
Rebecca Smith-Bindman MD / RORL
@UCRadSafety
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Radiology Outcomes Research team director and UCSF radiologist
UCSF
Joined May 2012
CT scans save lives, but unsafe doses can cause cancer. @CMSGov wants to make radiation safety reporting voluntary. Patients deserve protection, not risk. 👉 Tell CMS to keep protections mandatory by Sept 15:
ucsf.quorum.us
CMS is rolling back protections that make CT imaging safer and reduce cancer rates
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.@HealthImaging recently published this article detailing our research that examined which strategies are most effective in improving radiation safety & optimizing radiation doses in CT imaging across institutions! You can read more here: https://t.co/eAPHTRuRkX
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I'm pleased to share that the paper that I co-authored w/ Drs. Whitebird & Solberg, "Strategies for Dose Optimization: Views from Health Care Systems," has been published in @JACRJournal! You can now read this paper online with free access until 5/4 here:
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The purpose of this study from Drs. Sean Woolen (@UCSFImaging), Ann Lazar (@UCSF_Epibiostat) & Rebecca Smith-Bindman (@UCRadSafety) was to estimate the association between frequent (at least 2 times per week) perineal talcum powder use & #ovariancancer.
pubmed.ncbi.nlm.nih.gov
This review suggests an increased risk of ovarian cancer associated with frequent perineal powder exposure of 31-65%.
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We recently published a large-scale study in @JPediatr: using data from 3.9 million children in the US & Canada, we found Down syndrome remains a strong risk factor for childhood leukemia & association with AML is stronger than previously reported: https://t.co/KO3wZF0ubg
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Proud to be the dissertation advisor on this study finding leukemia risk is higher than expected in children with Down syndrome https://t.co/kCeVFv8KcP
@UCRadSafety @UCDavis_PHS @UCD_Cancer
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We recently published a large-scale study in @JPediatr: using data from 3.9 million children in the US & Canada, we found Down syndrome remains a strong risk factor for childhood leukemia & association with AML is stronger than previously reported: https://t.co/KO3wZF0ubg
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Continuing the trend to honor 10+ women in science- in addition to @PalmerNynikka
@MariaGlymour @aliciacita @EMatthay @MKushel @cadkat @CMangurian @slingomez @Linda_Kachuri @HanaScientist @TejalDesaiUCSF @jackie_m_torres @JuneChanScD @yhswen @PAfulani @UCRadSafety @ohdebbyoh
Continuing the trend to honor 10+ women in science, in addition to @UofSCDrT : @CourtneyRLyles @UrmimalaSarkar @RenaPasick @VCdiversityucsf @mclemoremr @CathySamayoa @WagahtaS @KBibbinsDomingo @drbdchambers @ratanawongsa @HalaBorno @AJSharmaMD @EPortacolone #whoruntheworld
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We need more scientific studies focused on imaging @JAMANetworkOpen @JAMA_current @KBibbinsDomingo @UCSFimaging @UCSF_Epibiostat @UCSFMedicine
https://t.co/ctH25YDQaG
#medicalimaging #cardiotwitter #carotidscreening #carotidstenosis #evidencebased
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Dr. Smith-Bindman @UCRadSafety et al "found that among all adults, imaging rates increased significantly from 2000 to 2016 for all imaging tests other than nuclear medicine," #patientsafety
https://t.co/ZKTAMSCiAd
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Without an RCT of carotid stenosis screening, #USPSTF will continually balance new surgical treatments with varying benefit-to-harm ratios against improving medical therapies that would be recommended regardless. @UCRadSafety @KBibbinsDomingo @UCSFMedicine
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The latest @bmj_latest collaboration with Dr. Rebecca Smith-Bindman (@UCRadSafety), @UCSF_ObGynRS, @UCSF_Epibiostat & Maastricht medical center looks at high-dose CT patients over 5 years.
bmjopen.bmj.com
Objective High radiation exposure is a concern because of the association with cancer. The objective was to determine the probability of receiving a high radiation dose from CT (from one or more...
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Grateful for brilliant collaborators! @dianabuist @mateo_banegas @UCRadSafety @kpwashington @KPWaResearch @KPNorthwest @KPMedSchool @KPSCALnews @UCSanDiego @mfldclinic @MCResearchInst @UWBiostat @SchoenKurt
@FarhoodFarjah led a team of scientists funded by @theNCI to examine the relationship between diagnostic intensity and outcomes among individuals with incidentally detected lung nodules. Read pub > https://t.co/IDehcGGWKV
@DouglasEWood1 @UWCTSurgRes
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Study findings underscore the need for more evidence for determining how best to evaluate lung nodules and to avoid unnecessarily intensive diagnostic evaluations of lung nodules
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Latest @bmj_latest collaboration with Maastricht medical center looking at high dose CT patients over 5 years. https://t.co/mlXCspY7kd
bmjopen.bmj.com
Objective High radiation exposure is a concern because of the association with cancer. The objective was to determine the probability of receiving a high radiation dose from CT (from one or more...
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The purpose of this study was to measure the use of #CT & #ultrasound in ED visits for #abdominalpain & #appendicitis to examine the impact of these efforts. https://t.co/rZ5zAOJFLw Dr. Rebecca Smith-Bindman (@UCRadSafety) is an author.
pubmed.ncbi.nlm.nih.gov
OBJECTIVE. CT has excellent accuracy for appendicitis but is associated with risks. Research and educational campaigns have been conducted to implement an ultrasound-first strategy for children but...
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☢️"Although guidelines have been developed for imaging, they are primarily based on expert opinion rather than evidence and have not been shown to reducing imaging," @UCRadSafety
#patientsafety
#informed #consent
https://t.co/BmtZA2Dzm0
jamanetwork.com
This study evaluates trends in utilization of computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and nuclear medicine imaging between 2000 and 2016 in 7 US health care networks...
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Cohort study finds despite efforts to reduce unnecessary imaging, rates of CT pulmonary angiography continue to rise across seven integrated & mixed-model healthcare systems in the United States. @UCRadSafety
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