctors detect abnormalities and diseases at their earliest stages, allowing for the best clinical outcomes for our patients. The field of nuclear medicine contains important studies for identifying, evaluating, and treating a full spectrum of diseases within the body, including most types of cancers, neurological disorders, thyroid diseases, and gastrointestinal conditions.We provide studies to evaluate kidney function, kidney obstruction, portal hypertension, gastrointestinal bleed localization, lung scans for pulmonary embolism, and tumor diagnosis and staging, as well as seizure focus localization in the brain using PET/CT scans. Our services include the use of DaTscan (Ioflupane) to evaluate Parkinson's disease and other movement disorders, and amyloid brain scans for suspected Alzheimer’s disease. We offer Ra-223 therapy to alleviate bone pain—we were the first center in Connecticut to provide this treatment.

Yale’s Department of Surgery is a premier center for adult and pediatric surgical treatment, providing comprehensive care for a full range of conditions and diseases. To ensure that our patients experience shorter hospital stays and less postoperative discomfort, we employ the latest technologies and surgical techniques, and perform minimally invasive surgery whenever possible. Our renowned surgeons and faculty continue to push the frontiers of surgical science through innovative treatment and leading-edge research, with the ability to offer treatment options that can be difficult to find elsewhere. More state-of-the-art surgical suites at Yale New Haven Hospital than in any other hospital in the region Collaboration with the Yale Department of Biomedical Engineering and with industry to develop 3-D bioprinting for the regeneration, repair, and replacement of human tissue and vessels Nationally recognized Center of Excellence and designated training center for transcatheter aortic valve replacement (TAVR) Yale’s Endocrine Neoplasia Laboratory is an internationally renowned multidisciplinary research group in which surgeons work with endocrine geneticists to decipher the molecular genetics of endocrine tumor disease First program in Connecticut to offer three different minimally invasive bariatric surgical techniques: Roux-en-Y gastric bypass, LAP-Band® surgery, and laparoscopic sleeve gastrectomy

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