Vickie Feldstein, MD

Professor
Professor of Clinical RAdiol.

Biography

Vickie Feldstein, MD, is a Professor of Clinical Radiology at the University of California, San Francisco. She is an expert in many applications of diagnostic ultrasound and the use of Doppler techniques to analyze blood flow. Dr. Feldstein received her medical degree from Dartmouth Medical School Brown University Program in Medicine, Rhode Island in 1986, and completed her residency in Radiology from the University of California, San Francisco, followed by a Chief Resident in Radiology from UCSF in 1991.

Dr. Feldstein’s research efforts focus on obstetric, gynecologic and abdominal applications of sonography in evaluation of a variety of pathologic conditions. Particularly, she has been studying complicated twin pregnancies and has used Doppler ultrasound techniques to explore the etiology and pathophysiology of complicated monochorionic (single placenta) twin pregnancies.

Dr. Feldstein has served as a Co-Investigator with a multidisciplinary team of researchers at UCSF. She has written, lectured, and investigated widely on ways to use ultrasound to safely and effectively guide needle procedures as well as studying ultrasound findings noted in the prenatal evaluation of fetuses with anomalies. Dr. Feldstein has written over 62 published articles and 10 book chapters.

Expertise:
Ultrasound

Specialty:
Obstetric, gynecologic and abdominal applications of sonography, twin pregnancies

Professional Interests:
Ultrasound, Doppler, fetal anomalies, twin pregnancies, women's imaging, transplantation

Education and Training:
• Medical School: Dartmouth Medical School Brown University Program in Medicine, Rhode Island
• Internship: Mount Auburn Hospital, Cambridge, Massachusetts - Internal Medicine
• Residency: University of California, San Francisco - Radiology
• Fellowship: University of California, San Francisco - Radiology

Education

Residency, - School of Medicin - Radiology, University of California, San Francisco

Honors and Awards

Best Doctors in America, San Francisco/Bay Area, 2009-2010
Fellowship Research Trainee Prize, Radiological Society of North America, 1999
Elmer Ng Award Outstanding Resident Award in Diagnostic Radiology, University of California, San Francisco, 1991

