2097_AUB CV Dr. Merhi - Arab Interventional Radiology News

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AMERICAN UNIVERISTY OF BEIRUT - MEDICAL CENTER
DEPARTMENT OF DIAGNOSTIC RADIOLOGY
fe19@aub.edu.lb
+961-70690951
Fadi El-Merhi
PERSONAL DATA
PERSONAL INFORMATION
DATE OF BIRTH:
02/14/1970
PLACE OF BIRTH:
Lebanon
NATIONALITY:
Lebanese
MARITAL STATUS:
WORK ADDRESS:
American University of Beirut Medical Center
Department of Diagnostic Radiology
P.O. Box :
Beirut-Lebanon
EDUCATION
Undergraduate
Graduate
Medical School
Postgraduate
Training
High School: Evanagelical School for Girls and Boys at Tripoli1988
University : American University of Beirut, Lebanon- 1991
American University of Beirut, Lebanon- 1996
Internship: Categorical Internal Medicine
- Good Samaritan Hospitals at Maryland, Baltimore, MD1997-1998
Residency: Diagnostic Radiology
- Yale New Haven Health System/Bridgeport Hospital Program,
Bridgeport, CT- 1998-2000
- University of Texas Health Science Center at San Antonio, San
Antonio, TX- 2001-2002
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Fellowship:
- Interventional Radiology:
University of Michigan Hospitals at Ann Arbor, Ann Arbor,
MI- 2002-2003
- Body and Cardiovascular Magnetic Resonance Imaging:
Washington University School of Medicine/Mallinckrodt
Institute of Radiology, St. Louis, MO- 2003-2004
ACADEMIC POSITIONS
2009 – Present
Clinical Assistant Professor of Diagnostic
Radiology
Department of Diagnostic Radiology
American University of Beirut Medical Center
2009-Present
Chief Of Computed Tomography Division
Department of Diagnostic Radiology
American University of Beirut Medical Center
2009-Present
Co-Program Director of the Diagnostic
Radiology Residency Program
Department of Diagnostic Radiology
American University of Beirut Medical Center
July 2004 – Sep 2009
Clinical Assistant Professor of Diagnostic
Radiology
Department of Radiology
University of Texas Health Science Center and
Affiliated Hospitals
July 2004 – Sep 2009
Chief, Body Magnetic Resonance Imaging
Section
Department of Radiology
Unive University of Texas Health Science Center and
Affiliated Hospitals
July 2004 – Sep 2009
Director, Body Magnetic Resonance
Imaging
Fellowship Training Program
Department of Radiology
University of Texas Health Science Center and
Affiliated Hospitals
July 2004 – Sep 2009
Director, Body Magnetic Resonance
Imaging
Physics Course
Department of Radiology
2
July 2004 – Sep 2009
July 1999- June 2006
University of Texas Health Science Center and
Affiliated Hospitals
Clinical Assistant Professor of Interventional
and Cardiovascular Radiology
Department of Radiology
University of Texas Health Science Center and
Affiliated Hospitals
Chief Resident
Department of Radiology
Yale New Haven Health System/Bridgeport
Hospital Program
Details: I am a fellowship trained Interventional Radiologist. Interventional
radiology is surgery of the 21st century. Interventional radiology procedures or
minimally invasive surgeries are performed by interventional radiologists who are
specially trained to perform intervention under imaging guidance through small
skin incision, less than 1 centimeter. Several imaging techniques such as X-rays,
Ultrasound, CT and MRI are used to guide sophisticated tools and small
instruments through the blood vessels and other pathways of the body to the site
of a problem, treating a variety of medical disorders without surgery. Procedures
only requiring mild sedation and local anesthesia with much less pain and shorter
hospital stay than conventional surgery. My expertise and clinical knowledge serve
our community of patients and educate medical students, residents, fellows in
training and referring physicians.
AWARDS AND HONORS
-
Jan 1989: Dean‘s Honor List. School of Arts and Sciences. American University of
Beirut.
-
Jan 1988: High School Graduate with Distinction. Evangelical School for Girls and Boys
at Tripoli.
CERTIFICATES, EXAMS AND LICENSURES
Board Certification
-
Nov 2008: Vascular and Interventional Radiology - The American Board of Radiology,
Medical Sub-Specialties.
June 2002: Diagnostic Radiology- The American Board of Radiology, Medical Specialities.
Recertified in 2012.
