Radiology

Radiology Department

Our hospital is a nationally renowned Grade A tertiary specialized hospital integrating medical care, teaching, and research. As the hospital has developed, the Department of Radiology has continued to grow. Through inheritance and innovation, it has made substantial progress in its talent pipeline, discipline development, and academic standards. Taking the characteristics of the specialty into account, it has summarized and accumulated a comprehensive set of standards for imaging diagnosis and interventional treatment in obstetrics and gynecology, and has developed a strong disciplinary structure for imaging diagnosis and treatment and a research team. It currently has 39 medical, nursing, and technical staff members, including 1 chief physician and 6 associate chief physicians; 2 master's supervisors, 3 doctoral degree holders, and more than 20 master's degree holders. On two occasions, department personnel received funding from the China Scholarship Council and the hospital's Wang Shuzhen Fund to travel to the United States as visiting scholars.

Department management team: Zhang Guofu serves as director of the department and secretary of the Radiology Party Branch; Tian Xiaomei serves as deputy director in charge of clinical affairs; Zhang He serves as deputy director in charge of research/teaching; and Qian Huijun serves as deputy secretary of the Radiology Party Branch.

Director Zhang Guofu served as Deputy Leader of the Women and Children's Interventional Group of the Interventional Professional Committee of the Chinese Society of Radiology (2016), and Deputy Chair of the Interventional Professional Committee for Reproductive and Urinary System Diseases of the Interventional Group of the Chinese Society of Radiology (2019); Deputy Chair of the Obstetrics and Gynecology Interventional Professional Committee of the Interventional Physicians Branch of the Chinese Medical Doctor Association (2019); Director Zhang Guofu was elected Honorary Chair of the Radiology and Interventional Professional Committee of the China Maternal and Child Health Association (2018) and Deputy Chair of its Radiological Medicine Professional Committee (2019); Dr. Zhang He was elected Deputy Chair of the Radiology and Interventional Professional Committee of the China Maternal and Child Health Association (2018).

The Department of Radiology has advanced large-scale digital imaging equipment, including 1.5T MRI, 64-slice CT, flat-panel DSA, 4 small C-arm units, 2 three-dimensional digital mammography units, 4 DR/mobile DR units, 2 bone densitometers (DXA), a PACS system networked between the two campuses, and a video image-reading system, among other equipment. Equipment to be purchased soon includes 3T MRI and magnetic resonance-guided high-intensity focused ultrasound (MRgFUS), among other equipment.

In the early 1990s, the Department of Radiology took the lead in using the hospital's self-developed coaxial fallopian tube catheter system to perform selective salpingography followed by recanalization (SSG + FTR) under fluoroscopic guidance, significantly increasing the pregnancy rate among patients with tubal factor infertility. Selective arterial catheterization and interventional chemotherapy achieved good clinical results in the treatment of advanced cervical cancer and ovarian cancer. Superselective arterial embolization for uterine fibroids, adenomyosis, cesarean-scar pregnancy, placenta accreta, postpartum hemorrhage, arteriovenous malformations, and other conditions demonstrates minimally invasive and individualized treatment while helping preserve the uterus and fertility. The department also pioneered intra-arterial balloon catheter preplacement among obstetrics and gynecology specialty hospitals in Shanghai, safeguarding pregnant women with pernicious placenta previa or placenta accreta. An upgraded fallopian tube embolization technique effectively increases the clinical pregnancy rate of in vitro fertilization and embryo transfer (IVF-ET).

The department took the lead in compiling the Shanghai quality-control standards for hysterosalpingography (HSG). As a principal expert, Director Zhang Guofu participated in developing a number of national expert consensuses and guidelines, such as the “Chinese Expert Consensus on Hysterosalpingography” (2018) and the “Chinese Expert Consensus on Interventional Treatment of the Fallopian Tubes” (2019).

The Department of Radiology provides patients with high-quality online and offline diagnostic and treatment services in imaging diagnosis and interventional treatment. Each year, it performs nearly 15,000 painless hysterosalpingography (HSG), selective salpingography (SSG), and fallopian tube recanalization (FTR) procedures, as well as more than 5,000 hydrosalpinx embolization procedures, consistently ranking first nationwide; it also handles approximately 3,000–5,000 consultation cases from across the country. It offers a premium radiology consultation service, a clinic for difficult interventional cases, a premium interventional outpatient clinic, and an interventional specialty outpatient clinic, among others. It also promotes and disseminates new technologies in obstetric and gynecologic imaging diagnosis and intervention through various formats, including training courses and accepting physicians for further training.

