Section Julie Staals
- 2026
- Drenthen, G. S., Backes, W. H., Staals, J., van Dinther, M., Voorter, P. H. M., Lee, J., Kohler, S., Jansen, W. J., & Jansen, J. F. A. (2026). An improved combination of T1-weighted and FLAIR contrasts for myelin water imaging. Neuroimage, 339, Article 122182. https://doi.org/10.1016/j.neuroimage.2026.122182
- Li, X., Roozenbeek, B., van Walsum, T., Bos, D., van der Worp, H. B., Emmer, B. J., Majoie, C. B. L., van Oostenbrugge, R. J., Dippel, D. W. J., Lingsma, H. F., & ICAI Stroke Lab (2026). Validation and simplification of the MR PREDICTS @24H model for outcome prediction after endovascular thrombectomy for acute ischemic stroke. International journal of stroke, 21(8), 1119-1129. https://doi.org/10.1177/17474930261430342
- Gijs, M., Liang, L., Goezinne, F., Wang, Y., Foulquier, S., & Nuijts, R. M. M. A. (2026). Introducing the blood-tear barrier: Structure, function, and disruption in ocular surface homeostasis. Progress in Retinal and Eye Research, 114, Article 101492. https://doi.org/10.1016/j.preteyeres.2026.101492
- Xu, Y.-Y., Chappell, F. M., Valdes Hernandez, M., Arteaga Reyes, C., Clancy, U., Jaime Garcia, D., Makin, S., Stringer, M., Thrippleton, M., Wiseman, S., Cheng, Y., Liu, D. X., Brown, R., Doubal, F., Deary, I. J., Cox, S., Kerkhofs, D., Staals, J., Backes, W., ... Wardlaw, J. M. (2026). Quantitative Relationship Between White Matter Hyperintensity Volume and Fazekas Score on Brain MRI. Stroke, 57(9), 2801-2812. https://doi.org/10.1161/STROKEAHA.125.055101
- Aslankurt, K., Schenck, H., van Kuijk, S. M. J., Hoogland, G., de Ridder, I., Teernstra, O., Dings, J., Aries, M., Veldeman, M., Vink, H., Temel, Y., van Lanen, R., & Haeren, R. (2026). Plasma Biomarkers of the Glycocalyx in Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage. Brain Sciences, 16(8), Article 840. https://doi.org/10.3390/brainsci16080840
- Raty, S., Strbian, D., Mannismaki, L., Katan, M., Leker, R. R., Lemmens, R., Tomasello, A., Staals, J., Kaesmacher, J., Buhk, J.-H., Gadea, M. O., Arenillas, J. F., Martinez-Majander, N., Hajdu, S. D., Michel, P., Puetz, V., Bellante, F., De Raedt, S., Bolliger, D., ... DISTAL Investigators (2026). Effect of anaesthesia modality on outcome in medium or distal vessel occlusion stroke: a post-hoc analysis of the DISTAL trial. European Stroke Journal, 11(8), Article aakag088. https://doi.org/10.1093/esj/aakag088
- van der Taelen, L., Lambrichts, S. M. P., Temmerman, L., El Ajjouri, R., Gijbels, M. J., Bitsch, N., Scheijen, J., van de Waarenburg, M., Kutmon, M., Unger, T., Staals, J., Schalkwijk, C. G., Briones, A. M., van Oostenbrugge, R. J., & Foulquier, S. (2026). Longitudinal Profiling Reveals Divergent Kidney and Brain Immune Responses during Metabolic Syndrome. Aging and Disease. Advance online publication. https://doi.org/10.14336/AD.2026.0557
- Safouris, A., & van Zwam, W. H. (2026). Net water uptake and lesion extent as joint expressions of ischaemic injury: a comment on the TENSION secondary analysis. European Stroke Journal, 11(8), Article aakag095. https://doi.org/10.1093/esj/aakag095
- Pomp, A. C., Rosbergen, M. T., de Maat, M. P. M., de Vries, P. S., Ikram, M. A., Daemen, M. J. A. P., Hoefer, I. E., Niessen, W. J., de Bresser, J., Bron, E. E., Teunissen, C. E., Biessels, G. J., van Oostenbrugge, R. J., Wolters, F. J., & Heart-Brain Connection Consortium (2026). ADAMTS13 and von Willebrand Factor in relation to vascular cognitive impairment and cerebral small vessel disease: the heart-brain connection study. Journal of Thrombosis and Haemostasis, 24(8), 3041-3050. https://doi.org/10.1016/j.jtha.2026.04.022
