Tom Bourne is Professor of Practice in the Department of Surgery & Cancer, within the Faculty of Medicine and Consultant Gynaecologist at Queen Charlotte's and Chelsea Hospital London. He is also visiting Professor at KU Leuven in Belgium. He has an H-index of 79 with Google Scholar and 54 with Web of Science. He is an authority on the use of ultrasound in gynaecology and the management of early pregnancy complications in particular.
Appointed consultant in 1996, until September 2008 he was Senior Lecturer and then Consultant Gynaecologist at St George’s Hospital, in South London, and from 2005 Reader in acute gynaecology and gynaecological ultrasound at St George's University of London. At St George's he ran the diagnostic and surgical aspects of the early pregnancy assessment unit, the gynaecological ultrasound unit and the acute gynaecology service.
He trained in Obstetrics and Gynaecology at St Mary’s Manchester and Gloucester. He also worked on the neonatal unit in Oxford before working as a research fellow and finally lecturer and senior registrar at Kings College Hospital, London. At Kings for five years he ran the gynaecological ultrasound and ovarian cancer screening service where he introduced the uses of vaginal ultrasonography and colour Doppler into the clinic. In 1994 he moved to Sahlgrenska Hospital at the University of Göteborg in Sweden on a Swedish Medical Research Council visiting scientist fellowship. In Sweden he initiated research into ovarian function and extended his experience of gynaecological ultrasound with Seth Granberg. However the main purpose of this move was to train in laparoscopic and hysteroscopic (keyhole) surgery. He wrote his Ph.D. in 1996 on the diagnosis of ovarian and endometrial carcinoma. Following this he furthered his surgical training working with Olav Istre in Norway and Jan Deprest in Belgium before returning to the UK.
He was appointed as a consultant Obstetrician and Gynaecologist at St George's in 1996. He was made FRCOG in 2003. He was conferred the title of Reader in acute gynaecology and gynaecological ultrasonography at St George's University of London in 2005. After collaborating for many years as the "London-Leuven" research group he was appointed Visiting Professor, at KU Leuven in 2007 and he has medical registration to practice in Belgium. In September 2008 he left St George's in order to continue to pursue his clinical and research interests with the University Hospital of Leuven whilst taking up a post with Imperial College and at Queen Charlotte’s and Chelsea hospital.
He was appointed Visiting Professor at Imperial College in 2009, Adjunct Professor in 2013, and Professor of Practice at Imperial College in 2018.
In 2014 he was elected honorary fellow of the American Institute of Ultrasound in Medicine (AIUM).
In 2016 he was awarded honorary membership of the Australasian Society for Ultrasound in Medicine (ASUM).
He has edited seven books including the classic textbook Dewhurst, and published over 330 papers in international journals. He has been invited to speak and chair at numerous international meetings on subjects relating to the use of ultrasound and diagnostics in gynaecology as well as aspects of medical regulation.
In 2014 he was elected to the executive commitee of the International Society for Ultrasound in Obstetrics and Gynaecology (ISUOG) as Treasurer and is 2017 was elected President. He will take up this role in 2020. He is a medical advisor and trustee of the Ectopic Pregnancy Trust and can be seen discussing the management of ectopic pregnancy in the video below.
In 2014 he was also elected President of the Association of Early Pregnancy Units (AEPU). He is past chair of the early pregnancy clinical study group (CSG) and has sat on the research committee at the Royal College of Obstetricians and Gynaecologists (RCOG).
He has been an expert advisor to NICE on early pregnancy complications. In 2012 he was a member of the Society of Radiologists in Ultrasound (SRU) panel that developed new guidelines to diagnose pregnancy failure, subsequently published in the New England Journal of Medicine. In 2014 he was also a member of the American Institute of Ultrasound in Medicine (AIUM) consensus group to develop new guidelines for the classification and management of ovarian cysts and the diagnosis of ovarian cancer. Over the past 3 years he has been part of the American College of Radiologists (ACR) committee to develop new guidelines for the diagnosis and management of ovarian masses including cancer. This guidance will be published in 2019-2020.
He is a member of the RCOG ultrasound advisory committee and with Christoph Lees is responsible for O&G ultrasound training in the North West London deanery. He sits on the steering committee of the International Ovarian Tumor Analysis (IOTA) with Professor Dirk Timmerman and others, the International Endometrial Assessment trial (IETA) and the International Pregnancy of Unknown Location Analysis (IPULA) trials. He was PI for the Diagnosis of Miscarriage (DOM) study published in the BMJ. and the IMPACT trial that examines the impact of complaints and investigations procedures on the psychological welbeing of doctors (with the BMA). He is also PI for the EPOS trial on the impact of early pregnancy events, ABPEP on serum biomarkers in early pregnancy and PIEPE examining the psychological impact of early pregnancy complications. Professor Bourne can be seen speaking about the diagnosis of miscarriage trial - published in the BMJ and can be read by here. In 2016 he became Director of Early Pregnancy Research at the new Tommy's National Centre for Miscarriage Research - a joint centre between Imperial College and the Universities of Birmingham and Warwick.
