2024
Automated detection of early signs of irreversible ischemic change on CTA source images in patients with large vessel occlusion
Mak A, Matouk C, Avery E, Behland J, Haider S, Frey D, Madai V, Vajkoczy P, Griessenauer C, Zand R, Hendrix P, Abedi V, Sanelli P, Falcone G, Petersen N, Sansing L, Sheth K, Payabvash S, Malhotra A. Automated detection of early signs of irreversible ischemic change on CTA source images in patients with large vessel occlusion. PLOS ONE 2024, 19: e0304962. PMID: 38870240, PMCID: PMC11175522, DOI: 10.1371/journal.pone.0304962.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBrain IschemiaComputed Tomography AngiographyDiffusion Magnetic Resonance ImagingFemaleHumansIschemic StrokeMaleMiddle AgedRetrospective StudiesROC CurveStrokeConceptsDiffusion-weighted imagingLarge vessel occlusionIrreversible ischemic changesPoor functional outcomeFunctional outcomesIschemic changesInfarct volumeAlberta Stroke Program Early CT ScorePredicting poor functional outcomeVessel occlusionFollow-up diffusion-weighted imagingAnterior circulation LVO strokeCTA source imagesReceiver operating characteristic curveExpert human readersPredicting final infarctionASPECTS regionsAdmission CTANon-inferior performanceBaseline CTACT scoreFinal infarctEndovascular therapyHU attenuationValidation cohort
2023
Clinical implications of Peri-hematomal edema microperfusion fraction in intracerebral hemorrhage intravoxel incoherent motion imaging – A pilot study
Abou Karam G, Tharmaseelan H, Aboian M, Malhotra A, Gilmore E, Falcone G, de Havenon A, Sheth K, Payabvash S. Clinical implications of Peri-hematomal edema microperfusion fraction in intracerebral hemorrhage intravoxel incoherent motion imaging – A pilot study. Journal Of Stroke And Cerebrovascular Diseases 2023, 32: 107375. PMID: 37738914, PMCID: PMC10591892, DOI: 10.1016/j.jstrokecerebrovasdis.2023.107375.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBrain EdemaBrain InjuriesBrain NeoplasmsCerebral HemorrhageDiffusion Magnetic Resonance ImagingEdemaHematomaHumansMiddle AgedPilot ProjectsConceptsModified Rankin ScaleSecondary brain injuryIntracerebral hemorrhagePerihematomal edemaSubacute intracerebral hemorrhageIntravoxel incoherent motion imagingAdmission NIHSSBrain injuryMedian baseline National InstitutesPilot studyBaseline National InstitutesHealth Stroke ScalePerfusion fractionSupratentorial intracerebral hemorrhageIVIM metricsIncoherent motion imagingStroke ScaleNeuroprotective therapiesParenchymal injuryRankin ScaleRisk patientsConsecutive patientsUnivariable analysisPoor outcomeICH volume
2022
Brain injury patterns in hypoxic ischemic encephalopathy of term neonates
Bobba PS, Malhotra A, Sheth KN, Taylor SN, Ment LR, Payabvash S. Brain injury patterns in hypoxic ischemic encephalopathy of term neonates. Journal Of Neuroimaging 2022, 33: 79-84. PMID: 36164277, DOI: 10.1111/jon.13052.Peer-Reviewed Original ResearchMeSH KeywordsBrainBrain InjuriesDiffusion Magnetic Resonance ImagingHumansHypoxia-Ischemia, BrainInfant, NewbornInfarctionMagnetic Resonance ImagingConceptsSevere hypoxic-ischemic encephalopathyHypoxic-ischemic encephalopathyHypoxic-ischemic lesionsSeverity of HIEModerate hypoxic-ischemic encephalopathyTerm neonatesIschemic lesionsDiffusion-weighted imagingBasal gangliaDiagnosis of HIESeverity categoriesBrain injury patternsDeep white matterMRI diffusion-weighted imagingT2-weighted imagesPresence of lesionsVoxel-wise analysisRespiration (APGAR) scoreInfarct volumeStandard brain spaceIschemic encephalopathyInjury patternsBrain injuryLentiform nucleusLesion volumeAge‐related topographic map of magnetic resonance diffusion metrics in neonatal brains