- Simon, S. R., Knapen, R. R. M. M., Truijman, M. T. B., van Oostenbrugge, R. J., Wagemans, B. A. J. M., van Zwam, W. H., & van der Leij, C. (2026). Timing of acute carotid artery stenting for tandem lesions in patients with acute ischemic stroke: A Maastricht Stroke Quality Registry (MaSQ-Registry) study. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 32(4), 1365-1372. Article 15910199241245166. https://doi.org/10.1177/15910199241245166
- Li, X., Alexandrov, N., Veltman, Y., van Walsum, T., Bos, D., Majoie, C. B. L. M., van Zwam, W. H., Dippel, D. W. J., Roozenbeek, B., Lingsma, H. F., & Icai, Stroke Lab (2026). Post-thrombectomy models for outcome prediction in ischemic stroke: systematic review and external validation. Journal of Neurointerventional Surgery. Advance online publication. https://doi.org/10.1136/jnis-2026-025297
- Anastasiou, A., Corbaz, H., Christodoulou, E., Albers, G. W., Heit, J. J., Tsivgoulis, G., Muller, L., van Es, A., Kruyt, N. D., Staals, J., van Zwam, W., Dassen, S., Dobrocky, T., Hajdu, S. D., van den Bergh, F., Rommers, N., Aebischer, V., Brehm, A., Fischer, U., ... DISTAL Investigators (2026). Mechanical Thrombectomy and Final Infarct Volume in Medium or Distal Vessel Occlusion Stroke: A Post Hoc Analysis of a Randomized Clinical Trial. JAMA Neurology, 83(6), 537-543. https://doi.org/10.1001/jamaneurol.2026.0805
- Taschner, C. A., Fiehler, J., Caso, V., Mohlenbruch, M. A., Januel, A.-C., Valvassori, L., Aggour, M., Buhk, J.-H., Dorn, F., Gawlitza, M., Guenego, A., Kaesmacher, J., Kulcsar, Z., Madjidyar, J., Rennie, A., Rouchaud, A., Schubert, T., van Zwam, W. H., Vukasinovic, I., ... Ospel, J. M. (2026). Clinical evidence standards for high-risk endovascular devices in ischemic stroke: a European multisociety consensus. Journal of Neurointerventional Surgery. Advance online publication. https://doi.org/10.1136/jnis-2026-025448
- Lambrichts, S. M. P., van der Taelen, L., Pastor, I., Leenders, P., Bitsch, N., Majcher, D., Hermes, D., Simmonds, S. J., van Herwijnen, M., Kamps, R., Weltjens, E., Jessen, P. J. J., Steinbusch, H. P., Arentz, F., Wiesmann, M., Kiliaan, A. J., Caiment, F., Kutmon, M., Jones, E. A., ... Foulquier, S. (2026). Downregulation of Trpv4 and Klf2 in brain microvessels is associated with the progression of neurovascular dysfunction and cognitive impairment in a model of heart failure with preserved ejection fraction. Journal of Cerebral Blood Flow and Metabolism. Advance online publication. https://doi.org/10.1177/0271678X261462714
- Fischer, U., Brehm, A., Ribo, M., Rizzo, F., Strbian, D., Raty, S., Arenillas, J. F., Martinez-Galdamez, M., Hajdu, S. D., Michel, P., Gralla, J., Piechowiak, E., Kaiser, D. P. O., Puetz, V., van den Bergh, F., De Raedt, S., Bellante, F., Dusart, A., Hellstern, V., ... DISTAL Investigators (2026). Endovascular treatment for medium or distal vessel occlusion stroke (DISTAL): 12-month outcomes of a multicentre, open-label, randomised trial. Lancet Neurology, 25(6), 571-580. https://doi.org/10.1016/S1474-4422(26)00169-9
