Vickie Feldstein, MD
Professor
Radiology
School of Medicine

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 investigating 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

• ACR Appropriateness Criteria® Second and Third Trimester Screening for Fetal Anomaly.
  Journal of the American College of Radiology : JACR 2021 Expert Panel on GYN and OB Imaging, Sussman BL, Chopra P, Poder L, Bulas DI, Burger I, Feldstein VA, Laifer-Narin SL, Oliver ER, Strachowski LM, Wang EY, Winter T, Zelop CM, Glanc P
• Bilateral Choroid Plexus Papillomas Diagnosed by Prenatal Ultrasound and MRI.
  Cureus 2021 Li Y, Chetty S, Feldstein VA, Glenn OA
• Fetal cerebrovascular impedance is reduced in left congenital diaphragmatic hernia.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2021 Kosiv KA, Moon-Grady A, Hogan W, Keller R, Rapoport R, Rogers E, Feldstein VA, Lee H, Peyvandi S
• The natural history of fetal gallstones: a case series and updated literature review.
  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians 2020 Schwab ME, Braun HJ, Feldstein VA, Nijagal A
• Outcomes of Monochorionic, Diamniotic Twin Pregnancies with Prenatally Diagnosed Intertwin Weight Discordance.
  American journal of perinatology 2020 Sobhani NC, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA
• ACR Appropriateness Criteria® Nuchal Translucency Evaluation at 11 to 14 Weeks of Gestation.
  Journal of the American College of Radiology : JACR 2020 Expert Panel on GYN and OB Imaging, Simpson L, Maturen KE, Feldstein VA, Oliver ER, Poder L, Strachowski LM, Sussman BL, Weber TM, Winter T, Zelop CM, Glanc P
• ACR Appropriateness Criteria® Second and Third Trimester Vaginal Bleeding.
  Journal of the American College of Radiology : JACR 2020 Expert Panel on GYN and OB Imaging, Shipp TD, Poder L, Feldstein VA, Oliver ER, Promes SB, Strachowski LM, Sussman BL, Wang EY, Weber TM, Winter T, Glanc P
• ACR Appropriateness Criteria® Assessment of Gravid Cervix.
  Journal of the American College of Radiology : JACR 2020 Expert Panel on Gyn and OB Imaging, Oliver ER, Maturen KE, Feldstein VA, Poder L, Shipp TD, Simpson L, Strachowski LM, Sussman BL, Weber TM, Winter T, Glanc P
• ACR Appropriateness Criteria® Placenta Accreta Spectrum Disorder.
  Journal of the American College of Radiology : JACR 2020 Expert Panel on Women’s Imaging, Poder L, Weinstein S, Maturen KE, Feldstein VA, Mackenzie DC, Oliver ER, Shipp TD, Strachowski LM, Sussman BL, Wang EY, Weber TM, Whitcomb BP, Glanc P
• An Assessment of the Clinical Accuracy of Ultrasound in Diagnosing Cirrhosis in the Absence of Portal Hypertension.
  Gastroenterology & hepatology 2018 Kelly EMM, Feldstein VA, Parks M, Hudock R, Etheridge D, Peters MG
• Stage I Twin-Twin Transfusion Syndrome: Outcomes of Expectant Management and Prognostic Features.
  American journal of perinatology 2018 Washburn EE, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA
• Polyhydramnios Affecting a Recipient-like Twin: Risk of Progression to Twin-Twin Transfusion Syndrome and Outcomes.
  American journal of perinatology 2017 Washburn EE, Sparks TN, Gosnell KA, Rand L, Gonzalez JM, Feldstein VA
• Subclinical Atherosclerosis in Pediatric Liver Transplant Recipients: Carotid and Aorta Intima-Media Thickness and Their Predictors.
  The Journal of pediatrics 2017 Perito ER, Phelps A, Vase T, Feldstein VA, Lustig RH, Rosenthal P
• Splenic Vein Thrombosis Following Pancreas Transplantation: Identification of Factors That Support Conservative Management.