Bobba PS, Weber CF, Mak A, Mozayan A, Malhotra A, Sheth KN, Taylor SN, Vossough A, Grant PE, Scheinost D, Constable RT, Ment LR, Payabvash S. Age‐related topographic map of magnetic resonance diffusion metrics in neonatal brains. Human Brain Mapping 2022, 43: 4326-4334. PMID: 35599634, PMCID: PMC9435001, DOI: 10.1002/hbm.25956.Peer-Reviewed Original ResearchMeSH KeywordsAnisotropyBrainChild, PreschoolDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingHumansInfantInfant, NewbornMagnetic Resonance ImagingMagnetic Resonance SpectroscopyWhite MatterConceptsGestational ageCerebellar white matterWhite matterNeonatal brainDiffusion-weighted imagingCorpus callosumMD valuesCorpus callosum myelinationLower gestational ageTerm-equivalent ageSubcortical white matterFA/MDApparent diffusion coefficient (ADC) valuesMonths of ageDiffusion tensor imaging (DTI) metricsDiffusion metricsAge-related evolutionAge-related changesAge-specific normative valuesNeonatal ageBrain parenchymaCorticospinal tractNeonate brainDiffusivity metricsADC values
2019
Poor Outcomes Related to Anterior Extension of Large Hemispheric Infarction: Topographic Analysis of GAMES-RP Trial MRI Scans
Payabvash S, Falcone GJ, Sze GK, Jain A, Beslow LA, Petersen NH, Sheth KN, Kimberly WT. Poor Outcomes Related to Anterior Extension of Large Hemispheric Infarction: Topographic Analysis of GAMES-RP Trial MRI Scans. Journal Of Stroke And Cerebrovascular Diseases 2019, 29: 104488. PMID: 31787498, PMCID: PMC8820410, DOI: 10.1016/j.jstrokecerebrovasdis.2019.104488.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, IntravenousAgedAnterior Cerebral ArteryCerebrovascular CirculationCerebrumClinical Trials as TopicClinical Trials, Phase II as TopicDiffusion Magnetic Resonance ImagingDisability EvaluationExtremitiesFemaleGlyburideHumansHypoglycemic AgentsInfarction, Anterior Cerebral ArteryInfarction, Middle Cerebral ArteryMaleMiddle AgedMiddle Cerebral ArteryPatient AdmissionPredictive Value of TestsRecovery of FunctionRisk FactorsTime FactorsTreatment OutcomeUnited StatesConceptsLarge hemispheric infarctionInfarct volumeIndependent predictorsInfarct lesionsHemispheric infarctionHealth Stroke Scale total scorePost-stroke day 3Anterior cerebral artery territoryTotal scoreLeft MCA infarctLeg motor functionNIHSS total scoreHours of onsetOnly independent predictorPoor functional outcomeBorder zoneScale total scoreAnterior extensionMultivariate regression analysisVoxel-wise analysisLHI patientsAdmission NIHSSArtery territoryGlibenclamide treatmentMCA infarctDifferentiation of lymphomatous, metastatic, and non-malignant lymphadenopathy in the neck with quantitative diffusion-weighted imaging: systematic review and meta-analysis
Payabvash S, Brackett A, Forghani R, Malhotra A. Differentiation of lymphomatous, metastatic, and non-malignant lymphadenopathy in the neck with quantitative diffusion-weighted imaging: systematic review and meta-analysis. Neuroradiology 2019, 61: 897-910. PMID: 31175398, DOI: 10.1007/s00234-019-02236-7.Peer-Reviewed Original ResearchMeSH KeywordsDiagnosis, DifferentialDiffusion Magnetic Resonance ImagingHead and Neck NeoplasmsHumansLymphadenopathyLymphatic MetastasisConceptsCervical lymph nodesAverage apparent diffusion coefficientStandardized mean differenceLymph nodesNon-malignant nodesDiagnostic odds ratioCervical lymphadenopathySubgroup analysisADC thresholdSystematic reviewSuspicious cervical lymph nodesUnknown primary cancer siteMean differenceNon-malignant lymphadenopathyCochrane Central RegisterNeck lymph nodesPrimary cancer siteConfidence intervalsSROC AUCRandom-effects modelComprehensive literature searchAverage ADC valueDiffusion-weighted imagingQuantitative diffusion-weighted imagingCentral RegisterQuantitative diffusion magnetic resonance imaging for prediction of human papillomavirus status in head and neck squamous-cell carcinoma: A systematic review and meta-analysis
