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Avice M. O'Connell, M.D., M.A.

Avice M. O'Connell, M.D., M.A.

Imaging Sciences

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About Me

Dr. Avice O'Connell, is a Professor of Imaging Sciences and Director of Women's Imaging at the University of Rochester. She received her medical degree from Trinity College, Dublin, Ireland and her radiology training and subsequent practice in Rochester, NY. She has 30 years of experience in breas...
Dr. Avice O'Connell, is a Professor of Imaging Sciences and Director of Women's Imaging at the University of Rochester. She received her medical degree from Trinity College, Dublin, Ireland and her radiology training and subsequent practice in Rochester, NY. She has 30 years of experience in breast imaging and is actively involved in teaching and research evaluating newer imaging modalities.

Dr. O'Connell is a fellow of American College of Radiology (ACR), Society of Breast Imaging (SBI) and the Royal College of Physicians of Ireland.

She specializes in all aspects of breast imaging including screening, diagnosis, minimally invasive biopsies and follow up after cancer diagnosis.

Her research involves new technologies, in particular, cone beam CT of the breast contrast 3D imaging and recently deep learning with Samsung for ultrasound of breast masses.

Dr. O'Connell is a world renowned speaker and is very active in teaching medical students, residents and is frequently solicited for her expert opinion in the media.

Professional Background

Faculty Appointments
Professor of Clinical Imaging Sciences, University of Rochester School of Medicine and Dentistry (2011-present)
Associate Professor of Imaging Sciences, University of Rochester School of Medicine and Dentistry (2006 – 2011)
Clinical Assistant Professor of Imaging Scienc...
Faculty Appointments
Professor of Clinical Imaging Sciences, University of Rochester School of Medicine and Dentistry (2011-present)
Associate Professor of Imaging Sciences, University of Rochester School of Medicine and Dentistry (2006 – 2011)
Clinical Assistant Professor of Imaging Sciences, University of Rochester School of Medicine and Dentistry (1999 – 2006)

Professional Appointments
Clinical Teaching Faculty, Diagnostic Medical Sonography, Rochester Institute of Technology (2011-present)
Attending Radiologist, University of Rochester Medical Center (2006 – present)
Attending Radiologist, Rochester General Hospital (1995 – 2006)
Attending Radiologist, St Mary's Hospital, Genesee Radiological Group (1981 – 1982)
Attending Radiologist, Highland Hospital/Genesee Hospital, IDE Radiology Group (1979 – 1981)

Administrative Appointments
Director of Women's Imaging, University of Rochester Medical Center (2006 – present)
Board of Directors, University Medical Imaging, Rochester, NY (2006 – 2007)
Vice President, Rochester Radiology Associates, (2000 – 2006)
President, Genesee Radiological Group and Northside Radiology (1996 – 2000)
Partner, Genesee Radiological Group and Northside Radiology (1982 – 1996)

Journal Reviewer
Reviewer – American Journal of Roentgenology (2006 – present)
Reviewer- Journal of Clinical Imaging Sciences (2011 - )

Professional Society Membership
Member – Radiological Society of North America (2007 – present)
Member – American Roentgen Ray Society (2007 – present)
Member – Society of Breast Imaging (2006 – present)
President, Rochester Academy of Medicine (2002 – 2003)
President – Rochester Roentgen Ray Society (1998 – 1999)
Board of Trustees, Rochester Academy of Medicine (1997 – 2004)
Treasurer/Secretary – Rochester Roentgen Ray Society (1994 – 1998)
Member – American College of Radiology (1989 – present)
Fellow-2007
President – Rochester Ultrasound Society (1981 – 1982)

Certified Specialties

Diagnostic Radiology - American Board of Radiology

Faculty Appointments

Professor - Department of Imaging Sciences (SMD)

