Research Summary

Rebecca Smith-Bindman, MD, is a Professor in Residence of Epidemiology and Biostatistics, Obstetrics, Gynecology and Reproductive Medicine. Dr. Smith–Bindman directs the Radiology Outcomes Research Laboratory. 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 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. She also is actively developing approaches that can be used to improve the way radiology tests are used and performed to improve the safety of medical imaging

Dr. Smith-Bindman has 135 peer-reviewed articles. In most 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.

Clinical Expertise:
Ultrasound

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

Research Funding

  • March 1, 2015 - May 31, 2021 - Risk of Pediatric and Adolescent Cancer Associated with Medical Imaging , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01CA185687
  • September 12, 2014 - December 31, 2020 - CT DOSE Collaboratory , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01CA181191
  • September 19, 2008 - June 30, 2015 - Risk of Cancer in Incidental Findings Identified on Ultrasound Imaging , Principal Investigator . Sponsor: NIH, Sponsor Award ID: K24CA125036
  • September 30, 2010 - September 29, 2013 - RCT of US versus CT for Patients in the ED with Suspected Renal Colic , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01HS019312
  • April 1, 2009 - March 31, 2012 - Risk of Cancer with Incidental Findings Identified on Ultrasound Imaging , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R21CA132987
  • September 1, 2008 - August 31, 2011 - Radiation Exposure from Medical Imaging: are Doses in the Carcinogenic Range? , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R21CA131698
  • September 30, 1999 - September 29, 2005 - OUTCOMES OF SCREENING MAMMOGRAPHY IN ELDERLY WOMEN , Principal Investigator . Sponsor: NIH, Sponsor Award ID: K07CA086032