With the rapid development of imaging equipment, the continuous improvement of the discipline's capabilities, and the introduction of new equipment and technologies, the Department of Radiology will further improve its overall level of imaging diagnosis and interventional treatment. Through platforms such as professional societies, it will gradually develop standards or expert consensuses for obstetric and gynecologic imaging diagnosis and treatment, continually broaden the scope of imaging examinations, diagnosis, and interventional treatment, strengthen its research capabilities, and build the Department of Radiology into a first-class discipline for obstetric and gynecologic imaging diagnosis and interventional treatment. Let advanced obstetric and gynecologic imaging diagnosis and treatment technologies contribute to the health of women and children!

Department features

1. X-ray, CT, and MRI diagnosis of obstetric and gynecologic diseases, with in-depth research particularly into the early diagnosis, preoperative assessment, postoperative evaluation, and AI applications related to gynecologic tumors;

2. Prenatal diagnosis (fetal MRI): The department has accumulated extensive experience in MR diagnosis and differential diagnosis of diseases affecting all fetal systems. It forms an effective complement to prenatal ultrasound examinations, helping reduce birth defects and improve population quality;

3. Painless, noninvasive hysterosalpingography (HSG), bringing good news to women with infertility;

4. Selective salpingography (SSG) and interventional fallopian tube recanalization (FTR) for noninvasive treatment of tubal factor infertility;

5. Interventional fallopian tube embolization (FTE), which effectively increases the clinical pregnancy rate of in vitro fertilization and embryo transfer (IVF-ET) in women with hydrosalpinx and reduces the risk of ectopic pregnancy;

6. Interventional treatment of uterine fibroids/adenomyosis, postpartum hemorrhage, cesarean-scar/cervical pregnancy, and pelvic congestion syndrome;

7. Preoperative and postoperative interventional treatment of gynecologic tumors;

8. Pernicious placenta previa/placenta accreta—arterial balloon catheter preplacement;

9. Interventional treatment of pelvic vessels and uterine arteriovenous malformations/fistulas;

Teaching

Since 2012, the department has hosted and continues to host the national continuing education program, the “Seminar on New Advances in Obstetric and Gynecologic Imaging,” to disseminate new technologies and advances in obstetric and gynecologic imaging diagnosis so that more patients can benefit. It has trained multiple graduate students and provided instruction to numerous physicians in standardized residency training and specialist training in obstetrics and gynecology, as well as to physicians receiving further training. It has participated in compiling training materials and a question bank for the Imaging and Nuclear Medicine Specialty Branch of the Shanghai Medical Doctor Association, as well as in delivering lectures and other activities.

Research

The department undertakes multiple provincial- and ministerial-level projects, including the Natural Science Foundation of the Shanghai Municipal Science and Technology Commission, key scientific research projects of the Shanghai Municipal Health Commission, and emerging frontier technology projects of the Shanghai Shenkang Hospital Development Center. Among them, “Innovation of Key Magnetic Resonance Imaging Diagnostic Technologies for Borderline Ovarian Tumors and Their Application in Gynecology,” conducted in cooperation with Fudan University Affiliated Jinshan Hospital, received the Second Prize of the Shanghai Medical Science and Technology Award. The department received one national utility model patent, “New Noninvasive Hysterosalpingography (Fluid Infusion) Device,” thereby enabling noninvasive, painless hysterosalpingography.

Several department experts participate in professional societies at various levels. Among them, Director Zhang Guofu was successively elected Deputy Leader of the Women and Children's Interventional Group of the Interventional Professional Committee of the Chinese Society of Radiology (2016), and Deputy Chair of the Interventional Professional Committee for Reproductive and Urinary System Diseases of the Interventional Group of the Chinese Society of Radiology (2019); Deputy Chair of the Obstetrics and Gynecology Interventional Professional Committee of the Interventional Physicians Branch of the Chinese Medical Doctor Association (2019); Director Zhang Guofu was elected Honorary Chair of the Radiology and Interventional Professional Committee and Deputy Chair of the Radiological Medicine Professional Committee of the China Maternal and Child Health Association; Editorial Board Member of the Journal of Interventional Radiology; member of the Radiological Society of North America (RSNA); member of the European Society of Radiology (ESR); and Dr. Zhang He was elected Deputy Chair of the Radiology and Interventional Professional Committee of the China Maternal and Child Health Association.

Department experts have served as chief translator, chief editor, or deputy chief editor for 6 monographs; they have contributed to nearly 20 medical monographs. In recent years, the department has published more than 100 papers, including more than 20 SCI papers. Department experts also serve as peer reviewers for a number of foreign-language journals, including (1) European Radiology; (2) Archives of Gynecology and Obstetrics; (3) Academic Radiology; and (4) Cardiovascular and Interventional Radiology.

Department experts