Publications

Harbell JW, Morgan T, Feldstein VA, Roll GR, Posselt A, Kang SM, Feng S, Hirose R, Freise CE, Stock P. Splenic Vein Thrombosis Following Pancreas Transplantation: Identification of Factors That Support Conservative Management. Am J Transplant. 2017 Jul 14.
Jha P, Feldstein V. Sonographic Findings of Endometrial Osseous Metaplasia, a Cause of Dysfunctional Vaginal Bleeding and Secondary Infertility. J Ultrasound Med. 2017 Jul 10.
Perito ER, Vase T, Ramachandran R, Phelps A, Jen KY, Lustig RH, Feldstein VA, Rosenthal P. Hepatic steatosis after pediatric liver transplant. Liver Transpl. 2017 Jul; 23(7):957-967.
Kelly EM, Feldstein VA, Etheridge D, Hudock R, Peters MG. Sonography Predicts Liver Steatosis in Patients With Chronic Hepatitis B. J Ultrasound Med. 2017 May; 36(5):925-932.
Jordan EJ, Feldstein VA, Moses W, Phelps AS. Radiologic assessment of fetal tracheal balloon occlusion. Clin Imaging. 2017 Mar - Apr; 42:113-118.
Morgan TA, Smith-Bindman R, Harbell J, Kornak J, Stock PG, Feldstein VA. US Findings in Patients at Risk for Pancreas Transplant Failure. Radiology. 2016 Jul; 280(1):281-9.
Morgan TA, Feldstein VA. In Utero Diagnosis of Unilateral Bronchial Atresia: One Pathologically Proven and 2 Presumed Cases With Similar Sonographic Findings at Presentation. J Ultrasound Med. 2015 Aug; 34(8):1501-7.
Peyvandi S, Feldstein VA, Hirose S, Rand L, Brook MM, Moon-Grady AJ. Twin-reversed arterial perfusion sequence associated with decreased fetal cerebral vascular impedance. Ultrasound Obstet Gynecol. 2015 Apr; 45(4):447-51.
Derderian SC, Trivedi S, Farrell J, Keller RL, Rand L, Goldstein R, Feldstein VA, Hirose S, MacKenzie TC. Outcomes of fetal intervention for primary hydrothorax. J Pediatr Surg. 2014 Jun; 49(6):900-3; discussion 903-4.
Smith-Bindman R, Lebda P, Feldstein VA, Sellami D, Goldstein RB, Brasic N, Jin C, Kornak J. Risk of thyroid cancer based on thyroid ultrasound imaging characteristics: results of a population-based study. JAMA Intern Med. 2013 Oct 28; 173(19):1788-96.
Shue E, Bolouri M, Jelin EB, Vu L, Bratton B, Cedars E, Yoke L, Byrne F, Hirose S, Feldstein V, Miniati D, Lee H. Tumor metrics and morphology predict poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a 25-year experience at a single institution. J Pediatr Surg. 2013 Jun; 48(6):1225-31.
Perito ER, Tsai PM, Hawley S, Lustig RH, Feldstein VA. Targeted hepatic sonography during clinic visits for detection of fatty liver in overweight children: a pilot study. J Ultrasound Med. 2013 Apr; 32(4):637-43.
Nijagal A, Jelin E, Feldstein VA, Courtier J, Urisman A, Jones KD, Lee H, Hirose S, MacKenzie TC. The diagnosis and management of intradiaphragmatic extralobar pulmonary sequestrations: a report of 4 cases. J Pediatr Surg. 2012 Aug; 47(8):1501-5.
Loh KC, Jelin E, Hirose S, Feldstein V, Goldstein R, Lee H. Microcystic congenital pulmonary airway malformation with hydrops fetalis: steroids vs open fetal resection. J Pediatr Surg. 2012 Jan; 47(1):36-9.
Jelin EB, Schecter SC, Gonzales KD, Hirose S, Lee H, Machin GA, Rand L, Feldstein VA. Guide wire assisted catheterization and colored dye injection for vascular mapping of monochorionic twin placentas. J Vis Exp. 2011 Sep 05; (55):e2837.
Moon-Grady AJ, Rand L, Gallardo S, Gosnell K, Lee H, Feldstein VA. Diastolic Cardiac Pathology and Clinical Twin-Twin Transfusion Syndrome in Monochorionic/Diamniotic Twins. Am J Obstet Gynecol. 2011 Sep 01; 205(3):279.e1-279.e11.
Kellow ZS, Feldstein VA. Ultrasound of the placenta and umbilical cord: a review. Ultrasound Q. 2011 Sep; 27(3):187-97.
AlRais F, Feldstein VA, Srivastava D, Gosnell K, Moon-Grady AJ. Monochorionic twins discordant for congenital heart disease: a referral center's experience and possible pathophysiologic mechanisms. Prenat Diagn. 2011 Oct; 31(10):978-84.