Credentials

Residency & Fellowship

Residency, Diagnostic Radiology, Rochester General Hospital. 1976 - 1979

Residency, Internal Medicine, St. James Hospital (Ireland). 1974 - 1976

Internship, Internal Medicine, Highland Hospital of Rochester. 1973 - 1974

Education

MBBS | Trinity College Dublin School of Medicine (Ireland). 1973

Awards

Gift in Honor to the Breast Cancer Imaging Fund. 2018 - 2018

Fellow-Elect. 2018

Certificate of Appreciation. 2015 - 2015

Appreciation for Reviewing five manuscripts. 2015 - 2015

2014 Certificate of Distinguished Services to the Medical Profession of Rochester. 2014

2013 Communicator Awards. 2013

"Top Doc" Diagnostic Radiology. 2013

Tribute – National Women's Hall of Fame, Book of Lives and Legacies (2013) 3rd place winner. 2013

Bronze Statue - 2012 Telly Award. 2012

Certificate of Merit "Cone Beam CT of the Breast: What is Hidden in Dense Breasts?". 2011

Certificate of Merit " Management of Papillary Breast Lesions: An Imaging Pathology-based Approach". 2011

Arvin Robinson Award for senior faculty member who demonstrates excellence in resident education and teaching. 2008 - 2009

Award of Merit for poster on "Cone Beam Computed Tomography of the Breast" with Sarah Majewski & Richard Gong. 2008

Elected as Fellow. 2007

Research

I believe I am one of the few radiologists in the world with hands-on experience in dedicated breast CT imaging. Breast CT is now approved for clinical use in Europe, but only a very small part of its potential has been explored. Mammography is the gold standard in routine screening and diagnosis ...
I believe I am one of the few radiologists in the world with hands-on experience in dedicated breast CT imaging. Breast CT is now approved for clinical use in Europe, but only a very small part of its potential has been explored. Mammography is the gold standard in routine screening and diagnosis of breast cancer. However, limitations in sensitivity and specificity, particularly in dense breasts, has motivated the development of alternative techniques such as digital breast tomosynthesis, whole breast ultrasound, nuclear medicine imaging methods and more recently dedicated breast CT. I am also very active with research focusing on Cone Beam CT imaging. Cone Beam CT imaging provides pictures of tissue around the ribs and outer breast towards the armpit, where 50 percent of cancers are found. The Cone Beam Breast Computed Tomography scanner takes 360-degree views of breast anatomy and in one case showed a cancer which was hard to detect on a mammogram. So far the Cone Beam scanner has detected every tumor seen on a mammogram. Mammograms in the best hands in the world will miss 15 percent of tumors because they are difficult to read. This is because the mammogram X-ray reduces a three-dimensional structure, the breast, to two dimensions and mammograms often show only part of a tumor, and what appears as a speck on a mammogram is often at the core of a much larger tumor. The process takes only 10 seconds; the breast is allowed to hang through a hole in the table while the scanner takes 300 shots from every angle. The scanner has the same dose of radiation as a mammogram but the procedure will probably cost more; the average cost of a mammogram is $80, while a CT can cost several hundred. Breast cancer remains the biggest cancer killer of women, after lung cancer, with 1.2 million cases globally and 270,000 in the United States alone. It kills 500,000 men and women every year globally and 40,000 in the United States. The University of Rochester has licensed the technology to a Rochester, New York start-up company, Koning Corporation, to make, use and sell Cone Beam scanners.

Patents

Method and Device for Preserving and Imaging Specimens While Retaining Information on the Spatial Orientation of Specimens with Respect to Reference Objects

Issue date: August 15, 2017

Patent #: 9,733,167

Country: United States

Inventors: Andrzej Krol, Avice M O'Connell, Axel Wismueller

Publications

Journal Articles

Newer Technologies in Breast Cancer Imaging: Dedicated Cone-Beam Breast Computed Tomography

Avice M. O'Connell, MD, MA, FACR, Andrew Karellas, PhD, FAAPM, FACR, Srinivasan Vedantham, PhD, FAAPM, Daniel T. Kawakyu-O'Connor, MD.

Seminars in Ultrasound, CT and MRI. 2018; 39(1): 106-113.

Newer Technologies in Breast Cancer Imaging: Dedicated Coney-Beam Breast Computed Tomography

Avice O'Connell, MD, MA FACR; Andrew Karellas, PhD, FAAPM, FACR; Srinivasan Vedantham, PhD, FAAPM; Daniel T. Kawakyu-O'Connor, MD.