  American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2017 Harbell JW, Morgan T, Feldstein VA, Roll GR, Posselt A, Kang SM, Feng S, Hirose R, Freise CE, Stock P
• Sonographic Findings of Endometrial Osseous Metaplasia, a Cause of Dysfunctional Vaginal Bleeding and Secondary Infertility.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2017 Jha P, Feldstein V
• Hepatic steatosis after pediatric liver transplant.
  Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2017 Perito ER, Vase T, Ramachandran R, Phelps A, Jen KY, Lustig RH, Feldstein VA, Rosenthal P
• Sonography Predicts Liver Steatosis in Patients With Chronic Hepatitis B.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2017 Kelly EM, Feldstein VA, Etheridge D, Hudock R, Peters MG
• Radiologic assessment of fetal tracheal balloon occlusion.
  Clinical imaging 2016 Jordan EJ, Feldstein VA, Moses W, Phelps AS
• US Findings in Patients at Risk for Pancreas Transplant Failure.
  Radiology 2016 Morgan TA, Smith-Bindman R, Harbell J, Kornak J, Stock PG, Feldstein VA
• In Utero Diagnosis of Unilateral Bronchial Atresia: One Pathologically Proven and 2 Presumed Cases With Similar Sonographic Findings at Presentation.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2015 Morgan TA, Feldstein VA
• Twin-reversed arterial perfusion sequence associated with decreased fetal cerebral vascular impedance.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2015 Peyvandi S, Feldstein VA, Hirose S, Rand L, Brook MM, Moon-Grady AJ
• Outcomes of fetal intervention for primary hydrothorax.
  Journal of pediatric surgery 2014 Derderian SC, Trivedi S, Farrell J, Keller RL, Rand L, Goldstein R, Feldstein VA, Hirose S, MacKenzie TC
• Risk of thyroid cancer based on thyroid ultrasound imaging characteristics: results of a population-based study.
  JAMA internal medicine 2013 Smith-Bindman R, Lebda P, Feldstein VA, Sellami D, Goldstein RB, Brasic N, Jin C, Kornak J
• Tumor metrics and morphology predict poor prognosis in prenatally diagnosed sacrococcygeal teratoma: a 25-year experience at a single institution.
  Journal of pediatric surgery 2013 Shue E, Bolouri M, Jelin EB, Vu L, Bratton B, Cedars E, Yoke L, Byrne F, Hirose S, Feldstein V, Miniati D, Lee H
• Targeted hepatic sonography during clinic visits for detection of fatty liver in overweight children: a pilot study.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2013 Perito ER, Tsai PM, Hawley S, Lustig RH, Feldstein VA
• The diagnosis and management of intradiaphragmatic extralobar pulmonary sequestrations: a report of 4 cases.
  Journal of pediatric surgery 2012 Nijagal A, Jelin E, Feldstein VA, Courtier J, Urisman A, Jones KD, Lee H, Hirose S, MacKenzie TC
• Microcystic congenital pulmonary airway malformation with hydrops fetalis: steroids vs open fetal resection.
  Journal of pediatric surgery 2012 Loh KC, Jelin E, Hirose S, Feldstein V, Goldstein R, Lee H
• Guide wire assisted catheterization and colored dye injection for vascular mapping of monochorionic twin placentas.
  Journal of visualized experiments : JoVE 2011 Jelin EB, Schecter SC, Gonzales KD, Hirose S, Lee H, Machin GA, Rand L, Feldstein VA
• Diastolic Cardiac Pathology and Clinical Twin-Twin Transfusion Syndrome in Monochorionic/Diamniotic Twins.
  American journal of obstetrics and gynecology 2011 Moon-Grady AJ, Rand L, Gallardo S, Gosnell K, Lee H, Feldstein VA
• Ultrasound of the placenta and umbilical cord: a review.
  Ultrasound quarterly 2011 Kellow ZS, Feldstein VA
• Monochorionic twins discordant for congenital heart disease: a referral center's experience and possible pathophysiologic mechanisms.