Payabvash S, Chan A, Maralani P, Malhotra A. Quantitative diffusion magnetic resonance imaging for prediction of human papillomavirus status in head and neck squamous-cell carcinoma: A systematic review and meta-analysis. The Neuroradiology Journal 2019, 32: 232-240. PMID: 31084347, PMCID: PMC6639646, DOI: 10.1177/1971400919849808.Peer-Reviewed Original ResearchMeSH KeywordsDiffusion Magnetic Resonance ImagingEarly Detection of CancerFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedPapillomaviridaePapillomavirus InfectionsSquamous Cell Carcinoma of Head and NeckConceptsNeck squamous cell carcinomaDiffusion-weighted imagingHPV-positive HNSCCSquamous cell carcinomaHPV-negative HNSCCPrimary tumor lesionsStandardized mean differenceQuantitative diffusion magnetic resonancePrimary lesionHPV statusTumor lesionsAverage ADCDiffusion magnetic resonanceMean differenceHiggins' inconsistency indexHuman papillomavirus (HPV) statusHuman papillomavirus infectionApparent diffusion coefficient (ADC) valuesRandom-effects modelNoninvasive imaging biomarkerComprehensive literature searchAverage ADC valueEcho-planar diffusion-weighted imagingFixed-effects modelPapillomavirus infection
2018
Volumetric voxelwise apparent diffusion coefficient histogram analysis for differentiation of the fourth ventricular tumors
Payabvash S, Tihan T, Cha S. Volumetric voxelwise apparent diffusion coefficient histogram analysis for differentiation of the fourth ventricular tumors. The Neuroradiology Journal 2018, 31: 554-564. PMID: 30230411, PMCID: PMC6243467, DOI: 10.1177/1971400918800803.Peer-Reviewed Original ResearchDifferentiation of Cerebellar Hemisphere Tumors: Combining Apparent Diffusion Coefficient Histogram Analysis and Structural MRI Features
Payabvash S, Tihan T, Cha S. Differentiation of Cerebellar Hemisphere Tumors: Combining Apparent Diffusion Coefficient Histogram Analysis and Structural MRI Features. Journal Of Neuroimaging 2018, 28: 656-665. PMID: 30066449, DOI: 10.1111/jon.12550.Peer-Reviewed Original Research
2017
Multivariate Prognostic Model of Acute Stroke Combining Admission Infarct Location and Symptom Severity: A Proof-of-Concept Study
Payabvash S, Benson JC, Tyan AE, Taleb S, McKinney AM. Multivariate Prognostic Model of Acute Stroke Combining Admission Infarct Location and Symptom Severity: A Proof-of-Concept Study. Journal Of Stroke And Cerebrovascular Diseases 2017, 27: 936-944. PMID: 29198948, DOI: 10.1016/j.jstrokecerebrovasdis.2017.10.034.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overArea Under CurveBrainBrain IschemiaBrain MappingDatabases, FactualDecision Support TechniquesDiffusion Magnetic Resonance ImagingDisability EvaluationFemaleHumansLogistic ModelsMaleMesencephalonMiddle AgedMultivariate AnalysisOdds RatioPatient AdmissionPonsPredictive Value of TestsProof of Concept StudyReproducibility of ResultsRetrospective StudiesRisk FactorsROC CurveSeverity of Illness IndexStrokeTime FactorsTreatment OutcomeConceptsDisability/deathMidbrain/ponsAcute ischemic stroke patientsIschemic stroke patientsAdmission NIHSS scoreStroke patientsNIHSS scoreIndependent predictorsInfarct locationScale scoreHealth Stroke Scale scoreHigher admission NIHSS scoresModified Rankin Scale scoreSymptom severityAdmission stroke severityBaseline functional disabilityLarger infarct volumesStroke Scale scoreRankin Scale scoreHours of onsetAcute ischemic infarctMultivariate prognostic modelMajor arterial occlusionHypothesis-generating studyVoxel-based analysis
2016
The Effects of DWI‐Infarct Lesion Volume on DWI‐FLAIR Mismatch: Is There a Need for Size Stratification?
