University of California San Francisco
Helen Diller Family Comprehensive Cancer Center
Rebecca Smith-Bindman, MD

Rebecca Smith-Bindman, MD

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

Cancer Center Program Memberships

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.

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. Georgieva MV, Wheeler SB, Erim D, Smith-Bindman R, Loo R, Ng C, Garg T, Raynor M, Nielsen ME. Comparison of the Harms, Advantages, and Costs Associated With Alternative Guidelines for the Evaluation of Hematuria. JAMA Intern Med. 2019 Jul 29.
    View on PubMed
  2. Gould MK, Smith-Bindman R, Kelly K, Altman DE, Barjaktarevic I, Creekmur B, de Bie E, Dyer DS, Mortani Barbosa EJ, Mularski RA, Qi L, Vaszar LT, Yu S, Miglioretti DL. Methods for the Watch the Spot Trial: A Pragmatic Trial of More vs. Less Intensive Strategies for Active Surveillance of Small Pulmonary Nodules. Ann Am Thorac Soc. 2019 Jul 17.
    View on PubMed
  3. Kwan ML, Miglioretti DL, Marlow EC, Aiello Bowles EJ, Weinmann S, Cheng SY, Deosaransingh KA, Chavan P, Moy LM, Bolch WE, Duncan JR, Greenlee RT, Kushi LH, Pole JD, Rahm AK, Stout NK, Smith-Bindman R. Trends in Medical Imaging During Pregnancy in the United States and Ontario, Canada, 1996 to 2016. JAMA Netw Open. 2019 Jul 03; 2(7):e197249.
    View on PubMed
  4. Smith-Bindman R, Miglioretti D. Lack of Standardized Terminology in Ultrasound Reports for Ovarian Cysts-Reply. JAMA Intern Med. 2019 Jun 01; 179(6):848-849.
    View on PubMed
  5. Smith-Bindman R, Wang Y, Chu P, Chung R, Einstein AJ, Balcombe J, Cocker M, Das M, Delman BN, Flynn M, Gould R, Lee RK, Yellen-Nelson T, Schindera S, Seibert A, Starkey J, Suntharalingam S, Wetter A, Wildberger JE, Miglioretti DL. International variation in radiation dose for computed tomography examinations: prospective cohort study. BMJ. 2019 01 02; 364:k4931.
    View on PubMed
  6. Smith-Bindman R, Poder L, Johnson E, Miglioretti DL. Risk of Malignant Ovarian Cancer Based on Ultrasonography Findings in a Large Unselected Population. JAMA Intern Med. 2019 Jan 01; 179(1):71-77.
    View on PubMed
  7. Smith-Bindman R. Use of Advanced Imaging Tests and the Not-So-Incidental Harms of Incidental Findings. JAMA Intern Med. 2018 02 01; 178(2):227-228.
    View on PubMed
  8. Demb J, Chu P, Nelson T, Hall D, Seibert A, Lamba R, Boone J, Krishnam M, Cagnon C, Bostani M, Gould R, Miglioretti D, Smith-Bindman R. Optimizing Radiation Doses for Computed Tomography Across Institutions: Dose Auditing and Best Practices. JAMA Intern Med. 2017 06 01; 177(6):810-817.
    View on PubMed
  9. Wang RC, Addo N, Chi T, Moore C, Mallin M, Shiboski S, Stoller M, Smith-Bindman R. Medical expulsive therapy use in emergency department patients diagnosed with ureteral stones. Am J Emerg Med. 2017 Aug; 35(8):1069-1074.
    View on PubMed
  10. Wang RC, Rodriguez RM, Fahimi J, Hall MK, Shiboski S, Chi T, Smith-Bindman R. Derivation of decision rules to predict clinically important outcomes in acute flank pain patients. Am J Emerg Med. 2017 Apr; 35(4):554-563.
    View on PubMed
  11. Metzler IS, Smith-Bindman R, Moghadassi M, Wang RC, Stoller ML, Chi T. Emergency Department Imaging Modality Effect on Surgical Management of Nephrolithiasis: A Multicenter, Randomized Clinical Trial. J Urol. 2017 03; 197(3 Pt 1):710-714.
    View on PubMed
  12. Wang RC, Smith-Bindman R, Whitaker E, Neilson J, Allen IE, Stoller ML, Fahimi J. Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis. Ann Emerg Med. 2017 Mar; 69(3):353-361.e3.
    View on PubMed
  13. Smith-Bindman R, Wang Y, Yellen-Nelson TR, Moghadassi M, Wilson N, Gould R, Seibert A, Boone JM, Krishnam M, Lamba R, Hall DJ, Miglioretti DL. Predictors of CT Radiation Dose and Their Effect on Patient Care: A Comprehensive Analysis Using Automated Data. Radiology. 2017 Jan; 282(1):182-193.
    View on PubMed
  14. Smith-Bindman R, Bindman AB. Imaging More Wisely-Already At Work-Reply. JAMA Intern Med. 2016 06 01; 176(6):870-1.
    View on PubMed
  15. Melnikow J, Xing G, Cox G, Leigh P, Mills L, Miglioretti DL, Moghadassi M, Smith-Bindman R. Cost Analysis of the STONE Randomized Trial: Can Health Care Costs be Reduced One Test at a Time? Med Care. 2016 Apr; 54(4):337-42.
    View on PubMed
  16. Harrison JD, Balonov M, Martin CJ, Ortiz Lopez P, Menzel HG, Simmonds JR, Smith-Bindman R, Wakeford R. Use of effective dose. Ann ICRP. 2016 Jun; 45(1 Suppl):215-24.
    View on PubMed
  17. Fenton JJ, Onega T, Zhu W, Balch S, Smith-Bindman R, Henderson L, Sprague BL, Kerlikowske K, Hubbard RA. Validation of a Medicare Claims-based Algorithm for Identifying Breast Cancers Detected at Screening Mammography. Med Care. 2016 Mar; 54(3):e15-22.
    View on PubMed
  18. Smith-Bindman R, Bindman AB. Imaging More Wisely. JAMA Intern Med. 2016 Feb; 176(2):168-70.
    View on PubMed
  19. Smith-Bindman R, Kwan ML, Miglioretti DL. Who Gets to Decide? Radiology. 2016 Feb; 278(2):635-6.
    View on PubMed
  20. Morgan TA, Smith-Bindman R, Harbell J, Kornak J, Stock PG, Feldstein VA. US Findings in Patients at Risk for Pancreas Transplant Failure. Radiology. 2016 07; 280(1):281-9.
    View on PubMed

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