  Prenatal diagnosis 2011 AlRais F, Feldstein VA, Srivastava D, Gosnell K, Moon-Grady AJ
• Diagnosis and morbidity of placenta accreta.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2011 Esakoff TF, Sparks TN, Kaimal AJ, Kim LH, Feldstein VA, Goldstein RB, Cheng YW, Caughey AB
• Perinatal outcome of conservative management versus fetal intervention for twin reversed arterial perfusion sequence with a small acardiac twin.
  Fetal diagnosis and therapy 2010 Jelin E, Hirose S, Rand L, Curran P, Feldstein V, Guevara-Gallardo S, Jelin A, Gonzales K, Goldstein R, Lee H
• Prenatal steroids for microcystic congenital cystic adenomatoid malformations.
  Journal of pediatric surgery 2010 Curran PF, Jelin EB, Rand L, Hirose S, Feldstein VA, Goldstein RB, Lee H
• The use of ultrasound in fetal surgery.
  Clinics in perinatology 2009 Hopkins LM, Feldstein VA
• Computerized prenatal genetic testing decision-assisting tool: a randomized controlled trial.
  Obstetrics and gynecology 2009 Kuppermann M, Norton ME, Gates E, Gregorich SE, Learman LA, Nakagawa S, Feldstein VA, Lewis J, Washington AE, Nease RF
• Colonic atresia and choledochal cyst: a rare combination.
  Pediatric surgery international 2008 Nijagal A, Ozgediz D, Feldstein VA, Lee H, Harrison MR
• Frequency and histopathologic basis of hepatic surface nodularity in patients with fulminant hepatic failure.
  Radiology 2008 Poff JA, Coakley FV, Qayyum A, Yeh BM, Browne LW, Merriman RB, Ferrell LD, Feldstein VA
• A prospective, randomized, multicenter trial of amnioreduction vs selective fetoscopic laser photocoagulation for the treatment of severe twin-twin transfusion syndrome.
  American journal of obstetrics and gynecology 2007 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, …
• 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.
  American journal of obstetrics and gynecology 2007 Yang SH, Nobuhara KK, Keller RL, Ball RH, Goldstein RB, Feldstein VA, Callen PW, Filly RA, Farmer DL, Harrison MR, Lee H
• Efficacy of radiofrequency ablation for twin-reversed arterial perfusion sequence.
  American journal of obstetrics and gynecology 2007 Lee H, Wagner AJ, Sy E, Ball R, Feldstein VA, Goldstein RB, Farmer DL
• Hook needle-guided excision of recurrent differentiated thyroid cancer in previously operated neck compartments: a safe technique for small, nonpalpable recurrent disease.
  The Journal of clinical endocrinology and metabolism 2006 Triponez F, Poder L, Zarnegar R, Goldstein R, Roayaie K, Feldstein V, Lee J, Kebebew E, Duh QY, Clark OH
• Increased echogenicity as a predictor of poor renal function in children with grade 3 to 4 hydronephrosis.
  The Journal of urology 2006 Chi T, Feldstein VA, Nguyen HT
• Unequal placental sharing and birth weight discordance in monochorionic diamniotic twins.
  American journal of obstetrics and gynecology 2006 Fick AL, Feldstein VA, Norton ME, Wassel Fyr C, Caughey AB, Machin GA
• The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2005 Patel MD, Feldstein VA, Filly RA
• How thick is too thick? When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2004 Smith-Bindman R, Weiss E, Feldstein V
• Spontaneous resolution of prenatal megalourethra.
  Journal of pediatric surgery 2004 Nijagal A, Sydorak RM, Feldstein VA, Hirose S, Albanese CT
• Complications of monochorionic twins.
  Radiologic clinics of North America 2003 Feldstein VA, Filly RA
• Adverse birth outcomes in relation to prenatal sonographic measurements of fetal size.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2003 Smith-Bindman R, Chu PW, Ecker J, Feldstein VA, Filly RA, Bacchetti P
• The lung-to-head ratio and fetoscopic temporary tracheal occlusion: prediction of survival in severe left congenital diaphragmatic hernia.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2003 Keller RL, Glidden DV, Paek BW, Goldstein RB, Feldstein VA, Callen PW, Filly RA, Albanese CT
• Fetoscopic treatment for discordant twins.
