Women’s Imaging Fellowship

Anoop Ayyappan
Anoop P. Ayyappan, M.D.

Program Director
Assistant Professor



Norma Noriega
Norma Noriega

Administrative Coordinator


915-215 6456

Program Overview

The Breast and Abdominal Imaging Divisions of the Department of Radiology at TTUHSC El Paso jointly offers a 12-month, non-accredited fellowship in women’s imaging. This Texas Medical Board approved fellowship is designed for one fellow per year.  

This fellowship provides in-depth training in all aspects of breast and body imaging. State-of-the-art breast imaging equipment includes two Hologic’s 3D mammography units, two full field digital mammography units, two ultrasound units with high resolution transducers and Doppler capabilities, Affirm upright breast biopsy guidance system with dual stereotactic and tomosynthesis biopsy capability, and a 1.5 Tesla Siemens magnet with dedicated 16-channel breast coil.

Most cross-sectional body imaging studies are generated on-site with a 3T-Siemens magnet and multiple state-of-the-art multi-detector CT scanners. Studies are also performed on a 1.5T-Siemans and CT scanner located at an off-site outpatient clinic. Up-to-date imaging techniques and cutting-edge technology are utilized on a daily basis and incorporated into all imaging protocols.

The fellowship also offers ample opportunities for clinical research and teaching.

Clinical Experience

This one year fellowship combines six months in breast imaging and six months in cross-sectional body imaging. During the breast imaging rotations, fellows receive training in screening and diagnostic mammography, 3D mammography (breast tomosynthesis), breast ultrasound, breast MRI and breast interventions. Fellows will have the opportunity to actively participate in the interpretation of more than 18,000 breast imaging studies as well as perform more than 600 interventional procedures under supervision. Fellows will routinely participate in a bimonthly multidisciplinary breast tumor board during which management of new cancer cases are discussed by experts in surgical oncology, radiation oncology, medical oncology, pathology and radiology.

The body imaging component includes rotations in body MR, ultrasound and CT. Fellows will also receive training in hysterosalpingography, sono-hysterography and ultrasound-guided pelvic interventions.


The fellowship is divided into 13, four-week blocks. Typical rotation schedules include six blocks of breast imaging and interventions, four blocks of CT/MR, one block of US, one block of elective/research and two weeks of vacation. In addition, five conference days are also available to fellows along with an educational stipend to attend meetings.

There are multiple mandatory and optional multidisciplinary conferences, opportunities for formal and informal teaching of medical students and residents and ample opportunities for clinical research. Fellows are encouraged and supported to present their research at scientific meetings.

Application Process

The first breast imaging fellowship match will take place in March 2017 for the 2018 appointment year. The match is sponsored by the Society of Breast Imaging and will be managed by the National Resident Matching Program (www.nrmp.org). In order to become a woman’s imaging fellow with TTUHSC El Paso, you must register with the radiology match, of which breast imaging is a part.

Programs participating in the match cannot extend any offers to candidates outside of the match. Applicants will pay a $75 registration fee to register for the match. Applicants can withdraw from the match prior to the ranking deadline if they accept a position outside of the match.

To apply for a fellowship position, candidates should send the following documents to Norma Noriega at norma.noriega@ttuhsc.edu:

  1. Curriculum Vitae
  2. Personal statement
  3. USMLE score transcripts steps 1, 2, and 3
  4. Three letters of recommendation on official departmental letter head
  5. ABR Certification or eligibility for certification

Applicants must be eligible to obtain a physician-in-training permit in the State of Texas.

IMG applicants are welcome but may require additional documentation. Please contact us directly for more information.

Dates of the Match

  • March 22, 2017: Registration opens
  • April 26, 2017: Ranking opens
  • May 31, 2017: Ranking closes
  • June 14, 2017: Match Day
  • July 1, 2018: Training begins