Neurorradiologists

Neuroradiologists are radiologists who specialize in diseases of the nervous system. They interpret imaging studies of the brain, spine, head and neck, and may be involved in both diagnostic and interventional work. They use technologies such as magnetic resonance imaging (MRI), computed tomography (CT), CT and MR angiography, and ultrasound to diagnose conditions including stroke, tumors, chronic pain syndromes, vascular malformations, infections, and traumatic injuries. In many centers, neuroradiology departments provide imaging for neurology, neurosurgery, oncology, and other specialties, and work as part of a multidisciplinary team.

Interventional neuroradiology, a subspecialty of neuroradiology, uses image guidance to treat disorders via endovascular or percutaneous approaches. Procedures commonly performed include endovascular treatment of cerebral aneurysms (coil embolization, stent-assisted techniques, flow-diverter devices), mechanical thrombectomy for acute ischemic stroke, embolization of brain or spinal vascular malformations, and treatment of dural arteriovenous fistulas and selected tumors. The field emphasizes minimally invasive techniques and often requires collaboration with neurosurgery, neurology, and oncology. Training typically combines radiology residency, a neuroradiology fellowship, and, for some practitioners, a dedicated interventional neuroradiology fellowship.

Practicing neuroradiologists work in academic medical centers, tertiary hospitals, and community imaging centers. Their responsibilities include image interpretation, consultation, procedural planning, and performing procedures under radiologic guidance. The field has evolved with advances in imaging, endovascular devices, and neurovascular pharmacology, and remains a dynamic area of practice with ongoing research and guideline development.