Certifications
-
July 2010: Basic Life Support Certification-American Heart Association - South Texas
Veterans Health Care System.
January 2011: Advanced Cardiovascular Life Support Certification-American Heart
3
-
Association - University Health System.
June 2004: Body & Cardiovascular Magnetic Resonance Imaging - Washington University
School of Medicine/Mallinckrodt Institute of Radiology.
June 2003: Vascular & Interventional Radiology - University of Michigan Hospitals at
Ann Arbor
March 1996: Educational Commission for Foriegn Medical Graduates – ECFMG
Certified.
License to Practice
-
April 2004: Medical - Texas State Board of Medical Examiners.
Jan 2003: Physician and Surgeon - Missouri State Board of Registration for the Healing
Arts.
Jan 2002: Medical - Department of Consumer and Industry services / State of Michigan.
Registration
-
June 2009: Controlled Substance Registration Certificate - United States Department of
Justice / Drug Enforcement Adminstartion.
May 2004: Texas Controlled Substances Registration Certificate - Texas Department of
Public Safety / Criminal Law Enforcement Division, Narcotics Service.
□
RESEARCH
-
Expertise
Body MRI- Cardiac, Vascular, Abdomen and Pelvis MRI
Interventional Oncology- Percutaneous Radiofrequency Ablation of Tumors;
EndoVascular Chemo and Rradio Embolization of Tumors
ABSTRACTS ('*' Indicates Peer Reviewed)
1. Saade C, Bourne R, EL-MERHI F, Haydar, Brennan P C. Patient-specific Injection Timing
Improves Vessel Opacification with 58% Reduction in Contrast Volume for Computed
Tomography Pulmonary Angiography. 2012 Nov. (Radiological Society of North America).
2. Itani M, Taslakian B, Batley N, Saliba M, Hitti E, El-MERHI F. The discrepancy rate
between preliminary and official reports of emergency radiology studies: A performance
indicator and quality improvement method. 2012 April. (Electronic poster presentation
(Poster number VR1) at the 5th Arab Congress of Radiology.; Hammamet, Tunisia).
3. Cura M, Jung I, Lopera JE, EL-MERHI F, Suri R, Kroma G. Non-Operative Management
of Blunt Spleen Trauma 2009 Mar. (Society of Interventional Radiology).
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4. Lopera JE, Nguyen H, Suri R, Cura M, EL-MERHI F, Kroma G. Clot Trapping
Performance of Different Types of Metallic Stents: In-Vitro Study in a Flowing Model 2009
Mar. (Society of Interventional Radiology).
5. Cura M, Inkyung J, Lopera JE, EL-MERHI F, Suri R, Kroma G. Value of Computed
Tomography (CT) Contrast Extravasation and American Association for the Surgery of
Trauma (AAST) Splenic Injury CT Grade in Patients with Blunt Spleen Trauma and Acute
Arterial Injury by Angiography 2008 Dec. (Radiological Society of North America).
6. Cura M, Inkyung J, Lopera JE, Suri R, EL-MERHI F, Kroma G. Transplant Free Survival
and Cox Regression of Predictors of Survival after Viatorr TIPS Creation 2008 Dec.
(Radiological Society of North America).
7. Lopera JE, Trimmer C, Suri R, Cura M, EL-MERHI F, Kroma G. Multidetector-Row
Computed Tomography Angiography (CTA) of Surgical Reconstruction of the Mesenteric
Circulation 2008 Dec. (Radiological Society of North America).
8. Suri R, Lopera JE, Cura M, Kroma G, EL-MERHI F, Toursarkissian B. Diabetes Mellitus
(DM) and Peripheral Vascular Disease (PAD): Imaging Evaluation and Interventions for
Critical Limb Ischemia in the 21st Century Revisited 2008 Dec. (Radiological Society of North
America).
9. CURA M, Cura A, Suri R, Lopera JE, EL-MERHI F. Selective Arterial Embolization for the
Treatment of Non Variceal Upper Gastrointestinal Hemorrhage 2008 Sep. (Sociedad
Argentina de Radiologia).
10. Cura M, Lopera JE, EL-MERHI F, Suri R. Treatment of Refractory Ascites with
Transjugular Intrahepatic Portosystemic Shunts (TIPS) Creation After Liver Transplantation
2008 Sep. (Sociedad Argentina de Radiologia).
11. Cura M, Jung I, EL-MERHI F, Suri R, Lopera JE, Martinez N, Cura A. Doppler Ultrasound
(US) Evaluation of Viatorr Transjugular Intrahepatic Portosystemic Shunts (TIPS)
Dysfunction 2008 Sep. (Sociedad Argentina de Radiologia).
