neuroradiology-clinical-services

List of Clinical Services

Brain and Spine Imaging

The SGH Department of Neuroradiology provides comprehensive brain and spine imaging to support clinical care for our patients. The support includes 24/7 acute hospital imaging services for patients in SGH, as well as highly specialized tertiary support for patients in Neurology, Neurosurgery, Neuro-oncology, Ophthalmology, Otorhinolaryngology, just to name a few. We work closely with our clinical colleagues to provide safe and high-quality holistic care for our patients in a multidisciplinary collaborative setting.

Imaging services we provide:

Routine MRI and CT brain
Routine MRI and CT Spine
MR and CT Angiography of the Head, Neck and Spine
MRI Cranial Nerves
MR and CT Perfusion
MR Spectroscopy
Functional MRI
MR Diffusion Tensor Imaging and Tractography
MR Nigrosome (SMWI)
MR Plexography and Neurography
MR CSF flow
MR Vessel Wall Imaging
Neonatal Imaging

Notable specialized clinical services that we support:

fMRI and DTI to support neurosurgical planning
MR perfusion and spectroscopy for diagnosis and therapy
Radiosurgery imaging
Radiotherapy imaging
Pre- and post-operative imaging for Deep Brain Stimulation
Vessel wall imaging for neurovascular inflammatory and rheumatological diseases
Cranial nerve Imaging
MRI Nigrosome for neurodegenerative diseases
Neonatal imaging

We are always looking for collaboration and opportunities to push boundaries in neuroimaging. Besides novel imaging techniques such as MRI Nigrosome, other notable areas in innovation and research include 3-D printing, AI applications, neurodegenerative disease, and many others.

With our large volume of routine and complex cases, ranging from settings in community and acute care to tertiary care, SGH Department of Neuroradiology provides a rich learning environment for residents and fellows interested in pursuing a career in clinical neuroradiology and research.

Head and Neck Imaging

Our team of head and neck radiologists in SGH is committed to providing top-notch patient care. Besides being the de facto head and neck imaging centre in SGH, our section receives referrals from other national specialty centres within the cluster. We work closely with the clinicians to deliver precision care for all our patients with multidisciplinary clinical meetings and collaborations.

With state-of-the-art equipment, we diagnose a wide range of intricate eye, ear, nose, throat and neck conditions. This includes the use of MRI, MRI Neurography, MRI sialography, MRI endolymphatic hydrops, DECT, 4D CT parathyroid, dacrocystography and general radiology. In addition to clinical care, we believe in innovation, research, and education for advancement in this field.

Whether you are a medical practitioner seeking specialised radiological services, an organisation looking at collaborative opportunities, or a fellow wanting to learn about this dynamic and exciting field, you may contact us directly for more information.

Our team of specialists are here to make a meaningful impact in healthcare.

Neurointervention (NIR)

The SGH NIR service delivers collaborative, evidence-based care to patients with neurovascular and head & neck vascular conditions, using state-of-the-art image guidance through minimally invasive, ‘keyhole’ techniques. This team of specialised neuroradiologist, neurointerventional nurses and radiographers performs upwards of 500 procedures every year (endovascular or percutaneous) here in SGH. More than half of these are often life-saving procedures performed in an emergency setting.

Conditions treated by the SGH NIR team:

ischemic and haemorrhagic strokes such as intracranial arterial and venous occlusions, brain aneurysms, vascular dissections etc.)
intracranial arteriovenous shunts such as dural arteriovenous fistulas (dAVF), carotico-cavernous fistulas (CCF), arteriovenous malformations (AVM)
spinal arteriovenous shunts such as spinal arteriovenous fistulas (sAVF) and spinal AVMs
head & neck vessel stenoses (carotid & vertebral artery stenosis, also known as extracranial atherosclerotic disease (ECAD), intracranial atherosclerosis (ICAD))
epistaxis and carotid blowout
intracranial hypertension or hypotension (IIH & SIH)
subdural hematomas (SDH)
head & neck tumours
spinal tumours
high and low flow vascular malformations of the head & neck such as facial AVFs and AVMs, venous malformations (VM), veno-lymphatic malformations (VLM), lymphatic malformations (LM)

Procedures performed by the SGH NIR team:

cerebral, head & neck and spinal angiography
endovascular thrombectomy (EVT) for intracranial arterial or venous occlusions
DAVF, CCF, AVM embolisation
spinal AVF and AVM embolisation
intracranial angioplasty and stenting
carotid and vertebral artery angioplasty and stenting
epistaxis and carotid blowout embolisation
venous sinus stenting
digital subtraction and computed tomographic (CT) myelography
middle meningeal artery (MMA) embolisation
pre-operative or adjunctive tumour embolisation
facial AVF and AVM embolisation
sclerotherapy and ablation of VMs, VLMs or LMs

The patients treated by the service are managed in a multidisciplinary team setting, comprising specialities including - but not limited to - Neurology, Neurosurgery, Ophthalmology, Otorhinolaryngology, Oro-maxillofacial Surgery, Internal Medicine, Orthopaedic Surgery et cetera. This ensures that the patients treated receive a high degree of holistic care.

In addition to SGH, the NIR team also cater to the needs of Singapore’s largest paediatric hospital – KK Women’s and Children’s Hospital – in managing paediatric neurovascular diseases.

The team is one of the first institutions to routinely perform neurovascular procedures via the transradial approach (TRA), an established approach in cardiology but novel in the NIR field due to its unique challenges.

Fellowship positions are available, open to international candidates embarking on the exciting career of neurointervention. For more information, please contact Dr Chia Ghim Song, neurointerventional radiologist @ chia.ghim.song@singhealth.com.sg