Rebecca Smith-Bindman, MD

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Rebecca Smith-Bindman, MD

Professor in Residence, Departments of Radiology, Epidemiology/Biostatistics, and Obstetrics, Gynecology, and Reproductive Medicine, UCSF

Phone: (415) 353-2573 (appts)
Box 1667, UCSF
San Francisco, CA 94143-1667

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Cancer Center Membership

Program Member » Breast Oncology

Research Summary

Rebecca Smith-Bindman, MD, is a Professor in Residence of Radiology, Epidemiology and Biostatistics, Obstetrics, Gynecology and Reproductive Medicine. Dr. Smith–Bindman directs the Radiology Outcomes Research Laboratory. She provides her expertise in the diagnosis of fetal anomalies, the evaluation of patients with symptoms of vaginal bleeding, and helps to understand efficient ways to evaluate a range of symptoms to minimize unnecessary and excessive testing while maximizing accurate diagnoses. Dr. Smith-Bindman received her medical degree from the University of California, San Francisco in 1991, and completed her residency in Radiology at UCSF in 1996, followed by a fellowship in Epidemiology and Biostatistics at UCSF in 1998.

Dr. Smith-Bindman’s research continues to concentrate on understanding the impact of diagnostic testing on important patient outcomes and understanding the difference in access to different tests and variance in accuracy of these tests. Present research projects are assessing the risk of cancer associated with incidental findings identified on ultrasound and CT imaging, and assessing patterns of radiation from diagnostic imaging.

Dr. Smith-Bindman has 68 peer-reviewed articles. In many of her studies, she was responsible for the design, data collection, analysis, manuscript preparation, and dissemination of the results. A few of her significant articles have been covered by extensive media coverage such as the New York Times and the Wall Street Journal.

Expertise:

Ultrasound

Specialty:

Diagnosis of fetal anomalies, the evaluation of patients with symptoms of vaginal bleeding, and helping to understand efficient ways to evaluate a range of symptoms to minimize unnecessary and excessive testing while maximizing accurate diagnoses

Professional Interests:

Comparative effectiveness and diagnostic imaging, health services research, outcomes research, disparities research, women's imaging, mammography, evidenced based radiology, screening tests, radiation associated with medical imaging, management of incidental findings on diagnostic testing

Education and Training:

• Medical School: University of California, San Francisco

• Internship: University of California, San Francisco - Pathology

• Residency: University of California, San Francisco - Radiology

• Fellowship: University of California, San Francisco - Epidemiology and Biostatistics

• California Medical License

• California X-ray Supervisor and Operator License

• Board Certification, American Board of Radiology

Education

Princeton University, Princeton, NJ, B.S.E., 1985, Architecture/Engineering
Columbia University, New York, NY, 7/85-6/86, Pre-Medical Program
University of California, San Francisco, CA, M.D., 1991, Medicine


Professional Experience

  • 1986-1987
    Research Assistant, Radiology and General Internal Medicine, UCSF
  • 1991-1992
    Intern, Department of Pathology, UCSF
  • 1992-1996
    Resident, Department of Radiology, UCSF
  • 1996-1997
    Clinical Instructor, Ultrasound, Department of Radiology, UCSF
  • 1996-1998
    Fellow, Women's Health, Epidemiology, Biostatistics, and Medicine, UCSF
  • 1998-2000
    Asst. Adjunct Professor of Radiology, Epidemiology & Biostatistics, UCSF
  • 1998-2000
    Asst. Adjunct Professor of Epidemiology & Biostatistics, UCSF
  • 1999-2000
    Visiting Research Fellow, Dept. of Environmental and Preventive Medicine, Wolfson Institute, St. Bartholowmew's and The Royal London School of Medicine
  • 2000-current
    Assistant Professor in Residence, Radiology, Epidemiology and Biostatistics, UCSF
  • 2000-current
    Director, Radiology Outcomes Research Lab
  • 2003-current
    Associate Professor in Residence, Radiology, Epidemiology and Biostatistics, Obstetrics, Gynecology, and Reproductive Medicine, UCSF

Honors & Awards

  • 1985
    Cum laude, Princeton University
  • 1985
    Senior Thesis Prize, Princeton University
  • 1988
    Student Summer Research Fellowship, Institute for Health Policy, UCSF
  • 1999, 2000
    Radiologic Society of North America Nycomed Amersham Fellow

Selected Publications

  1. Who Gets to Decide? Radiology. 2016 Feb; 278(2):635-7.
    View on PubMed
  2. Cell-free DNA Analysis for Noninvasive Examination of Trisomy. N Engl J Med. 2015 Dec 24; 373(26):2581.
    View on PubMed
  3. The Effect of Achieving Patient-Reported Outcome Measures on Satisfaction. J Am Board Fam Med. 2015 Nov-Dec; 28(6):785-92.
    View on PubMed
  4. Calculation of Organ Doses for a Large Number of Patients Undergoing CT Examinations. AJR Am J Roentgenol. 2015 Oct; 205(4):827-33.
    View on PubMed
  5. Computed Tomography Radiation Dose in Patients With Suspected Urolithiasis. JAMA Intern Med. 2015 Aug 1; 175(8):1413-6.
    View on PubMed
  6. Radiation Doses in Consecutive CT Examinations from Five University of California Medical Centers. Radiology. 2015 Oct; 277(1):134-41.
    View on PubMed
  7. Age and sex-dependent trends in pulmonary embolism testing and derivation of a clinical decision rule for young patients. Emerg Med J. 2015 Mar 9.
    View on PubMed
  8. Classification accuracy of claims-based methods for identifying providers failing to meet performance targets. Stat Med. 2015 Jan 15; 34(1):93-105.
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  9. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014 Sep 18; 371(12):1100-10.
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  10. Distinguishing screening from diagnostic mammograms using Medicare claims data. Med Care. 2014 Jul; 52(7):e44-51.
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  11. Author's reply. J Am Coll Radiol. 2014 Jul; 11(7):746-7.
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  12. Clinical decision making in patients with thyroid nodules--reply. JAMA Intern Med. 2014 Jun; 174(6):1006.
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  13. Study of Tomography Of Nephrolithiasis Evaluation (STONE): methodology, approach and rationale. Contemp Clin Trials. 2014 May; 38(1):92-101.
    View on PubMed
  14. Virtual meetings: improving impact and accessibility of CME. J Am Coll Radiol. 2014 Mar; 11(3):231-2.
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  15. Introduction to the special issue: radiation dose optimization--improving the safety of CT. J Am Coll Radiol. 2014 Mar; 11(3):229-30.
    View on PubMed
  16. CTSim: an interactive computer simulation to learn the fundamentals of CT dose optimization. J Am Coll Radiol. 2014 Mar; 11(3):255-6.
    View on PubMed
  17. Radiation dose metrics in CT: assessing dose using the National Quality Forum CT patient safety measure. J Am Coll Radiol. 2014 Mar; 11(3):309-15.
    View on PubMed
  18. Personalized technologist dose audit feedback for reducing patient radiation exposure from CT. J Am Coll Radiol. 2014 Mar; 11(3):300-8.
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  19. Risk of thyroid cancer based on thyroid ultrasound imaging characteristics: results of a population-based study. JAMA Intern Med. 2013 Oct 28; 173(19):1788-96.
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  20. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr. 2013 Aug 1; 167(8):700-7.
    View on PubMed

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