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

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. Smith-Bindman R, Chu PW, Azman Firdaus H, Stewart C, Malekhedayat M, Alber S, Bolch WE, Mahendra M, Berrington de González A, Miglioretti DL. Projected Lifetime Cancer Risks From Current Computed Tomography Imaging. JAMA Intern Med. 2025 Apr 14.  View on PubMed
  2. Malekhedayat M, Stewart C, Chu PW, Wang Y, Kasraie N, Franc B, Smith-Bindman R. Use of diagnostic vs low-dose computed tomography in positron emission tomography-CT examinations. Eur Radiol. 2025 Mar 07.  View on PubMed
  3. Wang Y, Stewart C, Smith-Bindman R, Szczykutowicz TP. Derivation of Best-Practice Scan Speeds and Excess Scan Durations for CT Pulmonary Angiography: Analysis Using Registry Data for 166,769 Examinations Across 121 Sites. AJR Am J Roentgenol. 2025 Apr; 224(4):e2432323.  View on PubMed
  4. Chu PW, Stewart C, Kofler C, Mahendra M, Wang Y, Chu CA, Lee C, Bolch WE, Smith-Bindman R. Representative Organ Doses from Computed Tomography (CT) Exams from a Large International Registry. Radiat Res. 2025 01 01; 203(1):1-9.  View on PubMed
  5. Di Giuseppe G, Sutradhar R, Pequeno P, Kwan ML, Miglioretti DL, Smith-Bindman R, Pole JD. Medical imaging utilization in migrants compared with nonmigrants in a universal healthcare system: A population-based matched cohort study. PLoS Med. 2024 Oct; 21(10):e1004474.  View on PubMed
  6. Barta JA, Farjah F, Thomson CC, Dyer DS, Wiener RS, Slatore CG, Smith-Bindman R, Rosenthal LS, Silvestri GA, Smith RA, Gould MK. The American Cancer Society National Lung Cancer Roundtable strategic plan: Optimizing strategies for lung nodule evaluation and management. Cancer. 2024 Dec 15; 130(24):4177-4187.  View on PubMed
  7. Stewart C, Davenport MS, Miglioretti DL, Smith-Bindman R. Types of Evidence Needed to Assess the Clinical Value of Diagnostic Imaging. NEJM Evid. 2024 Jul; 3(7):EVIDra2300252.  View on PubMed
  8. Smith-Bindman R, Wang Y, Stewart C, Luong J, Chu PW, Kohli M, Westphalen AC, Siegel E, Ray M, Szczykutowicz TP, Bindman AB, Romano PS. Improving the Safety of Computed Tomography Through Automated Quality Measurement: A Radiologist Reader Study of Radiation Dose, Image Noise, and Image Quality. Invest Radiol. 2024 Aug 01; 59(8):569-576.  View on PubMed
  9. Chu PW, Kofler C, Haas B, Lee C, Wang Y, Chu CA, Stewart C, Mahendra M, Delman BN, Bolch WE, Smith-Bindman R. Dose length product to effective dose coefficients in adults. Eur Radiol. 2024 Apr; 34(4):2416-2425.  View on PubMed
  10. Dhruva SS, Smith-Bindman R, Redberg RF. The Need for Randomized Clinical Trials Demonstrating Reduction in All-Cause Mortality With Blood Tests for Cancer Screening. JAMA Intern Med. 2023 10 01; 183(10):1051-1053.  View on PubMed
  11. Smith-Bindman R, Kang T, Chu PW, Wang Y, Stewart C, Das M, Duong PA, Cervantes L, Lamba R, Lee RK, MacLeod F, Kasraie N, Neill R, Pike P, Roehm J, Schindera S, Chung R, Delman BN, Jeukens CRLPN, Starkey LJ, Szczykutowicz TP. Large variation in radiation dose for routine abdomen CT: reasons for excess and easy tips for reduction. Eur Radiol. 2024 Apr; 34(4):2394-2404.  View on PubMed
  12. Marlow EC, Ducore JM, Kwan ML, Bowles EJA, Greenlee RT, Pole JD, Rahm AK, Stout NK, Weinmann S, Smith-Bindman R, Miglioretti DL. Medical imaging utilization and associated radiation exposure in children with down syndrome. PLoS One. 2023; 18(9):e0289957.  View on PubMed
  13. Chu PW, Kofler C, Mahendra M, Wang Y, Chu CA, Stewart C, Delman BN, Haas B, Lee C, Bolch WE, Smith-Bindman R. Correction to: Dose length product to effective dose coefficients in children. Pediatr Radiol. 2023 Sep; 53(10):2165.  View on PubMed
  14. Wang Y, Chu P, Szczykutowicz TP, Stewart C, Smith-Bindman R. CT acquisition parameter selection in the real world: impacts on radiation dose and variation amongst 155 institutions. Eur Radiol. 2024 Mar; 34(3):1605-1613.  View on PubMed
  15. Mahendra M, Chu P, Amin EK, Nawaytou H, Duncan JR, Fineman JR, Smith-Bindman R. Associated radiation exposure from medical imaging and excess lifetime risk of developing cancer in pediatric patients with pulmonary hypertension. Pulm Circ. 2023 Jul; 13(3):e12282.  View on PubMed
  16. Gould MK, Creekmur B, Qi L, Golden SE, Kaplan CP, Walter E, Mularski RA, Vaszar LT, Fennig K, Steiner J, de Bie E, Musigdilok VV, Altman DA, Dyer DS, Kelly K, Miglioretti DL, Wiener RS, Slatore CG, Smith-Bindman R. Emotional Distress, Anxiety, and General Health Status in Patients With Newly Identified Small Pulmonary Nodules: Results From the Watch the Spot Trial. Chest. 2023 12; 164(6):1560-1571.  View on PubMed
  17. Chu PW, Kofler C, Mahendra M, Wang Y, Chu CA, Stewart C, Delman BN, Haas B, Lee C, Bolch WE, Smith-Bindman R. Dose length product to effective dose coefficients in children. Pediatr Radiol. 2023 07; 53(8):1659-1668.  View on PubMed
  18. Smith-Bindman R, Nielsen ME, Wang RC. Unchanged Diagnostic Imaging for Urinary Stone Disease-Where Do We Go From Here? JAMA Intern Med. 2022 12 01; 182(12):1246-1247.  View on PubMed
  19. Farjah F, Monsell SE, Greenlee RT, Gould MK, Smith-Bindman R, Banegas MP, Schoen K, Ramaprasan A, Buist DSM. Patient and Nodule Characteristics Associated With a Lung Cancer Diagnosis Among Individuals With Incidentally Detected Lung Nodules. Chest. 2023 03; 163(3):719-730.  View on PubMed
  20. Farjah F, Monsell SE, Smith-Bindman R, Gould MK, Banegas MP, Ramaprasan A, Schoen K, Buist DSM, Greenlee R. Fleischner Society Guideline Recommendations for Incidentally Detected Pulmonary Nodules and the Probability of Lung Cancer. J Am Coll Radiol. 2022 11; 19(11):1226-1235.  View on PubMed

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