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Aparna Balachandran, M.D.

Present Title & Affiliation

Primary Appointment

Associate Professor, Department of Diagnostic Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX

Dual/Joint/Adjunct Appointment

Adjunct Assistant Professor, Diagnostic and Interventional Imaging, The University of Texas Medical School at Houston, Houston, TX

Office Address

The University of Texas MD Anderson Cancer Center
1515 Holcombe Boulevard
Unit Number: 1473
Houston, TX 77030-4009
Fax: 713-745-1302

Education & Training

Degree-Granting Education

1996 Eastern Virginia Medical School, Norfolk, VA, MD, Medicine

Postgraduate Training

2003-2004 Clinical Fellowship, Body Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, Ronelle DuBrow, M.D.
7/1997-6/2002 Clinical Residency, Brigham and Women's Hospital, Boston, MA, Dr. Faye Laing
6/1996-6/1997 Clinical Internship, The University of Texas Medical School at Houston, Houston, TX, Dr. Victor Lavis

Board Certifications

2002 American Board of Radiology

Honors and Awards

2011 Certificate of Merit, Education Exhibit - Imaging of the Gallbladder Wall: A Pattern Recognition Approach on CT and MRI with Pathologic Correlation, Radiological Society of North America
2010 Certificate of Merit, Radiological Society of North America
2007 Certificate of Merit, American Roentgen Ray Society
1990 Honors in Biology, Vidya Mandir High School
1990 Indian Central (Federal) Government Scholarship, India Federal Government
1990 Valedictorian, Vidya Mandir High School

