Richard Breiman, MD

Professor Emeritus
Clinical Professor

Biography

Richard S. Breiman, MD, is a Clinical Professor of Radiology in the Department of Radiology and Biomedical Imaging at the University of California, San Francisco. He was the former Director of the Henry I. Goldberg Center for Advanced Imaging Education and formerly a member of UCSF's Haile Debas Academy of Medicsl Educators. Dr. Breiman obtained his medical degree from UCSF, and he completed an internship in General Surgery at Yale University School of Medicine, New Haven, Connecticut and trained in Orthopedic Surgery at the University of California, San Diego School of Medicine. Dr. Breiman completed a residency in Diagnostic Radiology at Stanford University School of Medicine, California. In addition, he completed a CT research fellowship at Stanford University School of Medicine.

Dr. Breiman was on the faculty in abdominal imaging and ultrasound at Duke University School of Medicine, before entering a private practice in the San Francisco East Bay. While in private practice, he served on the clinical faculty at UCSF and UC Berkeley and was a consultant to several companies in the development of CT and PACS equipment. He was Chair and Program Director of the Scientific Advisory Panel of the California Medical Society. Dr. Breiman retired on October 2011 after 10 years of service to the Department of Radiology and Biomedical Imaging, but he holds a recall appointment and provides services part-time at the UCSF Ambulatory Care Center.

Expertise:
Abdominal Imaging, Advanced Visualization

Specialty:
CT scanning, radiology, abdominal imaging

Professional Interests:
Advanced visualization applications, including 3D image processing, in medical diagnosis, education, simulation of medical procedures, and intra-operative guidance, as well as new applications of multi-detector spiral CT in the abdomen and pelvis

Education and Training:
• Medical School: University of California, San Francisco
• Internship: Yale University School of Medicine, New Haven, Connecticut - General Surgery
• Residency: Stanford University, California - Diagnostic Radiology
• Fellowship: Stanford University, California - CT Research

Honors and Awards

Admitted to Haile T. Debas Academy of Medical Educators , University of California, San Francisco, 2008