  Journal of pediatric surgery 2002 Sydorak RM, Feldstein V, Machin G, Tsao K, Hirose S, Lee H, Farmer DL, Harrison MR, Albanese CT
• Understanding twin-twin transfusion syndrome: role of Doppler ultrasound.
  Ultrasound quarterly 2002 Feldstein VA
• Prenatal resection of a fetal pericardial teratoma.
  Fetal diagnosis and therapy 2002 Sydorak RM, Kelly T, Feldstein VA, Sandberg PL, Silverman NH, Harrison MR, Albanese CT
• Selective reduction of acardiac twin by radiofrequency ablation.
  American journal of obstetrics and gynecology 2002 Tsao K, Feldstein VA, Albanese CT, Sandberg PL, Lee H, Harrison MR, Farmer DL
• Successful fetal intervention for congenital high airway obstruction syndrome.
  Fetal diagnosis and therapy 2002 Paek BW, Callen PW, Kitterman J, Feldstein VA, Farrell J, Harrison MR, Albanese CT
• US evaluation of fetal growth: prediction of neonatal outcomes.
  Radiology 2002 Smith-Bindman R, Chu PW, Ecker JL, Feldstein VA, Filly RA, Bacchetti P
• The genetic sonogram in screening for Down syndrome.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2001 Smith-Bindman R, Feldstein VA, Goldberg JD
• Intraoperative ultrasound and preoperative localization detects all occult insulinomas; discussion 1025-6.
  Archives of surgery (Chicago, Ill. : 1960) 2001 Hiramoto JS, Feldstein VA, LaBerge JM, Norton JA
• Outcome of prenatally diagnosed solid fetal tumors.
  Journal of pediatric surgery 2001 Sbragia L, Paek BW, Feldstein VA, Farrell JA, Harrison MR, Albanese CT, Farmer DL
• Second-trimester ultrasound to detect fetuses with Down syndrome: a meta-analysis.
  JAMA 2001 Smith-Bindman R, Hosmer W, Feldstein VA, Deeks JJ, Goldberg JD
• Measurement of endometrial thickness at US in multicenter drug trials: value of central quality assurance reading.
  Radiology 2000 Bredella MA, Feldstein VA, Filly RA, Goldstein RB, Callen PW, Genant HK
• Doppler sonographic demonstration of arterio-venous anastomosis in monochorionic twin gestation.
  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 2000 Machin GA, Feldstein VA, van Gemert MJ, Keith LG, Hecher K
• Twin-twin transfusion syndrome: the 'Select' procedure.
  Fetal diagnosis and therapy 2000 Feldstein VA, Machin GA, Albanese CT, Sandberg P, Farrell JA, Farmer DL, Harrison MR
• Cord ultrasonic transection procedure for selective termination of a monochorionic twin.
  Fetal diagnosis and therapy 2000 Lopoo JB, Paek BW, Maichin GA, Lipshutz GS, Jennings RW, Farmer DL, Sandberg PL, Feldstein VA, Filly RA, Farrell JA, Harrison MR, Albanese CT
• Sonographic prognostic factors in fetuses with sacrococcygeal teratoma.
  Journal of pediatric surgery 2000 Westerburg B, Feldstein VA, Sandberg PL, Lopoo JB, Harrison MR, Albanese CT
• Imaging evaluation of suspected pulmonary embolism.
  Current problems in diagnostic radiology 1999 Gotway MB, Edinburgh KJ, Feldstein VA, Lehman J, Reddy GP, Webb WR
• Endometriomas: diagnostic performance of US.
  Radiology 1999 Patel MD, Feldstein VA, Chen DC, Lipson SD, Filly RA
• Fetal neurenteric cyst causing hydrops: case report and review of the literature.