Payabvash S, Taleb S, Benson JC, Rykken JB, Oswood MC, McKinney AM, Hoffman B. The Effects of DWI‐Infarct Lesion Volume on DWI‐FLAIR Mismatch: Is There a Need for Size Stratification? Journal Of Neuroimaging 2016, 27: 392-396. PMID: 27878926, DOI: 10.1111/jon.12407.Peer-Reviewed Original ResearchMeSH KeywordsAgedBiomarkersBrain IschemiaDiffusion Magnetic Resonance ImagingFemaleFibrinolytic AgentsHumansMagnetic Resonance ImagingMaleMiddle AgedSensitivity and SpecificityStrokeThrombolytic TherapyTime FactorsConceptsDWI-FLAIR mismatchPositive predictive valueDWI lesion volumeLesion volumeNegative predictive valueStroke onsetAcute infarctsStroke patientsInfarct lesionsPredictive valueFluid-attenuated inversion recovery hyperintensityAcute ischemic stroke patientsInfarct lesion volumeIschemic stroke patientsHours of onsetInversion recovery hyperintensityContralateral normal sideIdentification of strokePotential imaging biomarkerMultivariate regression analysisIdentification of infarctionSymptom onsetTherapy timeNormal sideImaging biomarkersCT Perfusion in Acute Lacunar Stroke: Detection Capabilities Based on Infarct Location
Benson JC, Payabvash S, Mortazavi S, Zhang L, Salazar P, Hoffman B, Oswood M, McKinney AM. CT Perfusion in Acute Lacunar Stroke: Detection Capabilities Based on Infarct Location. American Journal Of Neuroradiology 2016, 37: 2239-2244. PMID: 27538902, PMCID: PMC7963880, DOI: 10.3174/ajnr.a4904.Peer-Reviewed Original ResearchInterhemispheric Asymmetry in Distribution of Infarct Lesions among Acute Ischemic Stroke Patients Presenting to Hospital
Payabvash S, Taleb S, Benson JC, McKinney AM. Interhemispheric Asymmetry in Distribution of Infarct Lesions among Acute Ischemic Stroke Patients Presenting to Hospital. Journal Of Stroke And Cerebrovascular Diseases 2016, 25: 2464-2469. PMID: 27373730, DOI: 10.1016/j.jstrokecerebrovasdis.2016.06.019.Peer-Reviewed Original ResearchConceptsRight-sided strokeLeft-sided strokeAcute ischemic stroke patientsEarly clinical outcomesIschemic stroke patientsIschemic infarctInfarct lesionsInsular ribbonVoxel-based analysisClinical outcomesStroke patientsLentiform nucleusScale scoreHealth Stroke Scale scoreModified Rankin Scale scoreSymptom severityStroke risk factorsStroke Scale scoreHours of onsetRankin Scale scoreAcute ischemic infarctRate of treatmentAdmission symptomsSymptomatic infarctsRisk factorsClinical diffusion mismatch better discriminates infarct growth than mean transit time–diffusion weighted imaging mismatch in patients with middle cerebral artery–M1 occlusion and limited infarct core
Nogueira RG, Kemmling A, Souza LM, Payabvash S, Hirsch JA, Yoo AJ, Lev MH. Clinical diffusion mismatch better discriminates infarct growth than mean transit time–diffusion weighted imaging mismatch in patients with middle cerebral artery–M1 occlusion and limited infarct core. Journal Of NeuroInterventional Surgery 2016, 9: 127. PMID: 26957483, DOI: 10.1136/neurintsurg-2014-011602.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCerebral AngiographyCerebral InfarctionCerebrovascular CirculationDiffusion Magnetic Resonance ImagingDisease ProgressionFemaleHumansImage Processing, Computer-AssistedInfarction, Middle Cerebral ArteryMalePredictive Value of TestsRetrospective StudiesStrokeTomography, X-Ray ComputedConceptsClinical-diffusion mismatchMCA M1 occlusionAdmission Alberta Stroke Program Early CT scoreSmall infarct coreBaseline NIHSS scoreInfarct growthNIHSS scoreInfarct coreDiffusion mismatchDWI volumeStroke patientsAlberta Stroke Program Early CT ScoreMiddle cerebral artery M1 occlusionProximal middle cerebral artery occlusionMiddle cerebral artery occlusionMTT lesionsUni-/multivariate analysesBaseline National InstitutesHealth Stroke ScaleAdmission NIHSS scoreCerebral artery occlusionConsecutive stroke patientsOnly independent predictorDWI lesionsStroke Scale