- Pinckaers, F. M. E., Grutters, J. P. C., Evers, S. M. A. A., Lingsma, H. F., Boogaarts, H. D., Dippel, D. W. J., Postma, A. A., van der Lugt, A., Majoie, C. B. L. M., Roos, Y. B. W. E. M., van Oostenbrugge, R. J., van Zwam, W. H., & Gabrio, A. (2026). Mapping the mRS Into the EQ-5D-5L in Patients With Ischemic Stroke. Stroke, 57(6). https://doi.org/10.1161/STROKEAHA.126.055741
- Robbe, M. M. Q., Knapen, R. E. M. M., van der Vleuten, J. R., Samuels, N., van der Lugt, A., van Doormaal, P. J., Majoie, C. B., Roos, Y. B. W. E. M., van Oostenbrugge, R. J., van Zwam, W. H., Staals, J., Postma, A. A., de Ridder, I. R., & MRCLEAN Registry Investigators (2026). Predictors of spontaneous and early recanalization in stroke patients eligible for endovascular treatment. Journal of Stroke & Cerebrovascular Diseases, 35(6), Article 108641. https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108641
- Grzymala, B., Halldorsdottir, D. T., Thorsteinsso, H., Thorfinnsdottir, K., Sveinsdottir, H. S., Parker, M. O., Foulquier, S., & Karlsson, K. AE. (2026). Reinventing amlodipine. Journal of Pharmacology and Experimental Therapeutics, 393(6), Article 104900. https://doi.org/10.1016/j.jpet.2026.104900
- Reitsma, F. J., Verburgt, E., Schellekens, M. M. I., Hilkens, N. A., Verhoeven, J. I., van Alebeek, M. E., Brouwers, P. J. A. M., Arntz, R. M., van Dijk, G. W., Gons, R. A. R., van Uden, I. W. M., den Heijer, T., van Tuijl, J. H., de Laat, K. F., van Norden, A., Vermeer, S. E., van Zagten, M. S. G., Wermer, M. J. H., Nederkoorn, P. J., ... Rouhl, R. P. W. (2026). Poststroke epilepsy is associated with vascular cognitive disorder in young stroke patients: The ODYSSEY study. Epilepsia, 67(6), 2855-2863. https://doi.org/10.1002/epi.70200
- Nies, K. P. H., Ramaekers, B., Bierens, J., Auer, D. P., Schindler, A., Saam, T., Bos, D., de Jong, P. A., Nederkoorn, P. J., de Borst, G. J., van Oostenbrugge, R. J., Joore, M. A., Kooi, M. E., & Smits, L. J. M. (2026). Risk-based selection for carotid revascularisation using the IMPROVE score versus standard care in symptomatic carotid artery disease: a model-based cost-effectiveness analysis using pooled-data. BMJ Open, 16(5), Article e114391. https://doi.org/10.1136/bmjopen-2025-114391
- Zwam, W. V., & Fischer, U. (2026). Is ATLAS lifting the burden of stroke in people with large-vessel occlusion and low ASPECTS scores?Lancet, 407(10543), 1988-1990. https://doi.org/10.1016/S0140-6736(26)00873-1
- de Greef, B., Youn, J.-H., Baviere, H., Hummel, M., Balguid, A., Pezzella, F., Christensen, H., & van Zwam, W. (2026). Enhancing stroke care in Europe: cost-effectiveness analysis of strategies addressing gaps in acute ischemic stroke care. European Stroke Journal, 11(5), Article aakag041. https://doi.org/10.1093/esj/aakag041
- Bierens, J., Postma - Jacobi, L., Frehe, K., Wagemans, B., Bos, D., de Jong, P. A., Nederkoorn, P. J., Mess, W., Kopczak, A., Schindler, A., Saam, T., Saba, L., Smits, L., van Oostenbrugge, R. J., & Kooi, E. (2026). Comparison of MRI- and CTA-Based Plaque-RADS to Predict Stroke and TIA in Symptomatic Carotid Disease. JACC-Cardiovascular Imaging, 19(5), 656-658. https://doi.org/10.1016/j.jcmg.2025.10.009
- van Poppel, L. M., de Vries, L., Mojtahedi, M., Kappelhof, M., Olthuis, S. G. H., van Oostenbrugge, R., van Zwam, W. H., van Doormaal, P. J., Beenen, L. F. M., Roos, Y. B. W. E. M., Majoie, C. B. L. M., Marquering, H. A., & Emmer, B. J. (2026). Machine learning models for CT-based classification of ischemic stroke onset time within or beyond 4.5 h: a comparison of approaches. European Radiology, 36(5), 3722-3732. https://doi.org/10.1007/s00330-025-12189-6