Selected Publications

Peer-Reviewed Original Research Articles

1. Viswanathan C, Kirschner K, Truong M, Balachandran A, Devine C, Bhosale P. Multimodality imaging of vulvar cancer: staging, therapeutic response, and complications. AJR Am J Roentgenol 200(6):1387-400, 6/2013. PMID: 23701080.
2. Ganeshan DM, Paulson E, Tamm EP, Taggart MW, Balachandran A, Bhosale P. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging. e-Pub 6/2013. PMID: 23775388.
3. Bhosale P, Fleming J, Balachandran A, Charnsangavej C, Tamm EP. Complications of Whipple surgery: imaging analysis. Abdom Imaging 38(2):273-84, 4/2013. e-Pub 5/2012. PMID: 22623029.
4. Ganeshan DM, Salem U, Viswanathan C, Balachandran A, Garg N, Silverman P, Bhosale P. Complications of oncologic therapy in the abdomen and pelvis: a review. Abdom Imaging 38(1):1-21, 2/2013. e-Pub 5/2012. PMID: 22644726.
5. Bhosale P, Balachandran A, Wang H, Wei W, Hwang RF, Fleming JB, Varadhachary G, Charnsangavej C, Tamm E. CT imaging features of acinar cell carcinoma and its hepatic metastases. Abdom Imaging. e-Pub 12/2012. PMID: 23232580.
6. Katz MH, Fleming JB, Bhosale P, Varadhachary G, Lee JE, Wolff R, Wang H, Abbruzzese J, Pisters PW, Vauthey JN, Charnsangavej C, Tamm E, Crane CH, Balachandran A. Response of borderline resectable pancreatic cancer to neoadjuvant therapy is not reflected by radiographic indicators. Cancer 118(23):5749-56, 12/2012. e-Pub 5/2012. PMID: 22605518.
7. Balachandran A, Tamm EP, Bhosale PR, Katz MH, Fleming JB, Yao JC, Charnsangavej C. Venous tumor thrombus in non-functional pancreatic neuroendocrine tumors. AJR Am J Roentgenol 199(3):602-608, 9/2012. PMID: 22915400.
8. Tzeng CW, Fleming JB, Lee JE, Xiao L, Pisters PW, Vauthey JN, Abdalla EK, Wolff RA, Varadhachary GR, Fogelman DR, Crane CH, Balachandran A, Katz MH. Defined Clinical Classifications Are Associated with Outcome of Patients with Anatomically Resectable Pancreatic Adenocarcinoma Treated with Neoadjuvant Therapy. Ann Surg Oncol 19(6):2045-53, 6/2012. e-Pub 1/2012. PMID: 22258816.
9. Tamm EP, Balachandran A, Bhosale PR, Katz MH, Fleming JB, Lee JH, Varadhachary GR. Imaging of pancreatic adenocarcinoma: update on staging/resectability. Radiol Clin North Am 50(3):407-28, 5/2012. e-Pub 4/2012. PMID: 22560689.
10. Katz MH, Wang H, Balachandran A, Bhosale P, Crane CH, Wang X, Pisters PW, Lee JE, Vauthey JN, Abdalla EK, Wolff R, Abbruzzese J, Varadhachary G, Chopin-Laly X, Charnsangavej C, Fleming JB. Effect of Neoadjuvant Chemo radiation and Surgical Technique on Recurrence of Localized Pancreatic Cancer. J Gastrointest Surg 16(1):68-79, 1/2012. e-Pub 11/2011. PMID: 22065318.
11. Zhao Q, Rashid A, Gong Y, Katz MH, Lee JE, Wolf R, Balachandran A, Varadhachary GR, Pisters PW, Wang H, Gomez HF, Abbruzzese JL, Fleming JB, Wang H. Pathologic complete response to neoadjuvant therapy in patients with pancreatic ductal adenocarcinoma is associated with a better prognosis. Ann Diagn Pathol 16(1):29-37, 1/2012. e-Pub 11/2011. PMID: 22050964.
12. Viswanathan C, Bhosale P, Moorthy Ganeshan D, Truong MT, Silverman P, Balachandran A. Imaging of complications of oncological therapy in the gastrointestinal system. Cancer Imaging 12(1):163-172, 2012. e-Pub 5/2012. PMID: 22571819.
13. Sagebiel TL, Faria SC, Balachandran A, Sacks JM, You YN, Bhosale PR. Pelvic reconstruction with omental and VRAM flaps: anatomy, surgical technique, normal postoperative findings, and complications. Radiographics 31(7):2005-19, Nov-Dec, 11/2011. PMID: 22084184.
14. Vikram R, Balachandran A . Imaging in staging and management of pancreatic ductal adenocarcinoma. Indian J Surg Oncol 2(2):78-87, 6/2011. e-Pub 12/2010. PMCID: PMC3244195.
15. Tan CH, Tamm EP, Marcal LP, Balachandran A, Charnsangavej C, Vikram R, Bhosale P. Imaging features of hematogenous metastases to the pancreas: pictorial essay. Cancer Imaging 11:9-15, 2011. e-Pub 3/2011. PMID: 21367687.
