Joshua A. Hirsch, MD's portrait
Joshua A. Hirsch, MD
Director Interventional Neuroradiology/Endovascular Neurosurgery
Massachusetts General Hospital
Boston, MA

About Joshua A. Hirsch, MD

Dr. Joshua A. Hirsch earned his medical degree from the University of Pennsylvania School of Medicine. The youngest graduate in the recent history of the University of Pennsylvania School of Medicine, he is fellowship trained and certified by the American Board of Radiology. After completing an internship in medicine at Pennsylvania Hospital, a residency in radiology and fellowship in Neuroradiology at the Hospital of the University of Pennsylvania, he completed an additional fellowship in Interventional Neuroradiology at the NeuroVascular Center of the Lahey Medical Center in Burlington, MA.

Dr. Hirsch is a senior member of the American Society of Neuroradiology and the American Society of Interventional and Therapeutic Neuroradiology. He serves on a variety of committees for these and other societies including the Society of Interventional Radiology.

He is also a member of the American College of Radiology, American Roentgen Ray Society, Radiologic Society of North American, Society for Health Service Research in Radiology, American Society of Spine Radiology, American Society of Pediatric Neuroradiology, and the North American Spine Society.

Dr. Hirsch is considered one of the fathers of minimally invasive spine surgery. He is acknowledged as having performed the first vertebroplasty in New England. As a recognized expert in that technique, he has widely lectured on its use. He has instructed physicians from across the world in the technique of percutaneous vertebroplasty. Dr. Hirsch is trained and performs balloon-assisted kyphoplasty and was credited with performing the first combined percutaneous vertebroplasty/kyphoplasty in Boston.

A thought leader in percutaneous decompression of the disc, he was an early believer in the use of percutaneous nucleoplasty as a treatment for sciatica. He used the technique in sciatica while many were concentrating on axial pain. He is also trained in other percutaneous disc procedures including the DeKompressor technique and the IDET procedure. Dr. Hirsch has been called on to be a featured speaker at a number of professional national meetings to discuss these techniques. He has actively taught numerous physicians the technique of nucleoplasty.

The lay press has acclaimed Dr. Hirsch's innovative work on minimally invasive spine surgery. Twice, innovative treatments have been featured on the front page of the health section of the Boston Globe. He has been cited in many print, radio and television campaigns. Most recently, he performed a "live to tape" vertebroplasty on the web, which is still viewable in archived form.

Dr. Hirsch is active academically maintaining his appointment through Harvard Medical School and working at Harvard hospitals. He has published many articles in the peer-reviewed literature. An additional three articles and two book chapters are in print. He is on the Editorial Advisory Board for the journal Pain Physician and Invited Peer Reviewer for the American Journal of Radiology, American Journal of Neuroradiology, and the Journal of Vascular and Interventional Radiology.



Wadsworth S, Yui K, Siegel RM, Tenenholz A, Hirsch JA, Greene MI. Origin and Selection of Peripheral CD4-CD8- T cells bearing alpha/beta T Cell Antigen Receptors in Autoimmune gld Mice. Eur Journal of Immunology. 1990.20: 723-730.

Hirsch JA and Feucel RM. Silo Filler's Disease in a Patient with Prior Swyer-James Syndrome. Seminars in Roentgenology, Vol. XXVIII, No 4, 1993: 294-296.

Hirsch JA, Levine M, Silberg D, Phillipe L. Small Cell Carcinoma of the Esophagus. Canadian Journal of Radiology. 1995.46: 45-47.

Hirsch JA, Langlotz C, Tanio C et al. Clinical Assessment of Magnetic Resonance of the Brain in Non-Surgical Patients. American Journal of Neuroradiology. 17: 1245-1253, August 1996.

Hirsch JA, Lenkinski R, Grossman RI. Magnetic Resonance Spectroscopy in the Evaluation of Enhancing Lesions in the Brain in Multiple Sclerosis. American Journal of Neuroradiology. 17: 1829-1836, November 1996.

