Hilda Tso, D.O.
Department of Breast Imaging, Division of Diagnostic Imaging
Present Title & Affiliation
Primary Appointment
Associate Professor, Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX
Research Interests
- Screening and breast cancer diagnosis
- Multimodality approach to breast imaging and breast intervention
Education & Training
Degree-Granting Education
| 2002 | University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, Texas, US, Osteopathic Medicine, DO |
| 1998 | Trinity University, San Antonio, Texas, US, Chemistry and Sociology, BA |
Postgraduate Training
| 2007-2008 | Clinical Fellowship, Women’s Imaging/Ultrasound, University of California, San Francisco, California |
| 2003-2007 | Clinical Residency, Diagnostic Radiology, Grandview Medical Center Kettering Health Network, Dayton, Ohio |
| 2002-2003 | Clinical Internship, Transitional Year, Grandview Medical Center, Dayton, Ohio |
Licenses & Certifications
| 2009 | Texas Medical Board |
| 2008 | American Osteopathic Board of Radiology |
| 2007 | California Medical License |
| 2007 | Ohio Medical License |
Experience & Service
Faculty Academic Appointments
Associate Professor, Breast Imaging, The University of Texas McGovern Medical School - Diagnostic and Interventional Imaging, Houston, TX, 2022 - 2026
Assistant Professor, Breast Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, 2019 - 2021
Assistant Professor, Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2015 - 2019
Adjunct Clinical Assistant Professor, Department of Medical Education, University of North Texas Health Science Center, Fort Worth, TX, 2010 - 2013
Assistant Professor, Department of Radiology and Biomedical Imaging, Women’s Imaging Section, University of California, San Francisco, CA, 2008 - 2009
Administrative Appointments/Responsibilities
Director of the Department of Breast Imaging, John Peter Smith Hospital, Fort Worth, TX, 2009 - 2013
Director of Trainee Education for the Women’s Imaging Section, University of California, San Francisco, CA, 2008 - 2009
Extramural Institutional Committee Activities
Member, Diagnostic Imaging Faculty Functional Committee, The University of Texas MD Anderson Cancer Center, 2026 - Present
Member, Breast Imaging Clinical Educator, The University of Texas MD Anderson Cancer Center, 2025 - Present
Member, Breast Imaging BeWell Taskforce, The University of Texas MD Anderson Cancer Center, 2025 - Present
Member, Breast Imaging Department Faculty Senate, The University of Texas MD Anderson Cancer Center, 2022 - 2025
Member, Breast Imaging Department Protocol Committee, The University of Texas MD Anderson Cancer Center, 2022 - 2023
Member, Breast Imaging Department Marketing Committee, The University of Texas MD Anderson Cancer Center, 2021 - 2023
Member, Breast Imaging Department Community Expansion Operations/ Logistics Workgroup, The University of Texas MD Anderson Cancer Center, 2019 - 2020
Member, Diagnostic Radiology Junior Faculty Workgroup, The University of Texas MD Anderson Cancer Center, 2019 - 2019
Member, Utilization Management Committee, Memorial Hermann Memorial City, The University of Texas MD Anderson Cancer Center, 2016 - 2016
Member, Credentialing Committee, John Peter Smith Hospital, 2011 - 2013
Co-Chair, Reading Room Renovation, University of California, 2008 - 2009
Honors & Awards
| 2024 | MD Anderson’s Celebration of Faculty Excellence Award, Diagnostic Imaging, The University of Texas MD Anderson Cancer Center |
| 2022 | FY22 Breast Imaging Department Award Winner Team Player Award, The University of Texas MD Anderson Cancer Center |
Selected Publications
Peer-Reviewed Articles
- Cohen EO, Tso HH, Shin K, Martaindale SR, Bragg AC, Phalak KA, Perry RE, Sun J, Leung JW. Lymphadenopathy on Extent-of-Disease Breast MRI: Proposed Audit Metrics. AJR Am J Roentgenol 226(5), 2026. e-Pub 2026. PMID: 41439775.
- Cohen EO, Tso HH, Shin K, Martaindale SR, Bragg AC, Phalak KA, Perry RE, Sun J, Leung JWT. Feasibility of Auditing Preoperative Breast MRI for Extent-of-Disease Evaluation Using the BI-RADS v2025 Manual. Radiology 317(1), 2025. e-Pub 2025. PMID: 41085394.