Esakoff TF, Sparks TN, Kaimal AJ, Kim LH, Feldstein VA, Goldstein RB, Cheng YW, Caughey AB. Diagnosis and morbidity of placenta accreta. Ultrasound Obstet Gynecol. 2011 Mar; 37(3):324-7.
Jelin E, Hirose S, Rand L, Curran P, Feldstein V, Guevara-Gallardo S, Jelin A, Gonzales K, Goldstein R, Lee H. Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin. Fetal Diagn Ther. 2010; 27(3):138-41.
Curran PF, Jelin EB, Rand L, Hirose S, Feldstein VA, Goldstein RB, Lee H. Prenatal steroids for microcystic congenital cystic adenomatoid malformations. J Pediatr Surg. 2010 Jan; 45(1):145-50.
Hopkins LM, Feldstein VA. The use of ultrasound in fetal surgery. Clin Perinatol. 2009 Jun; 36(2):255-72, viii.
Kuppermann M, Norton ME, Gates E, Gregorich SE, Learman LA, Nakagawa S, Feldstein VA, Lewis J, Washington AE, Nease RF. Computerized prenatal genetic testing decision-assisting tool: a randomized controlled trial. Obstet Gynecol. 2009 Jan; 113(1):53-63.
Nijagal A, Ozgediz D, Feldstein VA, Lee H, Harrison MR. Colonic atresia and choledochal cyst: a rare combination. Pediatr Surg Int. 2009 Jan; 25(1):113-5.
Poff JA, Coakley FV, Qayyum A, Yeh BM, Browne LW, Merriman RB, Ferrell LD, Feldstein VA. Frequency and histopathologic basis of hepatic surface nodularity in patients with fulminant hepatic failure. Radiology. 2008 Nov; 249(2):518-23.
Crombleholme TM, Shera D, Lee H, Johnson M, D'Alton M, Porter F, Chyu J, Silver R, Abuhamad A, Saade G, Shields L, Kauffman D, Stone J, Albanese CT, Bahado-Singh R, Ball RH, Bilaniuk L, Coleman B, Farmer D, Feldstein V, Harrison MR, Hedrick H, Livingston J, Lorenz RP, Miller DA, Norton ME, Polzin WJ, Robinson JN, Rychik J, Sandberg PL, Seri I, Simon E, Simpson LL, Yedigarova L, Wilson RD, Young B. A prospective, randomized, multicenter trial of amnioreduction vs selective fetoscopic laser photocoagulation for the treatment of severe twin-twin transfusion syndrome. Am J Obstet Gynecol. 2007 Oct; 197(4):396.e1-9.
Yang SH, Nobuhara KK, Keller RL, Ball RH, Goldstein RB, Feldstein VA, Callen PW, Filly RA, Farmer DL, Harrison MR, Lee H. Reliability of the lung-to-head ratio as a predictor of outcome in fetuses with isolated left congenital diaphragmatic hernia at gestation outside 24-26 weeks. Am J Obstet Gynecol. 2007 Jul; 197(1):30.e1-7.
Lee H, Wagner AJ, Sy E, Ball R, Feldstein VA, Goldstein RB, Farmer DL. Efficacy of radiofrequency ablation for twin-reversed arterial perfusion sequence. Am J Obstet Gynecol. 2007 May; 196(5):459.e1-4.
Triponez F, Poder L, Zarnegar R, Goldstein R, Roayaie K, Feldstein V, Lee J, Kebebew E, Duh QY, Clark OH. Hook needle-guided excision of recurrent differentiated thyroid cancer in previously operated neck compartments: a safe technique for small, nonpalpable recurrent disease. J Clin Endocrinol Metab. 2006 Dec; 91(12):4943-7.
Chi T, Feldstein VA, Nguyen HT. Increased echogenicity as a predictor of poor renal function in children with grade 3 to 4 hydronephrosis. J Urol. 2006 May; 175(5):1898-901.
Fick AL, Feldstein VA, Norton ME, Wassel Fyr C, Caughey AB, Machin GA. Unequal placental sharing and birth weight discordance in monochorionic diamniotic twins. Am J Obstet Gynecol. 2006 Jul; 195(1):178-83.
Patel MD, Feldstein VA, Filly RA. The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts. J Ultrasound Med. 2005 May; 24(5):607-14; quiz 615.
Smith-Bindman R, Weiss E, Feldstein V. How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding. Ultrasound Obstet Gynecol. 2004 Oct; 24(5):558-65.
Nijagal A, Sydorak RM, Feldstein VA, Hirose S, Albanese CT. Spontaneous resolution of prenatal megalourethra. J Pediatr Surg. 2004 Sep; 39(9):1421-3.
Feldstein VA, Filly RA. Complications of monochorionic twins. Radiol Clin North Am. 2003 Jul; 41(4):709-27.
