San Francisco General Hospital

San Francisco General Hospital (SFGH), a county hospital and one of the busiest hospitals in the San Francisco Bay Area, is one of the four main teaching hospitals of UCSF. With 582 licensed beds, it serves approximately 16% of all patients treated in the City and County of San Francisco. The SFGH Department of Radiology staffs 15 radiologists, including world-renown experts, and performs a comprehensive range of radiologic examinations and procedures, serving a broad range of active and productive clinician-researchers. Five cross sectional imaging fellows rotate through CT, ultrasound and MR during their one-year fellowship at SFGH, and one women's imaging fellow trains with dedicated faculty in the Avon Breast Center, which houses both breast imaging and obstetrical and gynecological sonography. Cross sectional imaging fellows perform and interpret a wide array of imaging for every organ system, including neuroradiologic, abdominal, thoracic, and musculoskeletal imaging applications utilizing both CT and MRI. Thirteen of the 47 UCSF radiology residents are rotated to San Francisco General on a monthly basis. Research directions include: imaging evaluation of pulmonary embolism, particularly the ability of CT pulmonary angiography to predict outcome in patients with pulmonary embolism; utility of imaging for diagnosis in AIDS patients; functional evaluation of pulmonary nodules in patients with suspected lung carcinoma, imaging of mesothelioma; imaging of recurrent pyogenic cholecystitis; biliary tract abnormalities in AIDS patients; imaging of trauma to the spine and spinal cord, chest, abdomen, and extremities; and neurologic manifestations of HIV disease.

Office Telephone: (415) 206-8024 - FAX: (415) 206-4004

Research Directions:

• Diagnosis of small bowel disease with CT of the abdomen and pelvis versus capsule (video) endoscopy
• Staging of pancreatitis by CT and comparison to clinical criteria such as Apache, Ranson
• Effect of T1-shortening on T2-weighted sequences following gadolinium injection in patients with focal liver lesions
• Utility of helical CT pulmonary angiography for predicting outcomes in patients with acute pulmonary embolism
• Helical CT esophagography: a new method for diagnosis esophageal perforation/rupture in the seriously ill or injured patient
• Utility of somatostatin receptor binding agents for the detection and staging of lung carcinoma
• Imaging findings in the following areas:
  1. Primary lymphoepithelial carcinoma of the lung
  2. Inflammatory myofibroblastic tumor of the thorax
  3. Pulmonary artery sarcoma
  4. Traumatic brain injury
  5. Takayasu arteritis
  6. Pulmonary microsporidiosis

Recent Key References:

Chang SD, Thoeni RF. Castleman's disease presenting as an adnexal mass: ultrasound, CT and MRI features. Br J Radiol 2004; 77(914):161-3.

Fadoo F, Ruiz DE, Dawn SK, Webb WR, Gotway MB. Helical CT esophagography for the evaluation of suspected esophageal perforation. Am J Roentgenol 2004; 182(5):1177-9.

Harris HW, Barcia A, Schell MT, Thoeni RF, Schecter WP. Necrotizing pancreatitis: a surgical approach independent of documented infection. HPB Surg 2004; 6:1-8.

Hastings GS, Marder SR. Imaging and endovascular intervention for thoracic vascular trauma. Semin Interv Radiol 2003; 20:97-110.

Murthy R, Hastings GS, Richard HM, Levitin A. Angiography and endovascular intervention for vascular trauma to the extremities. Semin Interv Radiol 2003; 20:81-8.

Susac JO, Murtagh FR, Egan RA, Berger JR, Bakshi R, Lincoff N, Gean AD, et al. MRI findings in Susac's syndrome. Neurology 2003; 61(12):1783-7. Review.

Trowbridge RL, Araoz PA, Gotway MB, Bailey RA, Auerbach AA. The Effect of helical computed tomography on diagnostic and treatment strategies in patients with suspected pulmonary embolism. Am J Med 2004; 116(2):84-90.