2015
Comparison of CT perfusion summary maps to early diffusion-weighted images in suspected acute middle cerebral artery stroke
Benson J, Payabvash S, Salazar P, Jagadeesan B, Palmer CS, Truwit CL, McKinney AM. Comparison of CT perfusion summary maps to early diffusion-weighted images in suspected acute middle cerebral artery stroke. European Journal Of Radiology 2015, 84: 682-689. PMID: 25623829, DOI: 10.1016/j.ejrad.2014.12.026.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAgedAged, 80 and overCerebrovascular CirculationDiffusion Magnetic Resonance ImagingFemaleHumansInfarction, Middle Cerebral ArteryMaleMiddle AgedMiddle Cerebral ArteryReproducibility of ResultsTomography, X-Ray ComputedConceptsAlberta Stroke Program Early CT ScoreASPECTS scoreAcute middle cerebral artery strokeMiddle cerebral artery strokeAge-matched patientsDWI infarct volumeDiffusion-weighted imagingInfarct volumePositive patientsSymptom onsetArtery strokeCT scoreDiffusion-weighted imagesInfarct coreCTP examinationDWI volumePatientsDWIInfarctsScores
2013
Admission Insular Infarction >25% Is the Strongest Predictor of Large Mismatch Loss in Proximal Middle Cerebral Artery Stroke
Kamalian S, Kemmling A, Borgie RC, Morais LT, Payabvash S, Franceschi AM, Kamalian S, Yoo AJ, Furie KL, Lev MH. Admission Insular Infarction >25% Is the Strongest Predictor of Large Mismatch Loss in Proximal Middle Cerebral Artery Stroke. Stroke 2013, 44: 3084-3089. PMID: 23988643, PMCID: PMC3894265, DOI: 10.1161/strokeaha.113.002260.Peer-Reviewed Original ResearchConceptsInfarct volumeInsular infarctionHealth Stroke Scale scoreMiddle cerebral artery infarctConsecutive acute stroke patientsMiddle cerebral artery strokeProximal middle cerebral arteryRapid reperfusion therapyTreatment-eligible patientsAcute stroke patientsStroke Scale scoreFinal infarct volumeMiddle cerebral arteryStrongest predictorCharacteristic curve areaExcellent interobserver agreementDiffusion-weighted imaging imagesBinary logistic regressionArtery infarctInfarct progressionOcclusive strokePenumbral tissueReperfusion therapyCollateral scoreIndependent predictors
2011
Admission CT Perfusion Is an Independent Predictor of Hemorrhagic Transformation in Acute Stroke with Similar Accuracy to DWI
Souza LC, Payabvash S, Wang Y, Kamalian S, Schaefer P, Gonzalez RG, Furie KL, Lev MH. Admission CT Perfusion Is an Independent Predictor of Hemorrhagic Transformation in Acute Stroke with Similar Accuracy to DWI. Cerebrovascular Diseases 2011, 33: 8-15. PMID: 22143195, PMCID: PMC3250646, DOI: 10.1159/000331914.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overBostonCerebrovascular CirculationChi-Square DistributionDiffusion Magnetic Resonance ImagingFemaleHumansIntracranial HemorrhagesLogistic ModelsMaleMiddle AgedMultivariate AnalysisPatient AdmissionPerfusion ImagingPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentRisk FactorsROC CurveStrokeTomography, X-Ray ComputedConceptsRelative mean transit timeAdmission CT perfusionDiffusion-weighted imagingPredictors of HTRelative cerebral blood flowHemorrhagic transformationCT perfusionAcute strokeIndependent predictorsTissue volumeAdmission diffusion-weighted imagingConsecutive stroke patientsOnly independent predictorCerebral blood flowIschemic hemisphereMechanical thrombectomyStroke patientsInfarct coreMean transit timeBlood flowTest characteristicsCurve analysisDWI scansLesionsStroke