Seminars in Ultrasound CT and MRI. 2018; 39(1): 106-113.

Dedicated Breast CT: Feasibility for Monitoring Neoadjuvant Chemotherapy Treatment

Vedantham S; O'Connell AM; Shi L; Karellas A; Huston AJ; Skinner KA.

The Breast Journal. 2014; 20(6): 592-605.

Breast metastases to thyroid gland.

Nguyen MS, Ginat DT, Giampoli EJ, O'Connell AM

Ultrasound quarterly.. 2013 December 29 (4):327-8. Epub 1900 01 01.

Personalized estimates of radiation dose from dedicated breast CT in a diagnostic population and comparison with diagnostic mammography.

Vedantham S, Shi L, Karellas A, O'Connell AM, Conover DL

Physics in medicine and biology.. 2013 November 2158 (22):7921-36. Epub 10/29/2013.

Technical Note: Skin thickness measurements using high-resolution flat-panel cone-beam dedicated breast CT.

Linxi S, Vedantham, S, Karellas, A, O'Connell A.

American Association of Physicists in Medicine. 2013; 40(3).

Dedicated breast CT: fibroglandular volume measurements in a diagnostic population.

Vedantham S, Shi L, Karellas A, O'Connell AM

Medical physics.. 2012 December 39 (12):7317-28. Epub 1900 01 01.

Abnormal axillary lymph nodes on negative mammograms: causes other than breast cancer.

Görkem SB, O'Connell AM

Diagnostic and interventional radiology : official journal of the Turkish Society of Radiology.. 2012 18 (5):473-9. Epub 03/13/2012.

Pilomatrixoma of the adult male breast: a rare tumor with typical ultrasound features.

Hubeny CM, Sykes JB, O'Connell A, Dogra VS

Journal of clinical imaging science.. 2011 1 :12. Epub 02/11/2011.

Breast MR Imaging: What the Radiologist Needs to Know.

Dhillon GS, Bell N, Ginat DT, Levit A, Destounis S, O'Connell A

Journal of clinical imaging science.. 2011 1 :48. Epub 10/03/2011.

Cone-beam CT for breast imaging: Radiation dose, breast coverage, and image quality.

O'Connell A, Conover DL, Zhang Y, Seifert P, Logan-Young W, Lin CF, Sahler L, Ning R

AJR. American journal of roentgenology.. 2010 August 195 (2):496-509. Epub 1900 01 01.

The Many Roles of Ultrasound in Breast Malignancy

O'Connell, A.

Applied Radiology. 2009; 38(9).

Cone Beam Computed Tomography for Breast Imaging

O'Connell, A.; Conover, D.; Chuen-Fu, L.

J. Radiol Nurs. 2009; 28(1): 3-11.

Current Indications for Breast Magnetic Resonance Imaging.

Siddall, KA; O'Connell, A.; Dass, T.; Liao, L.

Contemporary Diagnostic Radiology. 2007; 30(12): 1.

Today's Research Heads Toward Tomorrow's Clinical Practice: Women's Imaging Continues to Evolve into its Own Niche, Which Demands Expertise in Many Modalities as Well as Body Systems.

O'Connell, A.

Diagnostic Imaging. 2007; 29(4): 3.

Books

Mammographic Imaging: A Practical Guide Fourth Edition (2018)

Chapter: Cone-Beam Breast CT

Authors: Avice O'Connell

Publisher: Wolters Kluwer/Lippincott Williams & Wilkins 2018

The Little Book of Menopause: Living with the challenges of breast cancer (2018)

Chapter: Mammography and Breast Cancer Screen

Authors: Avice O'Connell, MD

Publisher: University of Rochester, Rochester 2018

CONE-BEAM BREAST CT-ESSENTIALS: CBCT (2017)

Authors: Avice M. O'Connell, MD Editor Vikram S. Dogra, MD Consulting Editor

Publisher: Imaging Science Today LLC 2017