Smith-Bindman R, Chu PW, Ecker J, Feldstein VA, Filly RA, Bacchetti P. Adverse birth outcomes in relation to prenatal sonographic measurements of fetal size. J Ultrasound Med. 2003 Apr; 22(4):347-56; quiz 357-8.
Keller RL, Glidden DV, Paek BW, Goldstein RB, Feldstein VA, Callen PW, Filly RA, Albanese CT. The lung-to-head ratio and fetoscopic temporary tracheal occlusion: prediction of survival in severe left congenital diaphragmatic hernia. Ultrasound Obstet Gynecol. 2003 Mar; 21(3):244-9.
Feldstein VA. Understanding twin-twin transfusion syndrome: role of Doppler ultrasound. Ultrasound Q. 2002 Dec; 18(4):247-54.
Sydorak RM, Feldstein V, Machin G, Tsao K, Hirose S, Lee H, Farmer DL, Harrison MR, Albanese CT. Fetoscopic treatment for discordant twins. J Pediatr Surg. 2002 Dec; 37(12):1736-9.
Sydorak RM, Kelly T, Feldstein VA, Sandberg PL, Silverman NH, Harrison MR, Albanese CT. Prenatal resection of a fetal pericardial teratoma. Fetal Diagn Ther. 2002 Sep-Oct; 17(5):281-5.
Paek BW, Callen PW, Kitterman J, Feldstein VA, Farrell J, Harrison MR, Albanese CT. Successful fetal intervention for congenital high airway obstruction syndrome. Fetal Diagn Ther. 2002 Sep-Oct; 17(5):272-6.
Tsao K, Feldstein VA, Albanese CT, Sandberg PL, Lee H, Harrison MR, Farmer DL. Selective reduction of acardiac twin by radiofrequency ablation. Am J Obstet Gynecol. 2002 Sep; 187(3):635-40.
Smith-Bindman R, Chu PW, Ecker JL, Feldstein VA, Filly RA, Bacchetti P. US evaluation of fetal growth: prediction of neonatal outcomes. Radiology. 2002 Apr; 223(1):153-61.
Smith-Bindman R, Feldstein VA, Goldberg JD. The genetic sonogram in screening for Down syndrome. J Ultrasound Med. 2001 Nov; 20(11):1153-8.
Hiramoto JS, Feldstein VA, LaBerge JM, Norton JA. Intraoperative ultrasound and preoperative localization detects all occult insulinomas; discussion 1025-6. Arch Surg. 2001 Sep; 136(9):1020-5.
Sbragia L, Paek BW, Feldstein VA, Farrell JA, Harrison MR, Albanese CT, Farmer DL. Outcome of prenatally diagnosed solid fetal tumors. J Pediatr Surg. 2001 Aug; 36(8):1244-7.
Smith-Bindman R, Hosmer W, Feldstein VA, Deeks JJ, Goldberg JD. Second-trimester ultrasound to detect fetuses with Down syndrome: a meta-analysis. JAMA. 2001 Feb 28; 285(8):1044-55.
Bredella MA, Feldstein VA, Filly RA, Goldstein RB, Callen PW, Genant HK. Measurement of endometrial thickness at US in multicenter drug trials: value of central quality assurance reading. Radiology. 2000 Nov; 217(2):516-20.
Machin GA, Feldstein VA, van Gemert MJ, Keith LG, Hecher K. Doppler sonographic demonstration of arterio-venous anastomosis in monochorionic twin gestation. Ultrasound Obstet Gynecol. 2000 Sep; 16(3):214-7.
Feldstein VA, Machin GA, Albanese CT, Sandberg P, Farrell JA, Farmer DL, Harrison MR. Twin-twin transfusion syndrome: the 'Select' procedure. Fetal Diagn Ther. 2000 Sep-Oct; 15(5):257-61.
Lopoo JB, Paek BW, Maichin GA, Lipshutz GS, Jennings RW, Farmer DL, Sandberg PL, Feldstein VA, Filly RA, Farrell JA, Harrison MR, Albanese CT. Cord ultrasonic transection procedure for selective termination of a monochorionic twin. Fetal Diagn Ther. 2000 May-Jun; 15(3):177-9.
Westerburg B, Feldstein VA, Sandberg PL, Lopoo JB, Harrison MR, Albanese CT. Sonographic prognostic factors in fetuses with sacrococcygeal teratoma. J Pediatr Surg. 2000 Feb; 35(2):322-5; discussion 325-6.
Gotway MB, Edinburgh KJ, Feldstein VA, Lehman J, Reddy GP, Webb WR. Imaging evaluation of suspected pulmonary embolism. Curr Probl Diagn Radiol. 1999 Sep-Oct; 28(5):129-84.
Patel MD, Feldstein VA, Chen DC, Lipson SD, Filly RA. Endometriomas: diagnostic performance of US. Radiology. 1999 Mar; 210(3):739-45.
Wilkinson CC, Albanese CT, Jennings RW, Feldstein VA, Goldberg JD, Baehner FL, Farrell JA, Peacock WJ, Harrison MR. Fetal neurenteric cyst causing hydrops: case report and review of the literature. Prenat Diagn. 1999 Feb; 19(2):118-21.