12. Cura M, Garcia M, Suri R, EL-MERHI F, Lopera JE, Young C. Transjugular Intrahepatic
Portosystemic Shunt (TIPS) Creation After Liver Transplantation 2008 Mar. (European
Congress of Radiology).
BOOK CHAPTERS
1. FADI EL-MERHI, Michael Wholey. CT and MR Angiography. In: 2nd edition of Practical
Peripheral Vascular Intervention. Lippincott Williams Wilkins, 2011.
2. KyongtaeT Bae, Alessfandro, FADI EL-MERHI. Renal Cystic Disease. In: Medical
Radiology volume on Radiological Imaging of the Kidney, Quaia E. Eds., Springer 2009.
3. Michael Wholey, FADI EL-MERHI, William Wu. Proximal inominate and common carotid
artery stenting In: Supra-aortic vessels angioplasty Combo (carotid, subclavian and vertebral
arteries). Marseille, France: Multidisciplinary European Endovascular Therapy; 2009.
4. FADI EL-MERHI, Gerald Dodd III, Linda G Hubbard. Considerations in Setting Up a
Radiofrequency Abaltion Service: How We Do It In: Interventional Radiological Treatment of
Liver Tumors. Cambridge, UK: Cambridge University Press; 2009.
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ARTICLES
1. EL-MERHI F, Garg D, Cura M ,Ghaith O. Peripheral Vascular Tumors and Vascular
Malformations: Imaging (Magnetic Resonance Imaging and Conventional Angiography),
Pathologic Correlation and Treatment Options. International Journal of Cardiovascular
Imaging, Accepted for Publication.
2. Hardman, R.L., EL-MERHI F., Jung, A.J., Ware, S., Thompson, I.M., Friel, H. T. and Peng
Q. Fast T2* -weighted MRI of the prostate at 3tesla. Journal of Magnetic Resonance Imaging,
2011 April; 33: 902-907
3. Kroma G, Lopera J, Cura M, Suri R, EL-Merhi F, Reading J. Tranjugular intrahepatic
portosystemic shunt flow reduction with adjustable polytetrafluoroethylene-covered balloonexpandable stents. J Vasc Inter Radiol, 2010 Jun; 21(6): 953-4
4. EL-MERHI F (ACR Co-Chair), Leyendecker J (ACR Co-Chair), Dillman J. ACR–NASCI–
SPR PRACTICE GUIDELINE FOR THE PERFORMANCE OF PEDIATRIC AND
ADULT BODY MAGNETIC RESONANCE ANGIOGRAPHY (MRA) The Process for
Developing ACR Practice Guidelines and Technical Standards on the ACR web page
(http://www.acr.org/guidelines) by the Cardiac Imaging Committee of the Commission on
Body Imaging and the Guidelines and Standards Committee of the Commission on Pediatric
Radiology in collaboration with the NASCI, and the SPR Revised 2010.
5. Cura M, EL-MERHI F, Bugnogne A, Palacios R, Suri R, Dalsaso T. Renal aneurysms and
pseudoaneurysms Clinical Imaging 2010 Jan.
6. Lopera J E, Trimmer C K, Lamba R, Suri R, Cura M, El-MERHI F, Kroma G. MDCT
Angiography of Mesenteric Bypass Surgery for the Treatment of Chronic Mesenteric Ischemia
American Journal of Roentgenology 2009 Nov;193:1439-1445.
7. Barge J, Lopera J, Harper R, Cura M, Kroma G, EL-MERHI F, Suri R. In-vitro Model of
Translumbar Embolization of Endoleaks with NBCA: Risk of “Gluing” Different Access
Devices Vascular Disease Management Electronic Journal 2009 Aug; 6:4.
8. Cura M, Martinez N, Cura A, El-MERHI F, Dalsazo T.. Arteriovenous Malformations of the
Uterus Acta Radiologica 2009 Jan;50:823-829.
9. Cura M, Cura, A, Suri R, EL-MERHI F, Lopera JE, Kroma G. Causes of TIPS Dysfunction
American Journal of Roentgenology 2008 Dec;191(6):1751-1757.
