Patient Portal

James Richard Duncan, MD, PhD

Professor, Radiology
Chief, Division of Interventional Radiology

Specialty Areas

Interventional Radiology
Pediatric Interventional Radiology

Board Certifications

Vascular and Interventional Radiology
Diagnostic Radiology

Hospital Affiliations

Barnes-Jewish Hospital
St. Louis Children's Hospital
Barnes-Jewish St. Peters Hospital

Areas of Clinical Interest

Vascular interventional radiology, improving quality and safety

  • Location(s)
  • Education
  • Publication & Research
  • Financial Disclosures



Mallinckrodt Institute of Radiology

510 South Kingshighway Boulevard
St. Louis, MO 63110

Office Phone: 314-362-2900
Fax: 314-362-2296

Center for Advanced Medicine

4921 Parkview Place
St. Louis, MO 63110

Floor: 3
Office Phone: 314-362-6681
Fax: 314-362-2276

Center for Advanced Medicine - South County

5201 Midamerica Plaza
St. Louis, MO 63129



Fellowship: Vascular & Interventional Radiology, Mallinckrodt Institute of Radiology, St. Louis, Missouri 1997
Residency: Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri 1994
Ph.D.: Molecular Biology, Washington University, St. Louis, Missouri 1988
Medical Degree: Washington University School of Medicine, St. Louis, Missouri 1988
B.S.: University of Michigan, Ann Arbor, Michigan 1982

Publication & Research

Publication & Research

1: Bruno MA, Duncan JR, Bierhals AJ, Tappouni R. Overnight Resident versus 24-hour Attending Radiologist Coverage in Academic Medical Centers. Radiology. 2018 Dec;289(3):809-813. doi: 10.1148/radiol.2018180690. Epub 2018 Sep 18. PubMed PMID: 30277849.

2: Duncan JR, Lieber MR, Adachi N, Wahl RL. Reply: Radiation Dose Does Matter: Mechanistic Insights into DNA Damage and Repair Support the Linear No-Threshold Model of Low-Dose Radiation Health Risks. J Nucl Med. 2018 Nov;59(11):1780-1781. doi: 10.2967/jnumed.118.218321. Epub 2018 Sep 27. PubMed PMID: 30262519.

3: Duncan JR, Lieber MR, Adachi N, Wahl RL. Radiation Dose Does Matter: Mechanistic Insights into DNA Damage and Repair Support the Linear No-Threshold Model of Low-Dose Radiation Health Risks. J Nucl Med. 2018 Jul;59(7):1014-1016. doi: 10.2967/jnumed.118.210252. Epub 2018 May 31. PubMed PMID: 29853652.

4: Duncan JR. Information overload: when less is more in medical imaging.      Diagnosis (Berl). 2017 Sep 26;4(3):179-183. doi: 10.1515/dx-2017-0008. Review. PubMed PMID: 29536932.

5: Vedantham S, Goldhaber SZ, Julian JA, Kahn SR, Jaff MR, Cohen DJ, Magnuson E, Razavi MK, Comerota AJ, Gornik HL, Murphy TP, Lewis L, Duncan JR, Nieters P, Derfler MC, Filion M, Gu CS, Kee S, Schneider J, Saad N, Blinder M, Moll S, Sacks D, Lin J, Rundback J, Garcia M, Razdan R, VanderWoude E, Marques V, Kearon C; ATTRACT Trial Investigators. Pharmacomechanical Catheter-Directed Thrombolysis for Deep-Vein Thrombosis. N Engl J Med. 2017 Dec 7;377(23):2240-2252. doi:10.1056/NEJMoa1615066. PubMed PMID: 29211671; PubMed Central PMCID: PMC5763501.

6: Duncan JR, Lieber MR, Adachi N, Wahl RL. DNA Repair After Exposure to Ionizing Radiation Is Not Error-Free. J Nucl Med. 2018 Feb;59(2):348. doi: 10.2967/jnumed.117.197673. Epub 2017 Aug 3. PubMed PMID: 28775198.

7: Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016 Nov 1;170(11):1037-1038. doi: 10.1001/jamapediatrics.2016.2147. PubMed PMID: 27654817.

8: Duncan JR, Swensen SJ. DNA Repair after Exposure to Ionizing Radiation Is Not Error-Free. Radiology. 2016 Jul;280(1):322-3.
 doi: 10.1148/radiol.2016152738. PubMed PMID: 27322978.

9: Rafiei P, Walser EM, Duncan JR, Rana H, Ross JR, Kerlan RK Jr, Gross KA,Balter S, Bartal G, Abi-Jaoudeh N, Stecker MS, Cohen AM, Dixon RG, Thornton RH,Nikolic B; Society of Interventional Radiology Health and Safety Committee.Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. J Vasc Interv Radiol. 2016 May;27(5):695-9. doi:10.1016/j.jvir.2016.03.002. Epub 2016 Mar 31. PubMed PMID: 27038685.

10: Duncan JR, Panahipour S, Street M. Monitoring Patient Exposure During Fluoroscopic Procedures: How We Do It. J Am Coll Radiol. 2015 Jun;12(6):617-9.doi: 10.1016/j.jacr.2015.03.019. PubMed PMID: 26047403

Financial Disclosures

Financial Disclosures

Disclosure of Financial Interests with Industry

Washington University and its physicians and health professionals are committed to ensuring integrity and objectivity in medical decision-making. Some of our physicians and health professionals work collaboratively with pharmaceutical, medical device or other medical care related companies to develop innovative ideas and products that can improve health care delivery and clinical outcomes for patients. In some instances, our physicians and health professionals have an ownership or potential ownership interest in a commercial company; and/or are paid by a commercial company to provide advice on product design or to speak about the use of medications, devices, equipment or procedures. These payments may include: a) compensation for consulting and speaking engagements, b) equity, and/or c) royalties for products invented by our faculty. Any payments to Washington University physicians or health professionals must be based on tangible services and may not exceed fair market value for their work. In addition to disclosure on this website, physicians and health professionals earning more than $10,000 per year must disclose their corporate financial relationship in writing to patients when prescribing or using that company's products.

This physician reported the following financial interests during calendar year 2019:

Company Name: Proteon Therapeutics


Equity: Yes

Consulting/Advisory Board:

Speaker Fees:

Reporting Date: May 01, 2020