Publications

Teistler M, Brunberg JA, Bott OJ, Breiman RS, Ebert LC, Ross SG, Dresing K. Understanding spatial relationships in US: a computer-based training tool that utilizes inexpensive off-the-shelf game controllers. Radiographics. 2014 Sep-Oct; 34(5):1334-43.
Keedy AW, Breiman RS, Webb EM, Roberts JP, Coakley FV, Yeh BM. Determinants of second-order bile duct visualization at CT cholangiography in potential living liver donors. AJR Am J Roentgenol. 2013 May; 200(5):1028-33.
Tillack AA, Breiman RS. Renegotiating expertise: an examination of PACS and the challenges to radiology using a medical anthropologic approach. J Am Coll Radiol. 2012 Jan; 9(1):64-8.
Keedy AW, Yeh BM, Kohr JR, Hiramoto JS, Schneider DB, Breiman RS. Evaluation of potential outcome predictors in type II Endoleak: a retrospective study with CT angiography feature analysis. AJR Am J Roentgenol. 2011 Jul; 197(1):234-40.
Keedy AW, Durack JC, Sandhu P, Chen EM, O'Sullivan PS, Breiman RS. Comparison of traditional methods with 3D computer models in the instruction of hepatobiliary anatomy. Anat Sci Educ. 2011 Mar-Apr; 4(2):84-91.
Qayyum A, Chen DM, Breiman RS, Westphalen AC, Yeh BM, Jones KD, Lu Y, Coakley FV, Callen PW. Evaluation of diffuse liver steatosis by ultrasound, computed tomography, and magnetic resonance imaging: which modality is best? Clin Imaging. 2009 Mar-Apr; 33(2):110-5.
Teistler M, Breiman RS, Lison T, Bott OJ, Pretschner DP, Aziz A, Nowinski WL. Simplifying the exploration of volumetric images: development of a 3D user interface for the radiologist's workplace. J Digit Imaging. 2008 Oct; 21 Suppl 1:S2-12.
Chawla SC, Jha P, Breiman R, Farmer D, Gooding C. Congenital tracheobiliary fistula diagnosed with contrast-enhanced CT and 3-D reformation. Pediatr Radiol. 2008 Sep; 38(9):999-1002.
Breiman RS, Coakley FV, Webb EM, Ellingson JJ, Roberts JP, Kohr J, Lutz J, Knoess N, Yeh BM. CT cholangiography in potential liver donors: effect of premedication with intravenous morphine on biliary caliber and visualization. Radiology. 2008 Jun; 247(3):733-7.
Hsu CT, Wang ZJ, Yu AS, Gould RG, Fu Y, Joe BN, Qayyum A, Breiman RS, Coakley FV, Yeh BM. Physiology of renal medullary tip hyperattenuation at unenhanced CT: urinary specific gravity and the NaCl concentration gradient. Radiology. 2008 Apr; 247(1):147-53.
Ponrartana S, Coakley FV, Yeh BM, Breiman RS, Qayyum A, Joe BN, Poder L, Lu Y, Gibbs VC, Roberts JP. Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity. Ann Surg. 2008 Jan; 247(1):8-12.
Chen EM, Breiman RS, Sollitto RA, Coakley FV. Pregnancy in chronic renal failure: a novel cause of theca lutein cysts at MRI. J Magn Reson Imaging. 2007 Dec; 26(6):1663-5.
Purcell DD, Hess CP, Durack JC, Breiman RS. Recording, editing, archiving, and distributing radiology lectures: a streamlined approach. Radiographics. 2007 Nov-Dec; 27(6):1839-44.
Arora SS, Breiman RS, Webb EM, Westphalen AC, Yeh BM, Coakley FV. CT and MRI of congenital anomalies of the seminal vesicles. AJR Am J Roentgenol. 2007 Jul; 189(1):130-5.
Rafaelian O, Coakley FV, Qayyum A, Breiman RS, Yeh BM, Joe BN, Westphalen AC, Feng S. Magnetic resonance imaging of hepatocellular carcinoma mimicking focal nodular hyperplasia: a potential pitfall in patients with cirrhosis? J Comput Assist Tomogr. 2006 Sep-Oct; 30(5):796-9.
Hoghooghi D, Coakley FV, Breiman RS, Qayyum A, Yeh BM. Frequency and etiology of midesophageal diverticula at barium esophagography. Clin Imaging. 2006 Jul-Aug; 30(4):245-7.