- Cohen EO, Perry RE, Legha RS, Tso HH, Shin K, Speer ME, Phalak KA, Sun J, Leung JWT. Suspicious Ultrasound-Occult Non-Calcified Mammographic Masses, Asymmetries, and Architectural Distortions Are Moderate Probability for Malignancy. Cancers 16(3):655, 2024. e-Pub 2024. PMID: 38339406.
- Tso HH, White CY, Parikh JR. How breast radiologists can deal with the disruptive technologist. Clinical Imaging 104, 2023. e-Pub 2023. PMID: 37883829.
- Chung HL, Bevers TB, Legha RS, Speer ME, Tso HH, Sun J, Leung JWT. Nipple discharge imaging evaluation with mammography, ultrasound, galactography, and mri. Acad Radiol, 2023. e-Pub 2023. PMID: 35760711.
- Chung HL, Tso HH, Middleton LP, Sun J, Leung JWT. Axillary nodal metastases in invasive lobular carcinoma versus invasive ductal carcinoma: Comparison of node detection and morphology by ultrasound. AJR Am J Roentgenol 218(1):33-41, 2022. e-Pub 2022. PMID: 34319162.
- Cohen EO, Perry RE, Tso HH, Phalak KA, Lesslie MD, Gerlach KE, Sun J, Srinivasan A, Leung JWT. Breast cancer screening in women with and without implants: Retrospective study comparing digital mammography to digital mammography combined with digital breast tomosynthesis. Eur Radiol 31(12):9499-9510, 2021. e-Pub 2021. PMID: 34014380.
- Weaver O, Cohen EO, Perry RE, Tso HH, Phalak K, Srinivasan A, Bassett R, Leung JWT. Does lateral arm technique decrease the rate of clip migration in stereotactic and tomosynthesis-guided biopsies?. Insights Imaging 12(1):193, 2021. e-Pub 2021. PMID: 34931266.
- Tso HH, Parikh JR. Mitigating delayed academic promotion of female radiologists due to the COVID pandemic. Clin Imaging 76:195-198, 2021. e-Pub 2021. PMID: 33962137.
- Cohen EO, Lesslie M, Weaver O, Phalak K, Tso HH, Perry R, Leung JWT. Batch reading and interrupted interpretation of digital screening mammograms without and with tomosynthesis. J Am Coll Radiol S1546-1440(20):30837-1, 2021. e-Pub 2021. PMID: 32861601.
- Tso HH, Parikh JR. Using Facebook live to advocate breast cancer screening. J Digit Imaging 33(4):1047-1052, 2020. e-Pub 2020. PMID: 32318896.
- Cohen EO, Weaver OO, Tso HH, Gerlach KE, Leung JWT. Breast cancer screening via digital mammography, synthetic mammography, and tomosynthesis. Am J Prev Med 58(3):470-472, 2020. e-Pub 2020. PMID: 31732323.
- Cohen EO, Tso HH, Leung JWT. Multiple bilateral circumscribed breast masses detected at imaging: Review of evidence for management recommendations. AJR Am J Roentgenol 214(2):276-281, 2020. e-Pub 2020. PMID: 31825259.
- Tso HH, Parikh JR. Embracing social media in the era of work-life integration. Clin Imag 58:191-193, 2019. e-Pub 2019. PMID: 31479851.
- Cohen EO, Tso HH, Phalak KA, Mayo RC, Leung JWT. Screening mammography findings from one standard projection only in the era of full-field digital mammography and digital breast tomosynthesis. AJR Am J Roentgenol 211(2):445-451, 2018. e-Pub 2018. PMID: 29792742.
- Tso HH, Parikh JR. Leveraging Facebook to brand radiology. J Am Coll Radiol 15(7):1027-1032, 2018. e-Pub 2018. PMID: 29606634.
- Wisner DJ, Hwang ES, Chang CB, Tso HH, Joe BN, Lessing JN, Lu Y, Hylton NM. Features of occult invasion in biopsy-proven DCIS at breast MRI. Breast J 19(6):650-8, 2013. e-Pub 2013. PMID: 24165314.