10. Lopera JE, Suri R, Cura M, Kroma G, EL-MERHI F. Crural Artery Traumatic Injuries:
Treatment with Embolization. Cardiovasc Intervent Radiol 2008 May;31(3):550-557.
11. Head HW, Dodd III GD, Dalrymple NC, Prasad SR, EL-MERHI F, Freckleton MW,
Hubbard LG. Percutaneous Radiofrequency Ablation of Hepatic Tumors against the
Diaphragm: Frequency of Diaphragmatic Injury Radiology 2007 Jun;243(3).
12. Elsayes KM, Oliveira EP, Narra VR, EL-MERHI F, Brown JJ. Magnetic Resonance Imaging
of the Gallbladder: Spectrum of Abnormalities Acta Radiol 2007 Jun;48(5):476-482.
13. Dalrymple NC, Prasad SR, EL-MERHI F, Chintapalli KN. Price of Isotropy in
Multidetector CT RadioGraphics 2007 Jan;27(1):49-62.
14. Tongdee R, Narra VR, McNeal G, Hildebolt CF, EL-MERHI F, Foster G, Brown JJ. Hybrid
Peripheral 3D Contrast-Enhanced MR Angiography of Calf and Foot Vasculature American
Journal of Roentgenology 2006 Jun;186(6):1746-1753.
15. EL-MERHI F, Bae T. Cystic Renal Disease. Review article Magnetic Resonance Imaging
Clinics of North America/Genitourinal MR Imaging 2004 Aug;12(3).
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GRANTS
Funding Agency: American Heart Association- Texas Affiliate
Title: Myocardial perfusion imaging at 3 Tesla for the investigation of coronary
artery disease in diabetes mellitus.
Period: July 2006- June 2008
Role: Co-investigator
Total Costs: $129,998.00
Funding Agency: American College of Radiology Imaging Network (ACRIN)
Title: Multicenter Feasibility Study of Radiofrequency Ablation of Hepatocellular
Carcinoma in Cirrhotic Patients.
Period: Nov 2005- Dec 2007
Role: Co-investigator
Total Costs:
Funding Agency: Society of Uroradiology
Title: 3.0T MR Imaging and MR Spectroscopic Imaging of Prostate Cancer in a
Watchful Waiting Patient Cohort
Period: Nov 2005- Dec 2007
Role: Co-investigator
Total Costs: $10,000
TEACHING

Clinical MRI Physics- Course Director (July 2004 – Sep 2009)
The MRI Physics course is a comprehensive lectures for residents and fellows

Body MRI Case Conference (July 2005 – Sep 2009)
Exposing our radiology residents to all kinds of Body MRI studies with indirect feedback after each case.

Body MRI Journal Club (July 2004- Sep 2009)
Attendees include body MRI fellow, abdominal fellows, body MRI residents and abdominal residents.
SERVICES
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GRAND ROUNDS
American University of Beirut-Medical Center:
Oct 2011
Gastroenterology
Grand Rounds
Liver Cirrhosis
July 2010
Emergency Medicine
Grand Rounds
Spleen Trauma
March 2010
Cardiology
Grand Rounds
Cardiac MRI: Myocarditis vs. HCOM
University of Texas Health Science Center at San Antonio:
Jan 2009 – Sep 2009
Cardiology Grand Rounds
Every Wednesday, attended by cardiology staff, fellows and residents and radiology staff, fellows and
residents. I work very closely with Dr. Mark Feltman, who is the director of the HCM.
July 2004 – Sep 2009
Urology Grand Rounds
Renal MRI, Invited once a year
July 2004 – Sep 2009
Non-invasive Vascular Imaging, Invited once a year
Vascular Surgery Grand
Rounds
PATIENT CARE
American University of Beirut-Medical Center:
Dates
Description
Role
Nov 2009 – Present
Tumor Board
Consultant
Nov 2009 – Present
Urology Board
Consultant
University of Texas Health Science Center at San Antonio:
Dates
Description
Nov 2007 – Sep 2009
Transplant Conference
Role
Consultant
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Twice a month the liver transplant team, University Hospital, meets with interventional radiology to
discuss management of patients with liver tumors, portal hypertension or complications post
transplant.
Nov 2007 – Sep 2009
Hepatology Conference
Consultant
Interdepartmental conference held twice a month. Interventional radiology staff, fellows and rotating
residents meet with hepatologists, surgeons and medical oncologists to discuss management of patients
with liver tumors at the Veterans Affairs Hospital.