Tuttle DN, Yeh BM, Meng MV, Breiman RS, Stoller ML, Coakley FV. Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT. J Vasc Interv Radiol. 2005 Nov; 16(11):1489-92.
Kaufman LB, Yeh BM, Breiman RS, Joe BN, Qayyum A, Coakley FV. Inferior vena cava filling defects on CT and MRI. AJR Am J Roentgenol. 2005 Sep; 185(3):717-26.
Benitah N, Yeh BM, Qayyum A, Williams G, Breiman RS, Coakley FV. Minor morphologic abnormalities of adrenal glands at CT: prognostic importance in patients with lung cancer. Radiology. 2005 May; 235(2):517-22.
Wang ZJ, Yeh BM, Roberts JP, Breiman RS, Qayyum A, Coakley FV. Living donor candidates for right hepatic lobe transplantation: evaluation at CT cholangiography--initial experience. Radiology. 2005 Jun; 235(3):899-904.
Chen JS, Yeh BM, Wang ZJ, Roberts JP, Breiman RS, Qayyum A, Coakley FV. Concordance of second-order portal venous and biliary tract anatomies on MDCT angiography and MDCT cholangiography. AJR Am J Roentgenol. 2005 Jan; 184(1):70-4.
Krakora GA, Coakley FV, Williams G, Yeh BM, Breiman RS, Qayyum A. Small hypoattenuating hepatic lesions at contrast-enhanced CT: prognostic importance in patients with breast cancer. Radiology. 2004 Dec; 233(3):667-73.
Miller GA, Yeh BM, Breiman RS, Roberts JP, Qayyum A, Coakley FV. Use of CT cholangiography to evaluate the biliary tract after liver transplantation: initial experience. Liver Transpl. 2004 Aug; 10(8):1065-70.
Reimann AJ, Yeh BM, Breiman RS, Joe BN, Qayyum A, Coakley FV. Atypical cases of gallstone ileus evaluated with multidetector computed tomography. J Comput Assist Tomogr. 2004 Jul-Aug; 28(4):523-7.
Lutz J, Knoess N, Coakley FV, Yeh BM, Breiman RS. Intrahepatic portal-to-portal venous shunts in cirrhosis: a potential mimic of hepatocellular carcinoma. J Comput Assist Tomogr. 2004 Jul-Aug; 28(4):520-2.
Borders RJ, Breiman RS, Yeh BM, Qayyum A, Coakley FV. Computed tomography of corpus luteal cysts. J Comput Assist Tomogr. 2004 May-Jun; 28(3):340-2.
Yeh BM, Breiman RS, Taouli B, Qayyum A, Roberts JP, Coakley FV. Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodium-enhanced excretory MR, and multi-detector row CT cholangiography--initial experience. Radiology. 2004 Mar; 230(3):645-51.
Agarwal A, Yeh BM, Breiman RS, Qayyum A, Coakley FV. Peritoneal calcification: causes and distinguishing features on CT. AJR Am J Roentgenol. 2004 Feb; 182(2):441-5.
Yeh BM, Coakley FV, Meng MV, Breiman RS, Stoller ML. Precaval right renal arteries: prevalence and morphologic associations at spiral CT. Radiology. 2004 Feb; 230(2):429-33.
Williams G, Coakley FV, Qayyum S, Glenn OA, Breiman RS, Callen PW. Evaluation of femur length during the second and third trimesters in fetuses with myelomeningocele. Ultrasound Obstet Gynecol. 2004 Feb; 23(2):148-51.
Kroepil P, Coakley FV, Graser A, Breiman RS, Qayyum A, Yeh BM. Appearance and distinguishing features of retroperitoneal calcifications at computed tomography. J Comput Assist Tomogr. 2003 Nov-Dec; 27(6):860-3.
Suh M, Coakley FV, Qayyum A, Yeh BM, Breiman RS, Lu Y. Distinction of renal cell carcinomas from high-attenuation renal cysts at portal venous phase contrast-enhanced CT. Radiology. 2003 Aug; 228(2):330-4.
Lvoff N, Breiman RS, Coakley FV, Lu Y, Warren RS. Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology. 2003 Apr; 227(1):68-72.
Meng MV, Yeh BM, Breiman RS, Schwartz BF, Coakley FV, Stoller ML. Precaval right renal artery: description and embryologic origin. Urology. 2002 Sep; 60(3):402-5.