- Arasu VA, Chen RC, Newitt DN, Chang CB, Tso HH, Hylton NM, Joe BN. Can signal enhancement ratio (SER) reduce the number of recommended biopsies without affecting cancer yield in occult MRI-detected lesions?. Acad Radiol 18(6):716-21, 2011. e-Pub 2011. PMID: 21420333.
- Peng C, Chang CB, Tso HH, Flowers CI, Hylton NM, Joe BN. MRI appearance of tumor recurrence in myocutaneous flap reconstruction after mastectomy. AJR Am J Roentgenol 196(4):W471-5, 2011. e-Pub 2011. PMID: 21427313.
- Chang CB, Lvoff NM, Leung JW, Brenner RJ, Joe BN, Tso HH, Sickles EA. Solitary dilated duct identified at mammography: Outcomes analysis. AJR Am J Roentgenol 194(2):378-82, 2010. e-Pub 2010. PMID: 20093599.
Professional Educational Materials
- Tso HH, Light D. Paraovarian Cyst Torsion, Medpix Teaching File Case No. 9346, 2006.
- Tso HH, Light D. Emphysematous Pyelonephritis, Medpix Teaching File Case No. 9269, 2006.
- Tso HH, Light D. Tolosa Hunt, Medpix Teaching File Case No. 10543, 2006.
Other Articles
- Cohen EO, Tso HH, Shin K, Martaindale S, Bragg AC, Phalak K, Perry RE, Sun J, Leung JW Erratum for Feasibility of Auditing Preoperative Breast MRI for Extent-of-Disease Evaluation Using the BI-RADS v2025 Manual. Radiology 317(1):e259018, 2025. PMID: 41147915.
- Iverson GD, Phan K, Quach M, Tso HH, Rainville KL, Vogtsberger KN Estrogen's use as an antidepressant: A literature review. Texas D.O, 2001.
Abstracts
- Ladumor H, Morozova A, Bragg A, Martaindale S, Perry R, Phalak K, Tso HH, Cohen E. What’s your b-Game? Principles, Pearls, and Pitfalls of Breast DWI. SBI Breast Imaging Symposium Meeting Proceedings, 2026. e-Pub 2026.
- Cohen E, Tso HH, Shin K, Martindale S, Bragg A, Phalak K, Perry R, Leung JW. Extent of Disease Breast MRI Auditing and Outcomes Monitoring: A New Addition to the Sixth Edition of the BI-RADS Atlas. SBI Breast Imaging Symposium Meeting Proceedings, 2025. e-Pub 2025.
- Weaver O, Chang Sen L, Chung H, Cohen E, Leung JL, Patel M, Scoggins M, Tso HH, Ma J, Yang W. Contrast-enhanced spectral mammography for the differentiation of benign and malignant axillary lymph nodes in breast cancer staging. SBI Breast Imaging Symposium Meeting Proceedings, 2022. e-Pub 2022.
- Chung HL, Speer ME, Legha RS, Tso HH, Leung JL. Nipple Discharge: Imaging evaluation and clinical outcomes. Proceedings of 107th Annual Meeting and Scientific Assembly of the Radiological Society of North America, 2021. e-Pub 2021.
- Weaver O, Cohen E, Perry R, Tso HH, Phalak T, Srinivasan A, Bassett R, Leung J. Does lateral arm technique decrease the rate of clip migration in stereotactic and tomosynthesis-guided biopsies?. Proceedings of 107th Annual Meeting and Scientific Assembly of the Radiological Society of North America, 2021. e-Pub 2021.
- Tso HH, Cohen E, Lesslie M, Weaver O, Phalak K, Leung JWT. Retrospective review of batch reading and interrupted interpretation of digital screening mammograms without and with tomosynthesis. Proceedings of 106th Annual Meeting and Scientific Assembly of the Radiological, 2020. e-Pub 2020.
- Cohen E, Weaver O, Tso HH, Gerlach K, Leung J. I tomo, therefore I am?. Proceedings of SBI Breast Imaging Symposium, 2019. e-Pub 2019.
- Weaver O, Cohen E, Perry R, Tso HH, Phalak K, Srinivasan A, Wei W, Leung J. Lateral arm stereotactic biopsy decreases the distance of clip migration. Proceedings of SBI Breast Imaging Symposium, 2019. e-Pub 2019.
