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What Is Otosclerosis?


Otosclerosis pic


A diagnostic radiologist with a subspecialty in neuroradiology, Gul Moonis, MD, serves on the staff at Columbia University Medical Center in New York City. Over the course of a medical career spanning more than 23 years, Dr. Gul Moonis has gained extensive experience imaging a variety of disorders of the ear, including otosclerosis.

A genetic disorder affecting the bones of the middle and inner ear, otosclerosis is characterized by abnormal bone growth that prevents the vibrations involved in transmitting sound information to the brain. The primary symptom of otosclerosis is a gradual hearing loss that typically begins between the ages of 10 and 30. Other symptoms of the disease include dizziness, imbalance, and tinnitus.

Once otosclerosis is diagnosed through a physical exam and hearing test, an otolaryngologist will plot a course of treatment. A CT scan of the temporal bone can be performed to diagnose the disease. In some cases, a physician will take a conservative approach that simply involves regular tests to monitor the progression of hearing loss.

Other interventions include hearing aids, sodium fluoride tablets, and surgery. For conductive hearing loss, which primarily involves the bones of the middle ear, surgical interventions have a high success rate of improving hearing and reducing other symptoms of otosclerosis.


Development and Diagnosis of Otosclerosis


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Gul Moonis, MD, has practiced radiology for seventeen years. Now a member of the radiology department at Columbia University Medical Center, Dr. Gul Moonis draws on in-depth experience in the imaging of patients with otosclerosis.

Otosclerosis is a bone disorder of the inner and middle ear. In a healthy ear, these bones are responsible for receiving vibrations caused when sound waves hit the tympanic membrane in the ear canal. These vibrations cause the middle ear bones to move, which in turn causes movement of the inner ear fluid and stimulation of the cells that transmit to the auditory nerve.

With otosclerosis, approximately 10 percent of Caucasian adults, and in a lesser population of individuals of African, South American, and Japanese descent, bones inside the ear fuse and lose their ability to move. This interferes with the progress of vibrations through the ear and leads to progressive hearing loss.

Diagnosis of the condition typically begins with a hearing test, which may identify loss of the ability to perceive lower tones. Patients may also report ringing in the ears or balance issues, both of which may indicate the likelihood of otosclerosis. A computed topography (CT) scan may be able to confirm bone abnormalities and is often the most definitive test for early-stage disease, before more serious symptoms develop.

Some patients with otosclerosis may not require any treatment. Those with noticeable conductive hearing loss can often benefit from hearing aids, though surgery may be available in certain cases.

RSNA Announces 2017 Grant Funding


Radiological Society of North America pic

Radiological Society of North America

A diagnostic radiologist with more than 15 years of experience in the field, Gul Moonis, MD, serves as an attending staff radiologist at Columbia University Medical Center in New York. Committed to ongoing learning and involvement in the field, Dr. Gul Moonis is a longtime member of the Radiological Society of North America (RSNA).

The research arm of the RSNA recently announced that it will award some $4 million in grant funding for 2017 and that nearly 30 percent of all applications made to the body will receive some sort of financial support. Researchers from 50 different locations throughout the world will receive funding.

Over the past 33 years, the RSNA has awarded upwards of $55 million in grants to more than 1,300 research projects. The organization has seen a spike in projects asking for funding in recent years, with applications increasing by double over the previous five-year period. Those who receive funding typically also receive additional grant help from other major sources, such as the National Institutes of Health.

ASHNR Holds 51st Annual Meeting in Las Vegas in September 2017

American Society of Head and Neck Radiology pic

American Society of Head and Neck Radiology

The recipient of a Castle Connolly Top Doctor award for neuroradiology in New York, Gul Moonis, MD, formerly served on the staff at Boston’s Beth Israel Deaconess Medical Center, where she trained residents and fellows. Active in her professional networks, Dr. Gul Moonis belongs to such organizations as the American Society of Head and Neck Radiology (ASHNR).