Ashraf VS, Feldstein VA, Filly RA. Variation in echogenicity of the basal ganglia: anisotropic effect. J Ultrasound Med. 1999 Feb; 18(2):153-8.
Smith-Bindman R, Kerlikowske K, Feldstein VA, Subak L, Scheidler J, Segal M, Brand R, Grady D. Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities. JAMA. 1998 Nov 04; 280(17):1510-7.
Albanese CT, Lopoo J, Goldstein RB, Filly RA, Feldstein VA, Calen PW, Jennings RW, Farrell JA, Harrison MR. Fetal liver position and perinatal outcome for congenital diaphragmatic hernia. Prenat Diagn. 1998 Nov; 18(11):1138-42.
LaBerge J, Feldstein VA. Ultrasound surveillance of tips--why bother? Hepatology. 1998 Nov; 28(5):1433-4.
Patel MD, Feldstein VA, Lipson SD, Chen DC, Filly RA. Cystic teratomas of the ovary: diagnostic value of sonography. AJR Am J Roentgenol. 1998 Oct; 171(4):1061-5.
Lipshutz GS, Albanese CT, Feldstein VA, Jennings RW, Housley HT, Beech R, Farrell JA, Harrison MR. Prospective analysis of lung-to-head ratio predicts survival for patients with prenatally diagnosed congenital diaphragmatic hernia. J Pediatr Surg. 1997 Nov; 32(11):1634-6.
Grullon KE, Feldstein VA, Lim KH. Elevated maternal serum alpha-fetoprotein associated with an asymptomatic tubal pregnancy at 20 weeks' gestation. Obstet Gynecol. 1997 Oct; 90(4 Pt 2):682-5.
Maas KL, Feldstein VA, Goldstein RB, Filly RA. Sonographic detection of bilateral fetal chest masses: report of three cases. J Ultrasound Med. 1997 Oct; 16(10):647-52.
Laing FC, Frates MC, Feldstein VA, Goldstein RB, Mondro S. Hemobilia: sonographic appearances in the gallbladder and biliary tree with emphasis on intracholecystic blood. J Ultrasound Med. 1997 Aug; 16(8):537-43.
Patel MD, Callen PW, Mar JB, Filly RA, Goldstein RB, Feldstein VA. Evaluation of a sonographic PACS in clinical practice: analysis of technical and analytical time savings. J Ultrasound Med. 1996 Nov; 15(11):755-62.
Feldstein VA, Patel MD, LaBerge JM. Transjugular intrahepatic portosystemic shunts: accuracy of Doppler US in determination of patency and detection of stenoses. Radiology. 1996 Oct; 201(1):141-7.
Feldstein VA, Patel MD. Doppler ultrasonography of transjugular intrahepatic portosystemic shunts. West J Med. 1996 Jul-Aug; 165(1-2):56-7.
Kirsch CF, Feldstein VA, Goldstein RB, Filly RA. Persistent intrahepatic right umbilical vein: a prenatal sonographic series without significant anomalies. J Ultrasound Med. 1996 May; 15(5):371-4.
Murray JG, Patel MD, Lee S, Sandhu JS, Feldstein VA. Microabscesses of the liver and spleen in AIDS: detection with 5-MHz sonography. Radiology. 1995 Dec; 197(3):723-7.
Creinin MD, Feldstein VA. Conservative management options for cervical pregnancy; case reports and literature review. Int J Fertil Menopausal Stud. 1995 Jul-Aug; 40(4):175-86.
Somberg KA, Lake JR, Tomlanovich SJ, LaBerge JM, Feldstein V, Bass NM. Transjugular intrahepatic portosystemic shunts for refractory ascites: assessment of clinical and hormonal response and renal function. Hepatology. 1995 Mar; 21(3):709-16.
McKenna KM, Feldstein VA, Goldstein RB, Filly RA. The empty amnion: a sign of early pregnancy failure. J Ultrasound Med. 1995 Feb; 14(2):117-21.
Levine D, Feldstein VA, Babcook CJ, Filly RA. Sonography of ovarian masses: poor sensitivity of resistive index for identifying malignant lesions. AJR Am J Roentgenol. 1994 Jun; 162(6):1355-9.
Feldstein VA, LaBerge JM. Hepatic vein flow reversal at duplex sonography: a sign of transjugular intrahepatic portosystemic shunt dysfunction. AJR Am J Roentgenol. 1994 Apr; 162(4):839-41.
Feldstein VA. Posttraumatic "high-flow" priapism evaluation with color flow Doppler sonography. J Ultrasound Med. 1993 Oct; 12(10):589-93.