Nov 2007 – Sep 2009
Interventional Radiology, Morbidity
and Mortality Conference
Faculty
Interventional radiology faculty, fellows and rotating residents meet monthly to discuss outcomes and
complications of IR cases performed at UHS and VAH.
SERVICE TO GOVERNMENT
Dates
July 2004 – Sep 2009
Description
Interventional Radiology Clinic,
Veterans Administration
Role
Consultant
I see patients monthly in the interventional radiology clinic at the Veterans Affairs Hospital, Audie
L. Murphy division. These patients have hepatic and renal tumors, cirrhosis and portal hypertension
and peripheral vascular disease. I recommend and discuss treatment plans with the patient and
referring physician.
July 2004 – Sep 2009
Interventional Radiology,
Veterans Administration
Attending
Physician
I treated patients at the Veterans Affairs Hospital, Audie L. Murphy division. These patients
have a wide spectrum of diseases like peripheral vascular disease, tumors, liver diseases, renal
diseases, etc. As a interventional radiologist, I perform minimally invasive procedures like
embolization, chemoembolization, transjugular portosystemic shunts, maintenance and declot of AV
fistulas and arteriovenous grafts, etc.
SERVICE TO INSTITUTION
American University of Beirut-Medical Center:
Dates
Nov 2009 – Present
Description
Co-Program Director of
Diagnostic Radiology
Residency
Role
Introduction of American College of
Radiology-In Training Exam
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Nov 2009 – Present
Tumor Board
Consultant
Interventional radiology faculty meet with medica and surgical oncologist and radiation therapist to
discuss management of patients with primary and metastatic tumors at the AUB-MC.
Nov 2009 – Present
Urology Board
Consultant
Interventional radiology faculty meet with urologist to discuss management of patients with non
malignant and non malignant urology related medical problems at the AUBMC.
University of Texas Health Science Center at San Antonio:
Dates
Description
Role
Sep 2008 – Sep 2009
Liver Tumor Board
Consultant
Interventional radiology faculty meet with hepatologists, surgeons and medical oncologists to discuss
management of patients with primary and metastatic liver tumors at the UTHSCSA Cancer
Therapy & Research Center.
Nov 2007 – Sep 2009
Interventional Radiology Clinic,
University Health Systems Hospital
Consultant
Patients were seen monthly in the IR clinic at University Hospital. Patients with hepatic and renal
tumors, cirrhosis and portal hypertension, pulmonary and peripheral vascular diseases are seen.
Treatment plans are reccommended and discussed with the patients and referring physicians.
COMMITTEES
American University of Beirut-Medical Center
1. Performance improvement Committee:
Monitoring to JCI Performance Indicator including Radiology Report Turn
Around Time and Radiology-Emergency Medicine Desripancy Rate
2. Patient Safety Committee
3. Cancer Committee
Monitoring cancer patients admitted and referred to AUB-MC with updates on tumor
registry and planning tumor conferences in Lebanon and the region.
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4. Special Medical Staff Committee
I served on two of the above mentioned committee.
5. Medical Committee
Delegate course of action between Ministry of Health, Lebanese Order of Physician and
AUB-MC doctors.
American University Of Beirut
1. Medical Student Curriculum Restructuring Committee
The Medical School Curriculum at AUB is undergoing major restructuring om all levels.
Radiology is now integrated into the medical students curriculum.
University of Texas Health Science Center at San Antonio
1. Vascular & Interventional Radiology Fellow Selection Committee
Assist in reviewing applicants for selection of candidates for the vascular and interventional
radiology (VIR) fellowship program. The VIR fellowship is a 12 month training
program, which is ACGME accredited. Our program offers training is all aspects of
interventional radiology, vascular and non vascular procedures, by fellowship trained
specialists.
SCIENTIFIC AND MEDICAL SOCIETY MEMBERSHIPS
1.
2.
3.
4.
5.
6.
7.
American Roentgen ray Society
International Society of Magnetic Resonance in Medicine
Society of Interventional Radiology
American Association of Academic Chief Residents in
Radiology
American College of Radiology
Association of University Radiologists
Radiological Society of North America
May 2007 – present
July 2003 – present
July 2002 – present
July 1999 – June 2000
July 1998 – present
July 1998 – present
July 1998 – present
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