Breast Imaging

Headshot of Dr. Ramya Pham in white coat and blue background
Ramya Pham, MD Breast Fellowship Director

The Breast Imaging Division offers two positions annually for a one-year comprehensive breast imaging fellowship according to the guidelines and curriculum recommended by the Society of Breast Imaging (SBI).

The Breen Breast Health Pavilion is a state-of-the-art breast center built in 2011. All of our breast centers maintain the status of Breast Imaging Center of Excellence based on our recent American College of Radiology (ACR) accreditation. We also have ACR accreditation for magnetic resonance imaging (MRI) for the sites that perform breast MRI at University Hospitals. We have excellent support staff including a clinical nurse navigator at most sites.


Most of our exams are performed between 5 main breast centers staffed by 8 dedicated subspecialty trained breast imaging radiologists. We perform the whole gamut of breast imaging exams including screening and diagnostic mammography, needle localizations, ductography, ultrasound/stereotactic (prone and upright)/MRI vacuum assisted biopsies, and MRIs.

  • Screening and diagnostic mammography (over 64,000/yr)
  • Ultrasound (over 8,000/yr)
  • Full protocol MRIs and abbreviated protocol MRIs aka FAST MRIs (over 800/yr)
  • Interventional procedures (over 3,000/yr)
    • Ultrasound core biopsies
    • Stereotactic core biopsies (prone, upright, and including lateral arm capability)
    • MRI core biopsies
  • Magseed and wire localizations
  • Ductography

Current Technology Overview

  • Hologic Dimensions mammography units at 5 breast centers (tomosynthesis with C-view available at all 5 breast centers)
  • 7 Supersonic ultrasound units
  • 4 stereotactic biopsy units (3 prone and 1 upright with lateral arm capability)
  • MRIs done on 1.5 and 3.0T Siemens, Philips, and GE magnets
  • Suros Atec biopsy devices for use in MRI, stereotactic and ultrasound biopsies
  • Elite and Marquee biopsy devices for ultrasound biopsies


The fellow is actively involved in the interpretation of examinations, performance of procedures, and consultation with referring physicians. There is one weekly, multidisciplinary tumor board conference attended by the fellows and a faculty member. Other conferences include the monthly radiology-pathology conference, monthly journal club, and weekly resident conferences.

As a breast imaging fellow, dedicated research time is negotiable and there is access to the Case Center for Imaging Research (CCIR), which is a joint venture between Case Western Reserve University (CWRU) School of Medicine and University Hospitals Cleveland Medical Center. There is funding available for educational meetings/conferences.

The ultimate goal is for the mammography fellows to assume the role of primary imager with the faculty person as a supervisor. The breast imaging division has a strong interest in resident and fellow education and clinical research is encouraged.

On-call weekend responsibilities exist and vary yearly depending on the needs of the department.

Eligibility for Fellowship

We are participating in the Breast Imaging Fellowship Match which will take place in June 2019 for the 2020-2021 appointment year. The match is sponsored by the Society of Breast Imaging and it will be managed by the National Resident Matching Program

  • Applicants must participate in the SBI Fellowship Match Program
  • Candidates should have completed their residency in the US 
  • Candidates must be board-eligible or board-certified in radiology before the start of the fellowship
  • An Ohio State Medical License is required before the start of the fellowship

Match Dates

  • Interview period begins January 1, 2019
  • March 20, 2019: Registration opens
  • April 24, 2019: Ranking opens
  • May 15, 2019: Quota change deadline
  • May 29, 2019: Ranking Closes
  • June 12, 2019: Match Day
  • July 1, 2020: Training begins

Additional Required Application Items

  • Personal statement
  • Curriculum Vitae
  • Two to three current letters of recommendation (prefer that at least one should be from a breast imager, and at least one should be from residency program director)
  • Photocopies of original examination results (USMLE Step 1, 2, 3 and all Radiology board exams) with dates and photocopies of board certifications (if applicable)
  • Copies of any research or publications
  • Recent Photograph
  • Photocopies of visa/citizenship papers if applicable

Please email all required documents to Cecilia Foreman and Ramya Pham, MD. Alternatively, documents may be sent by regular mail to the address below. Once the application packet is complete, we will contact you directly about arranging an interview.

Ramya Pham MD
Attn: Cecilia Foreman
Fellowship Director Breast Imaging
Assistant Professor of Radiology
University Hospitals Cleveland Medical Center
11100 Euclid Avenue
Cleveland, OH 44106

Program Contact Information

Ramya Pham MD
Fellowship Director Breast Imaging
Assistant Professor of Radiology
University Hospitals Cleveland Medical Center
11100 Euclid Avenue
Cleveland, OH 44106

Cecilia Foreman
Fellowship Coordinator
Department of Radiology
University Hospitals Cleveland Medical Center
11100 Euclid Avenue
Cleveland, OH 44106