  Prenatal diagnosis 1999 Wilkinson CC, Albanese CT, Jennings RW, Feldstein VA, Goldberg JD, Baehner FL, Farrell JA, Peacock WJ, Harrison MR
• Variation in echogenicity of the basal ganglia: anisotropic effect.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1999 Ashraf VS, Feldstein VA, Filly RA
• Endovaginal ultrasound to exclude endometrial cancer and other endometrial abnormalities.
  JAMA 1998 Smith-Bindman R, Kerlikowske K, Feldstein VA, Subak L, Scheidler J, Segal M, Brand R, Grady D
• Fetal liver position and perinatal outcome for congenital diaphragmatic hernia.
  Prenatal diagnosis 1998 Albanese CT, Lopoo J, Goldstein RB, Filly RA, Feldstein VA, Calen PW, Jennings RW, Farrell JA, Harrison MR
• Ultrasound surveillance of tips--why bother?
  Hepatology (Baltimore, Md.) 1998 LaBerge J, Feldstein VA
• Cystic teratomas of the ovary: diagnostic value of sonography.
  AJR. American journal of roentgenology 1998 Patel MD, Feldstein VA, Lipson SD, Chen DC, Filly RA
• Prospective analysis of lung-to-head ratio predicts survival for patients with prenatally diagnosed congenital diaphragmatic hernia.
  Journal of pediatric surgery 1997 Lipshutz GS, Albanese CT, Feldstein VA, Jennings RW, Housley HT, Beech R, Farrell JA, Harrison MR
• Elevated maternal serum alpha-fetoprotein associated with an asymptomatic tubal pregnancy at 20 weeks' gestation.
  Obstetrics and gynecology 1997 Grullon KE, Feldstein VA, Lim KH
• Sonographic detection of bilateral fetal chest masses: report of three cases.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1997 Maas KL, Feldstein VA, Goldstein RB, Filly RA
• Hemobilia: sonographic appearances in the gallbladder and biliary tree with emphasis on intracholecystic blood.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1997 Laing FC, Frates MC, Feldstein VA, Goldstein RB, Mondro S
• Evaluation of a sonographic PACS in clinical practice: analysis of technical and analytical time savings.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1996 Patel MD, Callen PW, Mar JB, Filly RA, Goldstein RB, Feldstein VA
• Transjugular intrahepatic portosystemic shunts: accuracy of Doppler US in determination of patency and detection of stenoses.
  Radiology 1996 Feldstein VA, Patel MD, LaBerge JM
• Doppler ultrasonography of transjugular intrahepatic portosystemic shunts.
  The Western journal of medicine 1996 Feldstein VA, Patel MD
• Persistent intrahepatic right umbilical vein: a prenatal sonographic series without significant anomalies.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1996 Kirsch CF, Feldstein VA, Goldstein RB, Filly RA
• Microabscesses of the liver and spleen in AIDS: detection with 5-MHz sonography.
  Radiology 1995 Murray JG, Patel MD, Lee S, Sandhu JS, Feldstein VA
• Conservative management options for cervical pregnancy; case reports and literature review.
  International journal of fertility and menopausal studies 1995 Creinin MD, Feldstein VA
• Transjugular intrahepatic portosystemic shunts for refractory ascites: assessment of clinical and hormonal response and renal function.
  Hepatology (Baltimore, Md.) 1995 Somberg KA, Lake JR, Tomlanovich SJ, LaBerge JM, Feldstein V, Bass NM
• The empty amnion: a sign of early pregnancy failure.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1995 McKenna KM, Feldstein VA, Goldstein RB, Filly RA
• Sonography of ovarian masses: poor sensitivity of resistive index for identifying malignant lesions.
  AJR. American journal of roentgenology 1994 Levine D, Feldstein VA, Babcook CJ, Filly RA
• Hepatic vein flow reversal at duplex sonography: a sign of transjugular intrahepatic portosystemic shunt dysfunction.
  AJR. American journal of roentgenology 1994 Feldstein VA, LaBerge JM
• Posttraumatic "high-flow" priapism evaluation with color flow Doppler sonography.
  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1993 Feldstein VA