- Kök, M., Bokkers, R. P. H., Dippel, D. W. J., van der Lugt, A., van Doormaal, P. J., Roos, Y. B. W. E. M., Majoie, C. B. L. M., van Oostenbrugge, R. J., van Zwam, W. H., Zeebregts, C. J., & Uyttenboogaart, M. (2026). Use of a Balloon Guide Catheter during Endovascular Treatment of Acute Ischaemic Stroke due to Large Vessel Occlusion in the Anterior Circulation in Patients with an Atherosclerotic Tandem Lesion. European Journal of Vascular and Endovascular Surgery, 71(5), 734-741. https://doi.org/10.1016/j.ejvs.2025.10.044
- Bruijel, J., Stapert, S., Vermeeren, A., Staals, J., Ponsford, J., & van Heugten, C. (2026). Course of Fatigue and Sleep After Moderate to Severe Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, 41(2), E146-E156. https://doi.org/10.1097/HTR.0000000000001078
- Nies, K. P. H., Willems, J. C. L., van Dam-Nolen, D. H. K., Bierens, J., Schreuder, T. A. H. C. M. L., van Orshoven, N. P., Bos, D., de Jong, P. A., Nederkoorn, P., Postma, A. A., Mess, W. H., van Oostenbrugge, R. J., & Kooi, M. E. (2026). Prognostic value of plaque burden on computed tomography angiography in patients with symptomatic carotid artery disease. European Stroke Journal, 11(4), Article aakag030. https://doi.org/10.1093/esj/aakag030
- Huijberts, I., Oostenbrugge, R. J. V., Zwam, W. H. V., Postma, A. A., & Pinckaers, F. M. E. (2026). Costs of productivity loss up to two years after ischaemic stroke. European Journal of Health Economics, 27(3), 691-698. https://doi.org/10.1007/s10198-025-01856-6
- Rallios, D., Hilbert, A., Majoie, C., van Zwam, W. V. H., van der Lugt, A., Bendszus, M., Bonekamp, S., Vajkoczy, P., Aydin, O. U., & Frey, D. (2026). Cerebrovascular CTA radiomics for objective collateral grading in acute ischemic stroke. European Radiology Experimental, 10(1), Article 27. https://doi.org/10.1186/s41747-026-00680-8
- Handelsmann, H.-L., Herzog, L., Hoving, A.-J., Majoie, C., Van Zwam, W., Van der Lugt, A., Wegener, S., & MR CLEAN Investigators (2026). Futile recanalisation in patients with anterior large vessel occlusion stroke randomised to mechanical thrombectomy. Journal of the Neurological Sciences, 482, Article 125772. https://doi.org/10.1016/j.jns.2026.125772
- Berends, E., Eussen, S. J. P. M., Backes, W. H., Dagnelie, P. C., Jansen, J. F. A., Galan, B. E. D., Greevenbroek, M. M. J. V., Kohler, S., Schram, M. T., Wesselius, A., Oostenbrugge, R. J., Foulquier, S., & Schalkwijk, C. G. (2026). Associations between methylglyoxal and cerebral small vessel disease and cognitive function-The Maastricht Study. Journal of Stroke & Cerebrovascular Diseases, 35(3), Article 108578. https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108578
- van Poppel, L. M., de Vries, L., Mojtahedi, M., van Voorst, H., Kappelhof, M., Olthuis, S. G. H., van Oostenbrugge, R. J., van Zwam, W. H., van Doormaal, P., Beenen, L. F. M., Roos, Y. B. W. E. M., Majoie, C. B. L. M., Marquering, H. A., & Emmer, B. J. (2026). CTP-Free Method for Automated Lesion Water Uptake in Acute Ischemic Stroke. American Journal of Neuroradiology, 47(3), 620-627. https://doi.org/10.3174/ajnr.A9054
