The Department of Radiology is offering a one-year fellowship in Women’s Imaging under the direction of Professors Bonnie Joe and Ruth Goldstein. Fellows accepted into the program will spend six months rotating through two sections at the UCSF campus. These are the breast imaging section (Assoc. Professor Joe) and the section of diagnostic sonography (Professor Goldstein).

The breast imaging section is responsible for all breast-related imaging examinations, including sonography, MRI and interventional procedures (including lesion localizations, stereotactic- and ultrasound-guided core biopsy and fine-needle aspiration biopsy, cyst aspiration, ductography, etc.). The section does approximately 15,000 examinations per year, with a steadily increasing caseload. Fellow appointees will share in all clinical activities, under the supervision of three full-time breast imaging faculty. There is one weekly radiology-pathology correlation conference and one weekly multidisciplinary breast tumor board conference, both of which are attended by fellows and full-time faculty.

The section of diagnostic sonography has four full-time and three part-time faculty members. Approximately 30,000 sonograms are performed yearly including obstetrics, gynecology, abdominal, neonatal, thyroid, and testicular examinations. There is also a strong emphasis on noncarotid Doppler examinations. Numerous biopsies and fluid aspirations are done annually. The section has a large commitment in the evaluation of fetal dysmorphology. UCSF is a major center for in utero therapy. Fellows participate fully in the section’s clinical activities.
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San Francisco General Hospital-UCSF Moffitt/Long

Women's Imaging at UCSF and The Avon Comprehensive Breast Care Center

Fellowship positions are currently being offered in Women’s Imaging to include a total of six month’s each in ultrasound and breast imaging, divided in three month intervals, as follows:

Ultrasound at University of California, San Francisco

Ruth B. Goldstein, M.D., Section Chief

The section of diagnostic sonography has 7 faculty members and 21 ARDMS registered sonographers. We perform approximately 110 cases per day among 3 sites at UCSF including Moffitt/Long Hospital, the Ambulatory Care Center, and the Women’s Health Center on the Mt Zion campus. The 3 sites are fully staffed each day (one faculty/resident/fellow) and imaging at all sites is linked by PACS.
The department employs state-of-the-art high-resolution ultrasound scanners with color and power Doppler to perform a wide variety of sonograms including pediatric, abdominal, thyroid, testicular, liver, kidney, and pancreas transplants, genitourinary as well as obstetric and gynecologic imaging. Fellows will get experience performing a number of procedures including saline infusion sonograms, US-guided needle biopsies, needle aspirations, highly specialized ultrasound-guided fetal interventions in the Delivery or Operating suites.
The Ultrasound section has a large commitment to the prenatal diagnosis of fetal anomalies and participates fully in the UCSF Fetal Treatment center, a major referral center for in utero therapy.

Breast Imaging at the Avon Comprehensive Breast Care Center

Lori Strachowski, M.D., Program Director

The breast imaging program at the Avon Comprehensive Breast Care Center is located on the San Francisco General Hospital campus. This beautiful 4500 square foot, state-of-the-art, breast imaging facility opened in July 2004 and is fully digital with 3 FFDM units in house and one FFDM unit on a mobile van which serves the community. In addition, there are 2 dedicated breast ultrasound units, a breast interventional suite for vacuum-assisted stereotactic core biopsies on a prone table and an outpatient surgical suite for minor breast surgical procedures. Additional breast procedures performed at the center include ultrasound guided fine needle aspiration and core biopsies, ductography, and wire localization. Breast MRI is performed on the main SFGH campus and interpreted in the center via a multi-modality, vendor-neutral workstation enabling the integrated interpretation of mammography, ultrasound and MRI equipped with an MRI computer aided detection program. High volume, coupled with a wide breadth of pathology and abundant procedures highlight the educational experience.

Fellows’ education at all sites is augmented by formal lectures, view-box teaching, hands-on scanning, and conference teaching. Ultrasound and breast imaging fellows, supervised by faculty, participate in numerous interdisciplinary and radiology conferences. Fellow teaching responsibilities include resident, fellow and medical student conferences. Research opportunities are abundant.

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