- Cohen E, Perry R, Srinivasan A, Tso HH, Phalak K, Lesslie M, Gerlach K, Leung J. Does tomosynthesis work for everyone?. Proceedings of 104th Annual Meeting and Scientific Assembly of the Radiological Society of North America, 2018. e-Pub 2018.
- Weaver O, Cohen E, Perry R, Tso HH, Phalak K, Srinivasan A, Wei W. Comparison of the rate of hematoma formation and the size of hematomas between lateral arm and conventional stereotactic biopsy techniques. Proceedings of European Society of Breast Imaging Annual Meeting, 2018. e-Pub 2018.
- Cohen E, Tso HH, Mayo R, Phalak K, Leung J. Screening mammography findings from one standard projection only in era of full field digital mammography and tomosynthesis. Proceedings of Cancer Imaging and Intervention Conference, 2018. e-Pub 2018.
- Weaver OO, Cohen E, Perry R, Tso HH, Phalak K, Srinivasan A, Leung J. Evaluation of the “lateral arm” stereotactic biopsy approach and its impact on clip migration rate. Proceedings of Cancer Imaging and Intervention Conference, 2018. e-Pub 2018.
- Cohen E, Tso HH, Mayo RC, Phalak K, Leung J. Screening mammography findings from one projection only in the era of digital mammography and tomosynthesis. Proceedings of 103rd Annual Meeting and Scientific Assembly of the Radiological Society of North America, 2017. e-Pub 2017.
- Weaver, Cohen E, Perry R, Tso HH, Phalak K, Srinivasan A, Leung J. Comparison of the in-plane (lateral arm) stereotactic biopsy approach and the conventional orthogonal approach, utilizing a prone 2D/3D biopsy system, with a focus on clip migration rate. Proceedings of European Society of Breast Imaging Annual Meeting, 2017. e-Pub 2017.
- Arasu V, Chen R, Newitt D, Chang B, Tso H, Hylton N, Joe BN. SER volume predicts malignancy in MRI-detected breast lesions occult to mammography and palpation. Am J Roentgenol 194(5), 2010. e-Pub 2010.
- Chhor C, Chang B, Tso HH, Proctor E, Hylton N, Joe BN. MRI-Guided breast procedures in less than 45 minutes: Practical tips and tools for troubleshooting. Am J Roentgenol 192(5), 2009. e-Pub 2009.
- Wisner D, Chang B, Tso HH, Joe B, Lessing J, Gibbs J, Itakura K, Hwang S, Hylton N. Preoperative breast MRI for prediction of occult invasive disease. Proceedings of the 2009 American Roentgen Ray Society Annual Meeting, 2009. e-Pub 2009.
- Chhor C, Chang B, Tso H, Proctor E, Hylton N, Joe BN. MRI-guided breast procedures in less than 45 minutes: All you need to know, 2009. e-Pub 2009.
Book Chapters
- Tso HH, Yang, WT. Lactation. In: Diagnostic Imaging: Breast. 3. Elsevier, 880-883, 2019.
- Tso HH, Berg WA. Hamartoma. In: Diagnostic Imaging: Breast. 3. Elsevier, 572-577, 2019.
- Tso HH, Yang WT. Galactocele. In: Diagnostic Imaging: Breast. 3. Elsevier, 870-873, 2019.
- Tso HH, Yang WT. Duct Ectasia. In: Diagnostic Imaging: Breast. 3. Elsevier, 358-361, 2019.
- Tso HH, Yang WT. Duct Ectasia. In: Diagnostic Imaging: Breast. 4. Elsevier.
- Tso HH, Yang WT. Lactation. In: Diagnostic Imaging: Breast. 4. Elsevier.
- Tso HH, Yang WT. Galactocele. In: Diagnostic Imaging: Breast. 4. Elsevier.
- Tso HH, Berg WA. Hamartoma. In: Diagnostic Imaging: Breast. 4. Elsevier.
Letters to the Editor
- Cohen EO, Tso HH, Shin K, Martaindale SR, Bragg AC, Phalak KA, Perry RE, Sun J, Leung JWT. Reply to “Clinical Implications of Nodal Findings on Extent-of-Disease MRI”. AJR Am J Roentgenol 226, 2026.
Patient Reviews
CV information above last modified August 20, 2026