Effmann EL, Ravin CE, Breiman RS, Hedlund LW. Comparison of CT localization radiography and high-kilovoltage chest radiography. AJR Am J Roentgenol. 1983 Jun; 140(6):1115-8.
Godwin JD, Califf RM, Korobkin M, Moore AV, Breiman RS, Kong Y. Clinical value of coronary bypass graft evaluation with CT. AJR Am J Roentgenol. 1983 Apr; 140(4):649-55.
Jacobs NM, Godwin JD, Wolfe WG, Moore AV, Breiman RS, Korobkin M. Evaluation of the grafted ascending aorta with computed tomography. Complications caused by suture dehiscence. Radiology. 1982 Dec; 145(3):749-53.
Godwin JD, Breiman RS, Speckman JM. Problems and pitfalls in the evaluation of thoracic aortic dissection by computed tomography. J Comput Assist Tomogr. 1982 Aug; 6(4):750-6.
Godwin JD, Speckman JM, Fram EK, Johnson GA, Putman CE, Korobkin M, Breiman RS. Distinguishing benign from malignant pulmonary nodules by computed tomography. Radiology. 1982 Jul; 144(2):349-51.
Hidalgo H, Korobkin M, Breiman RS, Heaston DK, Moore AV, Ram PC. CT demonstration of subcutaneous venous collaterals. J Comput Assist Tomogr. 1982 Jun; 6(3):514-8.
Moore AV, Korobkin M, Powers B, Olanow W, Ravin CE, Putman CE, Breiman RS, Ram PC. Thymoma detection by mediastinal CT: patient with myasthenia gravis. AJR Am J Roentgenol. 1982 Feb; 138(2):217-22.
Kelvin FM, Korobkin M, Breiman RS, Clair MR, Heaston DK, Moore AV, Jones RS. Recurrent rectal carcinoma in an asymptomatic patient. J Comput Assist Tomogr. 1982 Feb; 6(1):186-8.
Breiman RS, Beck JW, Korobkin M, Glenny R, Akwari OE, Heaston DK, Moore AV, Ram PC. Volume determinations using computed tomography. AJR Am J Roentgenol. 1982 Feb; 138(2):329-33.
Osborne DR, Korobkin M, Ravin CE, Putman CE, Wolfe WG, Sealy WC, Young WG, Breiman R, Heaston D, Ram P, Halber M. Comparison of plain radiography, conventional tomography, and computed tomography in detecting intrathoracic lymph node metastases from lung carcinoma. Radiology. 1982 Jan; 142(1):157-61.
Ram PC, Martinez S, Korobkin M, Breiman RS, Gallis HR, Harrelson JM. CT detection of intraosseous gas: a new sign of osteomyelitis. AJR Am J Roentgenol. 1981 Oct; 137(4):721-3.
Hidalgo H, Korobkin M, Breiman RS, Kisslo JR. CT of intracardiac tumor. AJR Am J Roentgenol. 1981 Sep; 137(3):608-9.
McCook TA, Martinez S, Korobkin M, Ram PC, Bowen JH, Breiman RS, Harrelson JM, Gehweiler JA. Intramuscular myxoma. Radiographic and computed tomographic findings with pathologic correlation. Skeletal Radiol. 1981; 7(1):15-9.
Morehouse CC, Brody WR, Guthaner DF, Breiman RS, Harell GS. Gated cardiac computed tomography with a motion phantom. Radiology. 1980 Jan; 134(1):213-7.
Callen PW, Breiman RS, Korobkin M, De Martini WJ, Mani JR. Carcinoma of the tail of the pancreas: an unusual CT appearance. AJR Am J Roentgenol. 1979 Jul; 133(1):135-7.
Breiman RS, Castellino RA, Harell GS, Marshall WH, Glatstein E, Kaplan HS. CT-pathologic correlations in Hodgkin's disease and non-Hodgkin's lymphoma. Radiology. 1978 Jan; 126(1):159-66.
Marshall WH, Breiman RS, Harell GS, Glatstein E, Kaplan HS. Computed tomography of abdominal paraaortic lymph node disease: preliminary observations with a 6 second scanner. AJR Am J Roentgenol. 1977 May; 128(5):759-64.
Harell GS, Guthaner DF, Breiman RS, Morehouse CC, Seppi EJ, Marshall WH, Wexler L. Stop-action cardiac computed tomography. Radiology. 1977 May; 123(2):515-7.
Harell GS, Marshall WH, Breiman RS, Seppi EJ. Early experience with the Varian Six Second body scanner in the diagnosis of hepatobiliary tract disease. Radiology. 1977 May; 123(2):355-60.