Centenera LV, Hirsch JA, Choi IS, Beckmann CF, Gillard CS, Libertino J. Wide Necked Saccular Renal Artery Aneurysm: Endovascular Embolization with the Guglielmi Detachable Coil and Balloon Occlusion Anerysmal Neck Angioplasty Technique. JVIR 1998; 9:513-516.

Keiper MD, Grossman RI, Hirsch JA, et al. MR Identification of White Matter Abnormalities in Multiple Sclerosis: A comparison between 1.5T and 4T. American Journal of Neuroradiology 19:1489-1493, Sept. 1998.

Hirsch JA, Loevner LA, Yousem DM, Seigelman ES, Marquis R, Keiper MD, Grossman RI. Post-Gadolinium fat suppressed imaging of the head and neck: Comparison of an ultra-fast gradient based and conventional spin-echo sequence. Journal of Computerized Axial Tomography. 22(5):771-776, Oct. 1998.

Stecker M, Hirsch JA, Grossman RI, Hurst RW. Timing and Laterality of Strokes Associated with Cardiac Operations. Journal of Neurovascular Disease. 3: 203-18 1998.

Felix AC, Allam G, Hirsch JA et al. Spinal Vascular Malformations: Neurosurgery, Endovascular Embolization or Both? Functional outcome in 20 patients. Neurology vol 52, #6, suppl 2.

Borromeo CJ, Blike GT, Wiley CW and Hirsch JA. Cortical Blindness in a Pre-Eclamptic Patient After a Cesarean Section Complicated by Hypotension. Anesthesia and Analgesia. 2000;91:609-11

Centenera LV, Choi IS, Hirsch JA. Percutaneous Vertebroplasty Treats Compression Fractures. Diagnostic Imaging 22(11) 147-153, 2000.

Uppin A, Hirsch JA et al. Occurrence of New Vertebral Body Fracture After Percutaneous Vertebroplasty in Patients with Osteoporosis. Radiology 226:119-24, 2003.

In Print

Reddy SA, Hirsch JA. Percutaneous Nucleoplasty. Orthopedic Technology Review.

Hirsch JA et al. Pseudo-Kummel's disease. A Unique Application of Vertebroplasty. Accepted for Publication in Pain Physician.

Hirsch JA. To Treat of Not to Treat. That is The Question. Accepted for Publication in Pain Physician.

Articles Written by Joshua A. Hirsch, MD

Osteopenia and Osteoporosis: Is There a Difference?

While most people experience some loss of bone mass as they age, osteopenia and osteoporosis are not inevitable parts of the aging process.

Vertebroplasty Reduces Pain Following Spine Fractures

Spine fractures are common and disabling in people with osteoporosis. Learn about what new findings suggest about a procedure called vertebroplasty.

Percutaneous Discectomy

Percutaneous disc decompression or percutaneous discectomy is a type of spine surgery performed to treat sciatica back and leg pain caused by a bulging disc or herniated disc.

Vertebroplasty: Effective Treatment for Painful Vertebral Compressive Fractures

People suffering from persistent back pain caused by vertebral compression fractures are potential candidates for vertebroplasty.

Articles Reviewed by Joshua A. Hirsch, MD

Vertebroplasty Reduces Acute Pain Following Osteoporotic Vertebral Fractures in VAPOUR Study

The VAPOUR study included 120 patients with one or two osteoporotic vertebral fractures of less than 6 weeks’ duration and back pain of ≥7 out of 10 on the Numeric Rating Scale.

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I, or an immediate family member, have a financial interest(s) or affiliation(s) with the following commercial companies whose products and / or services may be mentioned in the materials I have authored, edited or reviewed for presentation on Remedy Health Media, LLC’s websites.

Disclosed Relationships

Consultant/Independent Contractor
Stock Options/Shareholder
Minor shareholder: CareFusion