Rebecca Milman, PhD

Associate Professor, Radiology-Radiological Science


FacultyPhoto
Graduate Schools
  • MS, University of Texas Health Science Center At Houston (2003)
  • PhD, University of Texas Health Science Center At Houston (2007)
Residency
  • University of Texas M D Anderson Cancer Center Program, Radiologic Physics (2009)
Languages
English
Department
Radiology-Radiological Science

Professional Titles

  • Medical Physicist

Recognitions

  • Fellow, American Association of Physicists in Medicine (2021)

Publications

  • Silosky M, Marsh RM. Constancy of built-in luminance meter measurements in diagnostic displays. Med Phys. 2013 Dec;40(12):121902. PubMed PMID: 24320513
  • Marsh RM, Silosky M. Characterization and implementation of OSL dosimeters for use in evaluating the efficacy of organ-based tube current modulation for CT scans of the face and orbits. Med Phys. 2015 Apr;42(4):1730-8. PubMed PMID: 25832062
  • Silosky M, Marsh RM. Characterization of Luminance and Color Properties of 6-MP Wide-Screen Displays. J Digit Imaging. 2015 Jul 11. [Epub ahead of print] PubMed PMID: 26162527
  • Marsh R. Orthostetrics: Management of Orthopedic Conditions in the Pregnant Patient. Orthopedics. 2015 Dec 1;38(12):721-2. PubMed PMID: 26652319
  • Silosky MS, Marsh RM, Scherzinger AL. Imaging acquisition display performance: an evaluation and discussion of performance metrics and procedures. J Appl Clin Med Phys. 2016 Jul 8;17(4):6220. PubMed PMID: 27455501
  • Silosky M, Marsh RM. Characterization of Luminance and Color Properties of 6-MP Wide-Screen Displays. J Digit Imaging. 2016 Feb;29(1):7-13. PubMed PMID: 26162527
  • Marsh RM. Fluoroscopy Operators' Brains and Radiation. JACC Cardiovasc Interv. 2016 Feb 8;9(3):301. PubMed PMID: 26777326
  • Marsh RM and Silosky MS (2016) Brain tumors, interventionalists, and radiation: How real is the risk? Endovascular Today, 15(8):66-69
  • Marsh RM and Silosky M. “The effects of patient positioning when interpreting CT dose metrics: A phantom study” Medical Physics
  • Clements JB, Baird CT, de Boer SF, Fairobent LA, Fisher T, Goodwin JH, Gress DA, Johnson JL, Kolsky KL, Mageras GS, Marsh RM, Martin MC, Parker B, Pavord DC, Schell MC, Anthony Seibert J, Stevens DM, Tarver RB, Waite-Jones CG, Wingreen N. AAPM medical physics practice guideline 10.a.: Scope of practice for clinical medical physics. J Appl Clin Med Phys. 2018 Nov;19(6):11-25. PubMed PMID: 30338913
  • Silosky MS, Marsh RM. Performance characteristics and quality assurance considerations for displays used in interventional radiology and cardiac catheterization facilities. J Appl Clin Med Phys. 2018 Sep;19(5):708-717. PubMed PMID: 30091189
  • Marsh RM, Balter S, Mahesh M. Personal Protective Equipment in Interventional Fluoroscopy: Distinguishing Evidence From Hype. J Am Coll Radiol. 2017 Sep 22. [Epub ahead of print] PubMed PMID: 28958722
  • Marsh RM. Hallway Conversations in Physics(What Considerations Should Be Made When Performing Fluoroscopy-Guided Interventions on Pregnant Patients?). AJR Am J Roentgenol. 2017 Sep;209(3):W195-W196. PubMed PMID: 28829175
  • Smith JR, Marsh RM, Silosky MS. Is lead shielding of patients necessary during fluoroscopic procedures? A study based on kyphoplasty. Skeletal Radiol. 2018 Jan;47(1):37-43. PubMed PMID: 28821928
  • Marsh RM. Is There Truly Enough Evidence to Declare Lead Aprons a Hazard?. J Am Coll Radiol. 2017 May;14(5):584. PubMed PMID: 28473155
  • Marsh RM. Arbitrary Radiation Dose "Limits" Must Not Set Standard of Care. J Am Coll Radiol. 2018 Mar;15(3 Pt A):382-383. PubMed PMID: 29502647
  • Marsh RM, Silosky MS. The effects of patient positioning when interpreting CT dose metrics: A phantom study. Med Phys. 2017 Apr;44(4):1514-1524. PubMed PMID: 28133763
  • Marsh RM, Silosky MS. The Potential Cost of Patient Satisfaction: A Mammography Experience. J Am Coll Radiol. 2018 May;15(5):776-777. PubMed PMID: 29501503
  • Marsh RM, Balter S, Mahesh M. Personal Protective Equipment in Interventional Fluoroscopy: Distinguishing Evidence From Hype. J Am Coll Radiol. 2018 Feb;15(2):322-324. PubMed PMID: 28958722
  • Smith JR, Marsh RM, Silosky MS. Is lead shielding of patients necessary during fluoroscopic procedures? A study based on kyphoplasty. Skeletal Radiol. 2018 Jan;47(1):37-43. PubMed PMID: 28821928
  • Bevins NB, Flynn MJ, Silosky MS, Marsh RM, Walz-Flannigan AI, Badano A. Display quality assurance: A report of Task Group 270. American Association of Physicists in Medicine (2018).
