NEURORADIOLOGY DEPARTMENT HEAD Doctor Georges Rodesch
WHAT IS NEURO-RADIOLOGY?
Neuroradiology can be defined as the radiology (imaging) of the central nervous system (brain and spinal cord) and its membranes as well as the head and neck region of the body.
This is very much an advanced form of radiology which uses the alphabet of general medical imaging (CT and MRI scanners, angiography, etc.) to speak the language of neuroscience.
OVERALL PRESENTATION OF THE DEPARTMENT
This medical discipline is divided into two main areas: diagnostic neuroradiology and therapeutic or interventional neuroradiology
Diagnostic neuroradiology uses CT and MRI scanners to detect and explore conditions affecting the brain, spinal cord and the head/neck areas of the body.
Therapeutic or interventional neuroradiology is performed in an angiography room with an "operating theatre" environment (a "hybrid-OR") and can be
-either endovascular (treating vascular conditions and some tumours affecting these organs by separating these lesions from general circulation such that they are no longer vascularised and therefore cease to be functional: this is done after inserting small catheters inside the arteries or veins in the body, using radiology guidance techniques to guide them to the target zone,
-or percutaneous, mainly to treat degenerative conditions of the spinal cord (disk hernia, vertebroplasty, etc.) by piercing the skin to treat the lesions causing the symptoms of these conditions.
The Hôpital Foch NRDT works with a complete technical platform (with the latest generation of machines including 2 CT, 2 MRI (1.5) and 3 Tesla scanners as well as a complete angiography suite).
The department has eight senior neuroradiology specialists (DNR: diagnostic neuroradiology; INR: interventional neuroradiology) who are available at all times to provide treatment for patients suffering from conditions that require diagnosis or treatment (Dr Georges Rodesch (INR), department head, President of the World Federation of Interventional and Therapeutic Neuroradiology (WFITN) between 2013 and 2015, assisted by Drs Anne Boulin (DNR), Stéphanie Auliac (DNR), Oguzhan Coskun (INR), Arturo Consoli (INR), Federico di Maria (INR), Stéphanie Guieu (DNR) and Marie Tisserand (DNR).
The department also participates in the training of specialisation interns (one DES position per semester) and receives overseas interns who wish to learn from the department.
The Neuroradiology department is an integral part of the Hôpital Foch Neuroscience Centre and assists the other departments to advance their capacities (pituitary related conditions, lower cranial or spinal cord tumours, treatment of Parkinson's disease and strokes, etc.) All of the department's doctors work in close collaboration with all of their colleagues who are also concerned with the nervous system and the head/neck region. They are committed to the Hôpital Foch's institutional projects and the region's care projects for treatments defined by the ARS (Agence Régionale de Sante - Regional Healthcare Authority) (neurosurgery-neuroradiology, treatment of emergency haemorrhagic stroke victims, etc.)
The Hôpital Foch neuroradiology department works in close collaboration with national and international research centres for diagnostic imaging, therapeutic and interventional treatment of vascular central nervous system and head and neck area conditions: because of their high level of expertise in the domain, international cases are often referred to the department.
Consequently the Foch NRDT department is the European Reference centre for vascular conditions affecting the formation of the spinal cord, and one of the world's largest centres for the treatment of these lesions.
In addition to this, children of all ages are referred to the department for treatment of vascular conditions thanks to the extensive paediatric interventional neuroradiology experience acquired by the team.
Dr Georges Rodesch in particular receives these children and treats them via the Rothschild Ophthalmology Foundation (for which he is the paediatric neuroradiology unit manager).
The neuroradiology department has been recognised as a Rare Conditions Reference Centre by the Ministry of Health since 2017. It also participates in the AVANCE network of the FAVA-Multi sector, for which it is a constitutive centre for vascular conditions affecting bone marrow in adults and children. it is also a constitutive centre of the Rothschild Ophthalmology Centre for the same network, specialising in cerebral vascular deformity conditions in adults and children.
The neuroradiology department is located on the technical imaging platform which it shares with the general radiology department, and is also located in the "hybrid-OR". Its units are located on the third floor (North wing) of the main building (Blue Sector) and on the first floor (East wing) for intensive care.
Interventional neuroradiology consultations:
Dr Georges Rodesch: Monday afternoon
Dr Frederico di Maria: Tuesday afternoon
Dr Oguzhan Coskun: Wednesday afternoon
Dr Arturo Consoli: Thursday afternoon