16. Bhosale P, Peungjesada S, Devine C, Balachandran A, Iyer R. Role of magnetic resonance imaging as an adjunct to clinical staging in cervical carcinoma. J Comput Assist Tomogr 34(6):855-64, Nov-Dec, 11/2010. PMID: 21084900.
17. Bhosale P, Balachandran A, Tamm E. Imaging of benign and malignant cystic pancreatic lesions and a strategy for follow up. World J Radiol 2(9):345-53, Sep 28, 9/2010. PMCID: PMC2999337.
18. Bose D, Tamm E, Liu J, Marcal LP, Balachandran A, Bhosale P, Fleming JB, Lee JE, Evans DB, Hwang RF. Multidisciplinary Management Strategy for Incidental Cystic Lesions of the Pancreas. J Am Coll Surg 211(2):205-15, 8/2010. e-Pub 6/2010. PMID: 20670858.
19. Ozkan E, Balachandran A, Bhosale PR, Tamm EP, Marcal LP, Szklaruk J. Pictorial Essay: Multimodality imaging of metastases from pancreatic ductal adenocarcinoma. Clin Imaging 34(4):277-87, Jul-Aug, 7/2010. PMID: 20630340.
20. Peungjesada S, Bhosale PR, Balachandran A, Iyer RB. Magnetic resonance imaging of endometrial carcinoma. J Comput Assist Tomogr 33(4):601-608, Jul-Aug, 7/2009. PMID: 19638859.
21. Vikram R, Balachandran A, Bhosale PR, Tamm EP, Marcal LP, Charnsangavej C. Pancreas: peritoneal reflections, ligamentous connections and pathways of disease spread. Radiographics 29(2):e34, Mar-Apr, 3/2009. e-Pub 1/2009. PMID: 19168761.
22. Tamm EP, Balachandran A, Bhosale P, Szklaruk J. Update on 3D and multiplanar MDCT in the assessment of biliary and pancreatic pathology. Abdom Imaging 34(1):64-74, Jan-Feb, 1/2009. PMID: 18483805.
23. Tamm EP, Balachandran A, Bhosale P, Marcal LP. Primary pancreatic adenocarcinoma. Appl Radiol 37(6):26-34, http://www.appliedradiology.com/Article.aspx?id=11434&terms=Primary+pancreatic+adenocarcinoma, 6/2008.
24. Balachandran A, Darden DL, Tamm EP, Faria SC, Evans DB, Charnsanagavej C.. Arterial variants in pancreatic adenocarcinoma. Abdom Imaging 33(2):214-221, Mar-Apr, 3/2008. PMID: 17435979.
25. Tamm EP, Balachandran A, Bhosale P, Szklaruk J. Three-D techniques showcase the pancreas and biliary tree. Diagnostic Imaging 30(2):S6-S9, 2/2008.
26. Iyer RB, Balachandran A, Bruzzi J, Johnson V, Macapinlac HA, Munden R. PET/CT and hepatic radiation injury in esophageal cancer patients. Cancer Imaging 7:189-194, 11/2007. PMCID: PMC2151325.
27. Iyer R, Balachandran A, Devine CE. PET/CT and cross sectional imaging of gynecologic malignancy. Cancer Imaging 7 Spec. No. A:S 130-138, 10/2007. PMID: 17921092.
28. MacEneaney P, Visweswaran A, Fennessy J, Masterson J. Supernumerary intrathoracic ribs: imaging features of two cases. J Thorac Imaging 16:123-126, 4/2001. PMID: 11292204.
29. Dachman AH, Visweswaran A, Battula R, Jameel S, Waggoner SE. Role of chest CT in the follow-up of ovarian adenocarcinoma. AJR Am J Roentgenol 176(3):701-705, 3/2001. PMID: 11222208.
30. Frates MC, Visweswaran A, Laing FC. Comparison of tubal ring and corpus luteum echogenicities: a useful differentiating characteristic. J Ultrasound Med 20(1):27-31; quiz 33, 1/2001. PMID: 11149525.
31. Fielding JR, Visweswaran A, Silverman SG, Granter SR, Renshaw AA. CT and ultrasound features of metanephric adenoma in adults with pathologic correlation. J Comput Assist Tomogr 23(3):441-444, 5/1999. PMID: 10348452.
32. Visweswaran A, Liu H, Fajardo LL, De Angelis GA. Comparison of the contrast detail curves of full field digital with screen mammography of breast phantom images. Front Biosci 1b:5-7, 8/1996.
33. Visweswaran A, Harris JH. Identification of tension hemopneumothorax on supine chest radiograph: visceral pleural line sign. Emerg Radiol 3(4):158-165, 7/1996.
34. Ganeshan D, Paulson E, Tamm EP, Taggart, Balachandran A, Bhosale P. Solid papillary tumor - a current update. Am J Roentgenol. Submitted.
35. Petzel MQB, Sarkar S, Xiao L, Balachandran A, Tamm EP, Bhosale P, Lee JE, Katz MHG, Fleming JB. The amount and distribution of abdominal fat is associated with cancer-related outcome after surgery for pancreatic cancer. Obesity. Submitted.