  • Marsh RM, Silosky M. Patient Shielding in Diagnostic Imaging: Discontinuing a Legacy Practice. AJR Am J Roentgenol. 2019 Apr;212(4):755-757. PubMed PMID: 30673332
  • 1. Marsh RM and Silosky MS. (2019) “Fluoroscopy” in Nye J (ed.), Radiologic Physics Taught Through Cases New York, NY: Thieme Publishers, pp.1-24.
  • Marsh RM. Response to “Please reconsider PP 32-A”. AAPM Newsletter 2019 44(5):16-18.
  • Marsh RM. "What Can Your Medical Physicist Do for You?" ACR The Voice of Radiology. January 16, 2020.
  • Marsh RM and Silosky MS. “Legacy Interrupted – Patient Shielding in Diagnostic Imaging” ARRS InPractice Magazine. October 9, 2020.
  • Marsh RM. Patient Shielding in 2020. J Am Coll Radiol. 2020 Sep;17(9):1183-1185. PubMed PMID: 32485146
  • Bevins NB, Silosky MS, Badano A, Marsh RM, Flynn MJ, Walz-Flannigan AI. Practical application of AAPM Report 270 in display quality assurance: A report of Task Group 270. Med Phys. 2020 Sep;47(9):e920-e928. PubMed PMID: 32681556
  • Silosky M, Milman R, Bevins NB. Features to Consider When Selecting Displays for Remote Reading. J Am Coll Radiol. 2022 Jan;19(1 Pt A):73-75. PubMed PMID: 34780775
  • Marsh RM, Silosky MS. Details matter when estimating radiation risk. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Feb;133(2):252-253. PubMed PMID: 34758934
  • Jones AK, Marsh RM. Reply to "Radiosensitive Red Marrow: Where Is the Evidence?". AJR Am J Roentgenol. 2021 Nov;217(5):1253-1254. PubMed PMID: 34570587
  • Jones AK, Marsh RM. Beyond the AJR : "Risk of Hematologic Malignant Neoplasms From Abdominopelvic Computed Tomographic Radiation in Patients Who Underwent Appendectomy". AJR Am J Roentgenol. 2021 Apr 21. [Epub ahead of print] PubMed PMID: 33881903
  • Frush, DP, Strauss KJ, Gingold E, Marsh RM, McKenney S, Miller DL, Shogren A, Spohrer MA, Wagner LK, Winston JP. NCRP Statement No. 13: NCRP recommendations for ending routine gonadal shielding during abdominal and pelvic radiography. National Council of Radiation Protection and Measurements 12 Jan 2021.
  • Frush DP, Strauss KJ, Marsh RM, Miller DL, Shogren A, Wieder J. Companion to NCRP Statement No. 13: Implementation guidance for ending routine gonadal shielding during abdominal and pelvic radiography. National Council of Radiation Protection and Measurements 12 Jan 2021.
  • Milman RJ, McCollough CH, Sechopoulos I. Radiation safety: minimise risks by properly positioning patients, equipment, and operators. BMJ. 2023 Jun 29;381:p1472. PubMed PMID: 37385644
  • Frush DP, Strauss KJ, Marsh RM, Miller DL, Shogren A, Wieder J. Where’s the Lead Apron? Why Reproductive Organ Shielding is No Longer Recommended. National Council of Radiation Protection and Measurements 12 Jan 2021.
  • AAPM/ACR/HPS Joint Statement on Proper Use of Radiation Dose Metric Tracking for Patients Undergoing Medical Imaging Exams. PP 35-A (August 2021)
  • Milman R, Sechopoulos I, Brock K, et al. Proper Use of Radiation Dose Metric Tracking for Patients Undergoing Medical Imaging Exams: Frequently Asked Questions. 6 August, 2021.
  • AAPM CARES Module 3 – Fetal Shielding. (July 2021) aapm.org/CARES
  • AAPM CARES Module 4 – Factors that Reduce the Effectiveness of Gonadal Shielding (July 2021) aapm.org/CARES
  • AAPM CARES Module 5 – Changing How we Think About Patient Fetal & Gonadal Shielding aapm.org/CARES
  • AAPM CARES Module 1 - Fetal and Gonadal Shielding During Radiography
  • AAPM CARES Module 2 - Gonadal Shielding: Historical Perspectives
  • AAPM CARES Module 6 - Understanding the Radiographer’s Role in Radiation Safety and Image Quality

Professional Memberships

  • American Association of Physicists in Medicine (AAPM), Member
  • American College of Radiology, Member

Practice Locations

Hospital Affiliation
  • University of Colorado Hospital
  • Children's Hospital Colorado

Specialty Information

Specialties
  • Radiologic Physics, Board Certification (2010)
  • Registered Medical Physicist, Other (2012)
Clinical Interests
I am a clinical medical physicist, focusing on developing practices that ensure safe, quality patient care. Most recently, I have led the Radiology community in discontinuing the use of patient shielding. This change in clinical practice is based on decades of research, changes in technology, and improved knowledge of the effects of radiation on the human body. To learn more about patient shielding, please visit aapm.org/CARES.

Personal Interests
Music & Medical Physics https://youtu.be/4Xofj97EgWE https://youtu.be/KD_ELizSBTc