- Vos, E. M., Peeters-Scholte, C. M. P. C. D., den Hartog, S. J., Lingsma, H. F., van Zwam, W. H., van Oostenbrugge, R. J., Uyttenboogaart, M., van Es, A. C. G. M., Majoie, C. L. M., van der Worp, H. B., Coutinho, J. M., Nederkoorn, P. J., Kruyt, N. D., Dippel, D. W. J., Roozenbeek, B., van den Wijngaard, I. R., & MR CLEAN Registry Investigators (2026). Endovascular treatment in patients with renal dysfunction: results of the MR CLEAN Registry. European Stroke Journal, 11(4), Article aakag038. https://doi.org/10.1093/esj/aakag038
- te Nijenhuis, F., van der Sluijs, M., van Doormaal, P. J., van Zwam, W., Hofmeijer, J., Zhang, X., Cornelissen, S., Ruijters, D., Su, R., & van Walsum, T. (2026). Integrating cross-sectional imaging data into functional outcome prediction models for acute ischemic stroke of the anterior circulation. Neuroscience Informatics, 6(1), Article 100260. https://doi.org/10.1016/j.neuri.2026.100260
- Huijberts, I., Wagemans, B. A. J. M., Pinckaers, F. M. E., Robbe, M. M. Q., van Zwam, W. H., van Oostenbrugge, R. J., & Postma, A. A. (2026). Visualisation of lenticulostriate arteries using photon counting detector CT angiography: A retrospective cohort study. European Journal of Radiology, 195, Article 112618. https://doi.org/10.1016/j.ejrad.2025.112618
- van der Sluijs, P. M., Su, R., Schoon, B. A., van de Graaf, R. A., Cornelissen, S. A. P., van Es, A. C. G. M., van Doormaal, P. J., Hofmeijer, J., Roozenbeek, B., van Zwam, W. H., van der Lugt, A., van Walsum, T., & MR CLEAN Registry Investigators (2026). Perfusion Angiography in Reperfused Patients with Ischemic Stroke: differentiating between favorable and unfavorable outcome. American Journal of Neuroradiology, 47(1), 59-65. Article ajnr.A8936. https://doi.org/10.3174/ajnr.A8936
- Doheim, M. F., Knapen, R. R. M. M., Dippel, D. W. J., Staals, J., Hofmeijer, J., van Es, A. C. G. M., Coutinho, J. M., van der Leij, C., Nogueira, R. G., van Oostenbrugge, R. J., van Zwam, W. H., & MR CLEAN Registry Investigators (2026). Association of anesthesia strategies with outcomes in endovascular treatment for distal and medium vessel occlusions: A propensity score-matched analysis of the MR CLEAN registry and meta-analysis. European Stroke Journal, 11(1), Article 23969873251352406. https://doi.org/10.1177/23969873251352406
- Wang, Y., Luijten, S. P. R., Bos, D., Mulder, I. A., Kappelhof, M., Westendorp, W. F., Emmer, B. J., Roosendaal, S. D., Roos, Y. B. W. M., Van Den Wijngaard, I. R., Van Oostenbrugge, R. J., Van De Beek, D., Coutinho, J. M., & MR CLEAN Registry Investigators (2026). Association of CRP levels and clinical and radiological outcomes in patients with large-vessel occlusion stroke: A MR CLEAN Registry study. European Stroke Journal, 11(1), Article 23969873251357134. https://doi.org/10.1177/23969873251357134
- Reitsma, F. J., van Kuijk, S. M. J., Werring, D. J., Banerjee, G., Cordonnier, C., Kaaouana, O., Puy, L., Biffi, A., Viswanathan, A., van Oostenbrugge, R. J., Staals, J., & Rouhl, R. P. W. (2026). Development and external validation of the LEAN score to predict late seizures after intracerebral haemorrhage. European Stroke Journal, 11(1), Article 23969873251350882. https://doi.org/10.1177/23969873251350882
- Schenck, H., van Kuijk, S. M. J., Vink, H., Gommer, E., Mess, W., de Ridder, I. R., Hoogland, G., Teernstra, O., Dings, J., Aries, M., Temel, Y., & Haeren, R. (2026). Feasibility of sidestream darkfield imaging of the sublingual and conjunctival microcirculation in aneurysmal subarachnoid haemorrhage patients: A technical report. Journal of Stroke & Cerebrovascular Diseases, 35(1), Article 108498. https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108498
