Justin Costello, DO

Meet Justin Costello, DO

Advanced Neuro‑Interventional Radiology Serving Tyler, Texas with Precision and Minimally Invasive Care

Justin Costello, DO, is a board-certified radiologist and subspecialty-certified neuroradiologist providing advanced neuro‑interventional radiology care in Tyler. He completed medical school at Des Moines University and trained in diagnostic radiology at Brooke Army Medical Center, where he served as Chief Resident. He went on to complete a neuroradiology fellowship and an additional interventional spine fellowship at the University of Utah, followed by advanced CNS endovascular training at UT Southwestern Medical Center. Drawing on extensive military medical leadership experience and academic training, Dr. Costello brings specialized, minimally invasive neuroscience care to East Texas, expanding local access to complex neurovascular and spine treatment options.

Career at a Glance

• Board-certified in Radiology and subspecialty-certified in Neuroradiology
• CNS Endovascular Fellowship training at UT Southwestern Medical Center
• Former Chief of Neuroradiology and Interventional Spine Sections, Madigan Army Medical Center
• Educator of the Year (2024) and Faculty of the Year (2020) award recipient
• Published researcher with contributions in Radiographics, JACC Cardiovascular Imaging, and other peer-reviewed journals

Clinical Role and Leadership

Dr. Costello provides advanced neuro‑interventional radiology care focused on diagnosing and treating complex conditions affecting the brain, spine, and vascular system. His background in neuroradiology, interventional spine procedures, and endovascular therapy enables him to deliver highly specialized, image-guided treatments that minimize recovery time and reduce procedural risk.

He provides specialized care for conditions such as:

• Stroke and large-vessel occlusion
• Brain aneurysms
• Arteriovenous malformations (AVMs) and fistulas
• Spinal CSF leaks and CSF venous fistulas
• Intracranial and extracranial atherosclerosis
• Moyamoya disease
• Spinal vascular malformations and vertebral compression fractures

What You Can Expect from Care with Dr. Costello

Dr. Costello’s approach to care is grounded in clarity, precision, and collaboration. With a background in both clinical practice and physician education, he focuses on helping patients understand complex neurological conditions while offering advanced, minimally invasive treatment strategies.

You can expect:

• Clear, thoughtful explanations of your diagnosis and treatment options
• Advanced imaging to guide precise, personalized care
• Minimally invasive procedures designed to reduce recovery time
• Coordinated care with referring providers and specialists
• A commitment to safety and evidence-based decision-making

Advanced Surgical Innovation / Diagnostic Care

Dr. Costello specializes in minimally invasive, image-guided neuro‑interventional procedures that use advanced imaging technologies such as MRI, CT angiography, and digital subtraction angiography to diagnose and treat complex neurological conditions.

Through endovascular and percutaneous techniques, he helps treat vascular and spinal conditions without the need for traditional open surgery, allowing for shorter hospital stays, reduced risks, and faster recovery. His expertise also includes advanced spine interventions such as vertebroplasty, kyphoplasty, and targeted nerve blocks.

Research, Clinical Insight, and Thought Leadership

Dr. Costello is an active contributor to the medical community through peer-reviewed research, national presentations, and invited lectures. His work has focused on neurovascular imaging, stroke risk stratification, spinal pathology, and advanced imaging techniques.

Notable contributions include research on carotid plaque classification systems for stroke risk, neurovascular MR angiography, and clinical studies evaluating imaging approaches for spinal and cerebrovascular disease. He has also authored book chapters on spine interventions and regularly presents at national conferences including RSNA and the American Society of Neuroradiology.

Commitment to Public Health and Health Equity

Dr. Costello has dedicated a significant portion of his career to military medicine, serving in leadership roles at Brooke Army Medical Center, Walter Reed National Military Medical Center, and Madigan Army Medical Center, where he was promoted to Lieutenant Colonel. Through this service, he has contributed to the care of diverse patient populations and the training of future physicians.

While specific community outreach initiatives are not publicly documented, his work brings advanced neuroscience care closer to patients in East Texas, helping expand access to specialized treatments that may otherwise require travel to larger metropolitan centers.