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

Imaging Sciences

Contact Information

Phone Numbers

Appointment: (585) 487-3300

Office: (585) 487-3300

Fax: (585) 487-3324

URMFGA member of the University of Rochester Medical Faculty Group

groupAn Accountable Health Partner

assignmentAccepting New Patients

Faculty Appointments

Biography

Dr. O'Connell is a Professor of Imaging Sciences and Director of Women's Imaging at the University of Rochester Medical Center. Educated in Dublin, Ireland, she received her radiology training here in Rochester. 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 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 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)

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 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.

Credentials

Specialties

  • Diagnostic Radiology - American Board of Radiology

Education

1970
BA | Ireland-Trinity Coll, U Dublin
Arts & Sciences

1973
MD | Ireland-Fac Med U Coll, Dublin
Medicine

1995
MA | Ireland-Trinity Coll, U Dublin
Arts & Sciences

Post-doctoral Training & Residency

07/01/1976 - 06/30/1979
Residency in Diagnostic Radiology at Rochester General Hospital

07/01/1974 - 06/30/1976
Residency in Internal Medicine at Dublin Federation of Voluntary Hospitals

070/1/1973 - 06/30/1974
Internship in Internal Medicine at Highland Hospital of Rochester

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Awards

2018 - 2018
Gift in Honor to the Breast Cancer Imaging Fund
Sponsor: The Louis S. & Molly B. Wolk Foundation
Location: Rochester, New York

2015 - 2015
Certificate of Appreciation
Sponsor: Journal of Clinical Imaging Science

2015 - 2015
Appreciation for Reviewing five manuscripts
Sponsor: Journal of Ultrasound in Medicine

2014
2014 Certificate of Distinguished Services to the Medical Profession of Rochester
Sponsor: Rochester Academy of Medicine
Location: Rochester, NY

2013
Tribute – National Women's Hall of Fame, Book of Lives and Legacies (2013) 3rd place winner
Sponsor: American Institute of Ultrasound in Medicine

2013
2013 Communicator Awards
Sponsor: Second Opinion Cable Show

2013
"Top Doc" Diagnostic Radiology
Sponsor: 585 Magazine

2012
Bronze Statue - 2012 Telly Award
Sponsor: Second Opion TV

2011
Certificate of Merit "Cone Beam CT of the Breast: What is Hidden in Dense Breasts?"
Location: Education Exhibit presented at the 97th Annual RSNA Mtg.

2011
Certificate of Merit " Management of Papillary Breast Lesions: An Imaging Pathology-based Approach"
Location: Education Exhibit presented at the 97th Annual RSNA mtg.

2008 - 2009
Arvin Robinson Award for senior faculty member who demonstrates excellence in resident education and teaching
Sponsor: Department of Imaging Sciences
Location: University of Rochester Medical Center - Rochester, NY

2008
Award of Merit for poster on "Cone Beam Computed Tomography of the Breast" with Sarah Majewski & Richard Gong
Sponsor: Radiological Society of North America
Location: RSNA Annual Conference - Chicago, IL

2007
Elected as Fellow
Sponsor: American College of Radiology

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Publications

Journal Articles

2018
Avice M. O'Connell, MD, MA, FACR, Andrew Karellas, PhD, FAAPM, FACR, Srinivasan Vedantham, PhD, FAAPM, Daniel T. Kawakyu-O'Connor, MD. "Newer Technologies in Breast Cancer Imaging: Dedicated Cone-Beam Breast Computed Tomography". Seminars in Ultrasound, CT and MRI. 2018; 39(1): 106-113.

2014
Vedantham S; O'Connell AM; Shi L; Karellas A; Huston AJ; Skinner KA. "Dedicated Breast CT: Feasibility for Monitoring Neoadjuvant Chemotherapy Treatment". The Breast Journal. 2014; 20(6): 592-605.

12/2013
Nguyen MS, Ginat DT, Giampoli EJ, O'Connell AM. "Breast metastases to thyroid gland." Ultrasound quarterly.. 2013 Dec 0; 29(4):327-8.

Books & Chapters

2018
Chapter Title: Cone-Beam Breast CT
Book Title: Mammographic Imaging: A Practical Guide Fourth Edition
Author List: Avice O'Connell
Edited By: Valerie F. Andolina, MD & Shelly L. Lille, MD
Published By: Wolters Kluwer/Lippincott Williams & Wilkins2018

2017
Book Title: CONE-BEAM BREAST CT-ESSENTIALS: CBCT
Author List: Avice M. O'Connell, MD Editor Vikram S. Dogra, MD Consulting Editor
Published By: Imaging Science Today LLC2017

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Videos

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Making Sense of Mammography Guidelines

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SECOND OPINION | Mammography | APT | Webisode