Invited Articles

1. Bhosale PR, Menias CO, Balachandran A, Tamm EP, Charnsangavej C, Francis IR, Elsayes KM. Vascular pancreatic lesions: spectrum of imaging findings of malignant masses and mimics with pathologic correlation. Abdom Imaging 38(4):802-17, 8/2013. e-Pub 9/2012. PMID: 22968429.
2. Balachandran A, Tamm EP, Bhosale PR, Patnana M, Vikram R, Fleming JB, Katz MH, Charnsangavej C. Pancreatic neuroendocrine neoplasms: diagnosis and management. Abdom Imaging 38(2):342-57, 4/2013. e-Pub 6/2012. PMID: 22707246.
3. Tamm EP, Bhosale PR, Vikram R, Marcal LP, Balachandran A. Imaging of pancreatic ductal adenocarcinoma: state of the art. World J Radiol 5(3):98-105, 3/2013. PMCID: PMC3650210.
4. Bhosale PR, Menias CO, Balachandran A , Tamm EP, Charnsangavej C, Francis IR, Elsayes KM. Vascular pancreatic lesions: spectrum of imaging findings of malignant masses and mimics with pathologic correlation. Abdom Imaging. e-Pub 9/2012. PMID: 22968429.
5. Balachandran A , Tamm EP, Bhosale PR, Patnana M, Vikram R, Fleming JB, Katz MH, Charnsangavej C. Pancreatic neuroendocrine neoplasms: diagnosis and management. Abdom Imaging. e-Pub 6/2012. PMID: 22707246.
6. Tamm EP, Balachandran A , Bhosale PR, Katz MH, Fleming JB, Lee JH, Varadhachary GR. Imaging of pancreatic adenocarcinoma: update on staging/resectability. Radiol Clin North Am 50(3):407-428, 5/2012. e-Pub 4/2012. PMID: 22560689.
7. Bhosale P, Ma J, Balachandran A, Szklaruk J, Choi H. Utility of the FIESTA Pulse Sequence in Body Oncologic Imaging: Self-Assessment Module. Am J Roentegnol 192:S94-S97, 6/2009.
8. Tamm EP, Balachandran A, Bhosale P, Szklaruk J. Update on 3D and multiplanar MDCT in the assessment of biliary and pancreatic pathology. Abdom Imaging 34(1):64-74, Jan-Feb, 1/2009. PMID: 18483805.
9. Tamm EP, Balachandran A, Bhosale P, Marcal LP. Primary pancreatic adenocarcinoma. Appl Radiol 37(6):26-34, 6/2008.
10. Tamm EP, Balachandran A, Bhosale P, Szklaruk J. Three-D techniques showcase the pancreas and biliary tree: advanced post processing aids diagnosis and surgical planning and helps radiologists problem solve and communicate with referrers. Diagnostic Imaging 30(2):S6-S9, 2/2008.
11. Balachandran A, Iyer RB. Imaging of ovarian cancer. Appl Radiol 34(9):19-29, 9/2005.

Abstracts

1. Viswanathan C, Truong M, Balachandran A, Bhosale P. Multimodality imaging of vulvar cancer: staging, therapeutic response, and complications. AJR Am J Roentgenol 198(5 Suppl), 5/2012.

Book Chapters

1. Balachandran A, Fleming J, Callender GG, Krishnan S, Yao JC. Pancreatic Neuroendocrine Tumors. In: Oncologic Imaging: A Multidisciplinary Approach. Ed(s) Paul M. Silverman, M.D. Elsevier: Philadelphia, PA, 193-209, 2012. ISBN: 978-1-4377-2232-1.
2. Balachandran A, Bhosale P, Charnsangavej C. CT and fusion PET-CT, diagnosis, staging, and follow-up. In: Pancreatic Cancer, 1st Edition. Ed(s) JP Neoptolemos, R Urrutia, JL Abbruzzese, MW Buckler. Springer Science and Business Media: New York City, 703-729, 2010.
3. Tamm E, Balachandran A, Bhosale P, Marcal LP. MRI and MRCP of pancreatic cancer. In: Pancreatic Cancer, 1st Edition. Ed(s) JP Neoptolemos, R Urrutia, JL Abbruzzese, MW Buckler. Springer Science and Business Media: New York City, 731-761, 2010.
4. Balachandran A, Silverman PM. Mesenteric and omental lesions. In: Textbook of Gastrointestinal Radiology, 3rd. Ed(s) RM Gore, MS Levine, I Laufer. WB Saunders: Philadelphia, 2367-2381, 2007.
5. Parulekar SG, Balachandran A. Liver measurements. In: Atlas of Ultrasound Measurements, 2nd. Ed(s) B Goldberg, JP McGahan. Mosby: Philadelphia, 414-418, 2006.
6. Parulekar SG, Balachandran A. Spleen measurements. In: Atlas of Ultrasound Measurements, 2nd. Ed(s) B Goldberg, JP McGahan. Mosby: Philadelphia, 439-443, 2006.

Grant & Contract Support

Title: 3T perfluorocarbon-filled endorectal magnetic resonance spectroscopic imaging of prostate carcinoma
Funding Source: US Army (DOD)
Role: Collaborator
Principal Investigator: Haesun Choi, M.D.
Duration: 2006 - present

Last updated: 8/30/2013