- Schellekens, M. M. I., Li, H., Wijnands, M., Papounidou, A., Boot, E. M., Verhoeven, J. I., Ekker, M. S., van Alebeek, M. E., Brouwers, P. J. A. M., Arntz, R. M., van Dijk, G. W., Gons, R. A. R., van Uden, I. W. M., Heijer, T. D., van Tuijl, J. H., de Laat, K. F., van Norden, A. G. W., Vermeer, S. E., van Zagten, M. S. G., ... Tuladhar, A. M. (2026). Lesion locations are associated with cognitive impairment after ischemic stroke in young adults. NeuroImage: Clinical, 49, Article 103930. https://doi.org/10.1016/j.nicl.2025.103930
- Bierens, J., Kuijpers, J., Pinckaers, F. M. E., Saba, L., Smits, L. J. M., van Oostenbrugge, R. J., Flohr, T., Kooi, M. E., & Postma, A. A. (2026). Spectral Photon-Counting Detector CT for Comprehensive Evaluation of Carotid Plaque and Stenosis. Investigative Radiology. Advance online publication. https://doi.org/10.1097/RLI.0000000000001291
- Kersten, C., Zandbergen, A. A. M., Olthuis, S. G. H., Van Zwam, W., Hofmeijer, J., Emmer, B. J., Hoving, J. W., van Oostenbrugge, R. J., & den Hertog, H. (2026). Hyperglycaemia does not modify the efficacy of endovascular therapy in the late time window (6-24 hours). International journal of stroke, 21(1), 138-145. https://doi.org/10.1177/17474930251358824
- Bierens, J., Ament, S. M. C., Truijman, M. T. B., de Borst, G. J., Nederkoorn, P. J., Bos, D., Joore, M. A., Postma, A. A., Kooi, M. E., van Oostenbrugge, R. J., Smits, L. J. M., & IMPROVE Investigators (2026). Plaque Magnetic Resonance Imaging Based Decision Rule for the Selection of Symptomatic Patients for Carotid Revascularisation: Clinician Perspectives on Acceptability and Implementation Barriers in the Netherlands. European Journal of Vascular and Endovascular Surgery, 71(1), 5-11. https://doi.org/10.1016/j.ejvs.2025.08.022
- 2025
- van Kempen, E. J., Schellekens, M. M. I., Verhoeven, J. I., Ekker, M. S., Verburgt, E., Immens, M. H. M., Hilkens, N. A., Boot, E. M., van Alebeek, M. E., Brouwers, P. J. A. M., Arntz, R. M., van Dijk, G. W., Gons, R. A. R., van Uden, I. W. M., den Heijer, T., van Tuijl, J. H., de Laat, K. F., van Norden, A. G. W., Vermeer, S. E., ... Tuladhar, A. M. (2025). Prevalence and Factors Associated With Atrial Fibrillation Among Young Patients With Ischemic Stroke. Journal of the American Heart Association, 14(24), Article e043996. https://doi.org/10.1161/JAHA.125.043996
- Schenck, H., De Ridder, I., Gommer, E., Mess, W., Hoogland, G., Teernstra, O., Dings, J., Kuijk, S. V., Temel, Y., & Haeren, R. (2025). In vivo glycocalyx assessment in aneurysmal subarachnoid hemorrhage patients: protocol for a prospective observational feasibility study. Pilot and Feasibility Studies, 11(1), Article 154. https://doi.org/10.1186/s40814-025-01735-0
- Knapen, R. R. M. M., Doheim, M. F., Audebert, H. J., Mont'Alverne, F., Puetz, V., Michel, P., Liu, X., Dai, Q., Hu, W., Tao, C., Liu, R., Xu, P., Li, C., Ji, X., Jovin, T. G., van der Leij, C., van Oostenbrugge, R. J., van Zwam, W. H., Nogueira, R. G., ... VERITAS Collaborators (2025). Intravenous Thrombolysis Prior to Endovascular Treatment in Basilar Artery Occlusions: A Patient Pooled Analysis of Four Randomized Controlled Trials. Cardiovascular and Interventional Radiology, 48(12), 1869-1877. https://doi.org/10.1007/s00270-025-04251-z