He is a research team leader at Imperial College. His current research interests relate to miscarriage, the management and psychology of early pregnancy complications, early pregnancy embryonic growth, caesarean section scars, the diagnosis of ovarian cancer and the characterization of ovarian pathology. He has an interest in medical regulation and works with the BMA doctors for doctors service on the IMPACT study. He has ongoing collaborations with staff at the universities of Leuven, Birmingham, Buckingham, Edinburgh, Lund, Prague, Sydney and others.
At Imperial he is working with Professor Andrea Rockall on a project examining the role of MRI for characterising difficult ovarian masses. As a member of the steering commitee of IOTA he is facilitating the use of biological samples for work on novel biomarkers for the detection of ovarian cancer with KU Leuven.
Professor Bourne can be seen speaking about the IMPACT research project on the left. He recently published a large study on over 3000 physicians examing the prevelance of burnout amongst obstetricians and gynaecologists in the Uk, and how this relates to physician welfare and defensive medical practice this paper can be read here. He was a founder member and sits on the RCOG "supporting our doctors" task force.
et al., 2019, Diagnostic protocols for the management of pregnancy of unknown location: a systematic review and meta-analysis, BJOG - An International Journal of Obstetrics and Gynaecology, Vol:126, ISSN:1470-0328, Pages:190-198
et al., 2016, Post-traumatic stress, anxiety and depression following miscarriage or ectopic pregnancy: a prospective cohort study, Bmj Open, Vol:6, ISSN:2044-6055
et al., 2016, Doctors' experiences and their perception of the most stressful aspects of complaints processes in the UK: an analysis of qualitative survey data, Bmj Open, Vol:6, ISSN:2044-6055
et al., 2016, Predicting the risk of malignancy in adnexal masses based on the Simple Rules from the International Ovarian Tumor Analysis group., American Journal of Obstetrics and Gynecology, Vol:214, ISSN:1097-6868, Pages:424-437
et al., 2015, Defining safe criteria to diagnose miscarriage: prospective observational multicentre study, British Medical Journal, Vol:351, ISSN:1756-1833
et al., 2015, The impact of complaints procedures on the welfare, health and clinical practise of 7926 doctors in the UK: a cross-sectional survey, Bmj Open, Vol:5, ISSN:2044-6055
et al., 2014, Evaluating the risk of ovarian cancer before surgery using the ADNEX model to differentiate between benign, borderline, early and advanced stage invasive, and secondary metastatic tumours: prospective multicentre diagnostic study, British Medical Journal, Vol:349, ISSN:1756-1833
et al., 2014, Presurgical diagnosis of adnexal tumours using mathematical models and scoring systems: a systematic review and meta-analysis, Human Reproduction Update, Vol:20, ISSN:1355-4786, Pages:449-462
Kirk E, Bottomley C, Bourne T, 2014, Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location, Human Reproduction Update, Vol:20, ISSN:1355-4786, Pages:250-261
et al., 2013, Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester, New England Journal of Medicine, Vol:369, ISSN:0028-4793, Pages:1443-1451
et al., 2013, Predicting successful vaginal birth after Cesarean section using a model based on Cesarean scar features examined by transvaginal sonography, Ultrasound in Obstetrics & Gynecology, Vol:41, ISSN:0960-7692, Pages:672-678
et al., 2013, Rationalizing the management of pregnancies of unknown location: temporal and external validation of a risk prediction model on 1962 pregnancies, Human Reproduction, Vol:28, ISSN:0268-1161, Pages:609-616
et al., 2012, Clinically oriented three-step strategy for assessment of adnexal pathology, Ultrasound in Obstetrics & Gynecology, Vol:40, ISSN:0960-7692, Pages:582-591
et al., 2012, External Validation of Diagnostic Models to Estimate the Risk of Malignancy in Adnexal Masses, Clinical Cancer Research, Vol:18, ISSN:1078-0432, Pages:815-825
et al., 2011, Limitations of current definitions of miscarriage using mean gestational sac diameter and crown-rump length measurements: a multicenter observational study, Ultrasound in Obstetrics & Gynecology, Vol:38, ISSN:0960-7692, Pages:497-502
et al., 2010, Ovarian cancer prediction in adnexal masses using ultrasound-based logistic regression models: a temporal and external validation study by the IOTA group., Ultrasound Obstet Gynecol, Vol:36, Pages:226-234
et al., 2010, A new crown-rump length size curve based on over 3500 pregnancies., Ultrasound Obstet Gynecol, Vol:35, Pages:650-655
et al., 2010, Simple ultrasound rules to distinguish between benign and malignant adnexal masses beforesurgery: prospective validation by IOTA group, Bmj
Bottomley C, Bourne T, 2009, Diagnosis and management of ovarian cyst accidents, Best Practice & Research Clinical Obstetrics & Gynaecology, Vol:23, ISSN:1521-6934, Pages:711-724