The ASHNR grew out of a post-graduate course in Chicago and formally organized in 1976. Since then, the Society has endeavored to support improvements in the art and science of head and neck imaging. In that spirit, the organization sponsors an annual meeting to unite its membership.

The ASHNR’s 51st Annual Meeting takes place September 16-20, 2017, at Caesar’s Palace in Las Vegas. With the title “Head and Neck Imaging in the City of Lights,” the event will include more than 60 speakers covering topics ranging from head and neck pathologies to advanced imaging methods. Attendees will also have the opportunity to acquire continuing-education credit hours. For more information, visit

Beth Israel Deaconess Medical Center’s Head and Neck Cancer Program

Beth Israel Deaconess Medical Center


A medical professional with more than fifteen years of experience in diagnostic radiology and neuroradiology, Gul Moonis, MD, serves as a radiologist at the Beth Israel Deaconess Medical Center in Boston, Massachusetts. Dr. Gul Moonis’ medical center manages a Head and Neck Cancer program through its Cancer Center.

The center treats a variety of cancers affecting the head and neck area through a multidisciplinary team of medical professionals that includes physicians, surgeons, nutritionists, social workers, and speech and swallowing therapists. Patients receive comprehensive cancer care at the center and families and patients alike can access supportive resources to help them cope with the challenges associated with a cancer diagnosis. Furthermore, the multidisciplinary teams meet regularly to discuss the individualized care of each patient, including weekly evaluations.

Services encompass a full range of diagnostic, therapeutic, and rehabilitative aid. Comprehensive therapies offered by the center range from medical oncology and radiation oncology to combination therapies and advanced systemic therapy for patients with metastatic cancer. Patients can also participate in clinical trials and access support through an online cancer community.

Membership in the Radiological Society of North America

Radiological Society of North America pic

Radiological Society of North America

Radiologist Gul Moonis, MD, has more than 16 years of experience. A former fellow at the Hospital of the University of Pennsylvania in Philadelphia, Dr. Gul Moonis also has served Beth Israel Deaconess Medical Center as a radiologist and Harvard Medical School as an assistant professor of radiology. She is a member of the Radiological Society of North America (RSNA).

Founded in 1915, RSNA is a society of radiologists, medical physicians, and other medical professionals from all over the world. It is a platform for radiological research and development that not only extends the network of professionals and scientists in the field, but also strengthens the connection among them. Every year, it hosts one of the largest international medical meetings at McCormick Place in Chicago. RSNA also publishes Radiology, one of the highest-impact scientific journals, and RadioGraphics, the only ongoing radiology-specific journal.

Over 54,000 people worldwide maintain membership with the society. Membership is open to radiology specialists and professionals in related fields from all over the world. Members from North America are classified into various categories, such as board-certified active members and board-eligible associate members, as well as military and non-physician groups. Apart from these, there is a provision for free membership for members-in-training and medical students of radiology and related fields. A separate category for international members also exists.

Members of the society benefit from various services, including free advanced registration to RSNA’s medical meetings and subscriptions to high-ranking peer-reviewed journals and magazines.

Temporal Bone Imaging for Issues of Hearing Loss

Gul Moonis pic

Gul Moonis

Gul Moonis, MD, has served as a radiologist at the Beth Israel Deaconess Medical Center in Boston for several years. Listed as a top physician by Castle Connolly, Dr. Gul Moonis focuses her practice on issues related to the temporal bone, such as hearing loss.

If you begin to experience serious hearing loss, your doctor may use temporal bone imaging to help diagnose the problem. Although decreased hearing ability can result from simple issues, such as an excess of wax building up in the ear canal, it may stem from a chronic condition, including cholesteatoma or acoustic neuroma. Other possible causes range from congenital defects to acute otitis media (ear infection).

Your doctor may employ either CT or MRI scanning to image the temporal bone. If you are somewhat claustrophobic be sure to inform your doctor, as you may find the MRI a less desirable option. Following the scan, a radiologist will examine the images, along with detailed information gathered from your examination, and then return a written report to your doctor. Following diagnosis, your doctor will direct you in choosing treatment options.