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Photo of Achala Vagal, MD

Achala Vagal, MD

Professor - Clin

MD

COM Radiology Neuroradiology

Education/Credentials
  • Bachelor's Degree: Sir Parshurambhau
  • Medical Degree: MBBS with Honors: Grant Medical College and Sir J.J Group of Hospitals
  • Medical Internship: University of Mumbai
  • Residency : University of Mumbai
  • Neuroradiology Fellowship: University of Cincinnati Medical Center
  • Fellowship in Body Imaging: University of Cincinnati Medical Center
Board Certifications & Licenses

American Board of Radiology (Neuroradiology) (Certification Date: 10/18/2012)
American Board of Radiology (Diagnostic Radiology) (Certification Date: 06/06/2007) - (Recertification Date: 01/01/2018)

Clinical Interest

Diagnostic Radiology
Radiology

Specialties

Neuroradiology
Radiology-Diagnostic

Contact Information
  • UC Institute Member Seal

Peer Reviewed Publications

England, Eric; Kanfi, Alisa; Flink, Carl; Vagal, Achala; Sarkany, David; Patel, Maitray D; Milburn, James; Chadalavada, Seetharam; Jordan, Sheryl 2020. Radiology Residency Program Management in the COVID Era - Strategy and Reality. Academic radiology, 27 8, 1140-1146

Jasne, Adam S; Alsherbini, Khalid A; Smith, Matthew S; Kuohn, Lindsey R; Pandhi, Abhi; Vagal, Achala; Kanter, Daniel S 2020. Response to "Malignant cerebella edema in three-year-old girl following accidental opioid ingestion and fentanyl administration". The neuroradiology journal, 33 2, 158

Mahammedi, Abdelkader; Saba, Luca; Vagal, Achala; Leali, Michela; Rossi, Andrea; Gaskill, Mary; Sengupta, Soma; Zhang, Bin; Carriero, Alessandro; Bachir, Suha; Crivelli, Paola; Paschè, Alessio; Premi, Enrico; Padovani, Alessandro; Gasparotti, Roberto 2020. Imaging in Neurological Disease of Hospitalized COVID-19 Patients: An Italian Multicenter Retrospective Observational Study. Radiology, , 201933

Miyares, Laura C; Falcone, Guido J; Leasure, Audrey; Adeoye, Opeolu; Shi, Fu-Dong; Kittner, Steven J; Langefeld, Carl; Vagal, Achala; Sheth, Kevin N; Woo, Daniel 2020. Race/ethnicity influences outcomes in young adults with supratentorial intracerebral hemorrhage. Neurology, ,

Schirmer, Markus D; Donahue, Kathleen L; Nardin, Marco J; Dalca, Adrian V; Giese, Anne-Katrin; Etherton, Mark R; Mocking, Steven J T; McIntosh, Elissa C; Cole, John W; Holmegaard, Lukas; Jood, Katarina; Jimenez-Conde, Jordi; Kittner, Steven J; Lemmens, Robin; Meschia, James F; Rosand, Jonathan; Roquer, Jaume; Rundek, Tatjana; Sacco, Ralph L; Schmidt, Reinhold; Sharma, Pankaj; Slowik, Agnieszka; Stanne, Tara M; Vagal, Achala; Wasselius, Johan; Woo, Daniel; Bevan, Stephen; Heitsch, Laura; Phuah, Chia-Ling; Strbian, Daniel; Tatlisumak, Turgut; Levi, Christopher R; Attia, John; McArdle, Patrick F; Worrall, Bradford B; Wu, Ona; Jern, Christina; Lindgren, Arne; Maguire, Jane; Thijs, Vincent; Rost, Natalia S 2020. Brain Volume: An Important Determinant of Functional Outcome After Acute Ischemic Stroke. Mayo Clinic proceedings, 95 5, 955-965

Smith, Matthew S; Bonomo, Jordan; Knight, William A; Prestigiacomo, Charles J; Richards, Christopher T; Ramser, Evan; Adeoye, Opeolu; Bertsch, Stuart; Shirani, Peyman; Vagal, Achala; Fichtenbaum, Carl J; Housholder, Anne; Khatri, Pooja; Kleindorfer, Dawn O; Broderick, Joseph P; Grossman, Aaron W 2020. Endovascular Therapy for Patients With Acute Ischemic Stroke During the COVID-19 Pandemic: A Proposed Algorithm. Stroke, 51 6, 1902-1909

Vagal, Achala; Mahoney, Mary; Allen, Becky; Kapur, Sangita; Udstuen, Gavin; Wang, Lily; Braley, Susan; Makramalla, Abouelmagd; Chadalavada, Seetharam; Choe, Kyuran A; Scheler, Jennifer; Brown, Ann; England, Eric; Hudepohl, Joseph; Rybicki, Frank J 2020. Rescheduling Nonurgent Care in Radiology: Implementation During the Coronavirus Disease 2019 (COVID-19) Pandemic. Journal of the American College of Radiology : JACR, 17 7, 882-889

Vagal, Achala; Reeder, Scott B; Sodickson, Daniel K; Goh, Vicky; Bhujwalla, Zaver M; Krupinski, Elizabeth A 2020. The Impact of the COVID-19 Pandemic on the Radiology Research Enterprise: Radiology Scientific Expert Panel. Radiology, , 201393

Hartings, Jed A; Andaluz, Norberto; Bullock, M Ross; Hinzman, Jason M; Mathern, Bruce; Pahl, Clemens; Puccio, Ava; Shutter, Lori A; Strong, Anthony J; Vagal, Achala; Wilson, J Adam; Dreier, Jens P; Ngwenya, Laura B; Foreman, Brandon; Pahren, Laura; Lingsma, Hester; Okonkwo, David O 2019. Prognostic Value of Spreading Depolarizations in Patients With Severe Traumatic Brain Injury. JAMA neurology, ,

Jasne, Adam S; Alsherbini, Khalid H; Smith, Matthew S; Pandhi, Abhi; Vagal, Achala; Kanter, Daniel 2019. Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) Syndrome. Neurocritical care, 31 2, 288-296

Nael, Kambiz; Sakai, Yu; Khatri, Pooja; Prestigiacomo, Charles J; Puig, Josep; Vagal, Achala 2019. Imaging-based Selection for Endovascular Treatment in Stroke. Radiographics : a review publication of the Radiological Society of North America, Inc, 39 6, 1696-1713

Potter, Christopher A; Vagal, Achala S; Goyal, Mayank; Nunez, Diego B; Leslie-Mazwi, Thabele M; Lev, Michael H 2019. CT for Treatment Selection in Acute Ischemic Stroke: A Code Stroke Primer. Radiographics : a review publication of the Radiological Society of North America, Inc, 39 6, 1717-1738

Schirmer, Markus D; Dalca, Adrian V; Sridharan, Ramesh; Giese, Anne-Katrin; Donahue, Kathleen L; Nardin, Marco J; Mocking, Steven J T; McIntosh, Elissa C; Frid, Petrea; Wasselius, Johan; Cole, John W; Holmegaard, Lukas; Jern, Christina; Jimenez-Conde, Jordi; Lemmens, Robin; Lindgren, Arne G; Meschia, James F; Roquer, Jaume; Rundek, Tatjana; Sacco, Ralph L; Schmidt, Reinhold; Sharma, Pankaj; Slowik, Agnieszka; Thijs, Vincent; Woo, Daniel; Vagal, Achala; Xu, Huichun; Kittner, Steven J; McArdle, Patrick F; Mitchell, Braxton D; Rosand, Jonathan; Worrall, Bradford B; Wu, Ona; Golland, Polina; Rost, Natalia S 2019. White matter hyperintensity quantification in large-scale clinical acute ischemic stroke cohorts - The MRI-GENIE study. NeuroImage. Clinical, 23 , 101884

Vagal, Achala; Wahab, Shaun A; Butcher, Bain; Zettel, Nat; Kemper, Erik; Vogel, Craig; Mahoney, Mary 2019. Human-Centered Design Thinking in Radiology. Journal of the American College of Radiology : JACR, ,

Vagal, Achala; Wahab, Shaun; Lecky, Shari; Washburn, Erica; Schwartz, Robert; Vogel, Craig; Mahoney, Mary 2019. Optimizing Patient Experience Using Human-Centered Design. Journal of the American College of Radiology : JACR, ,

Vagal, Achala; Wintermark, Max; Nael, Kambiz; Bivard, Andrew; Parsons, Mark; Grossman, Aaron W; Khatri, Pooja 2019. Automated CT perfusion imaging for acute ischemic stroke: Pearls and pitfalls for real-world use. Neurology, 93 20, 888-898

Whitlow, Christopher T; Lev, Michael H; Vagal, Achala S 2019. The 2019 RadioGraphics Monograph Issue: Emergency Neuroradiology. Radiographics : a review publication of the Radiological Society of North America, Inc, 39 6, 1569-1570

Wu, Ona; Winzeck, Stefan; Giese, Anne-Katrin; Hancock, Brandon L; Etherton, Mark R; Bouts, Mark J R J; Donahue, Kathleen; Schirmer, Markus D; Irie, Robert E; Mocking, Steven J T; McIntosh, Elissa C; Bezerra, Raquel; Kamnitsas, Konstantinos; Frid, Petrea; Wasselius, Johan; Cole, John W; Xu, Huichun; Holmegaard, Lukas; Jiménez-Conde, Jordi; Lemmens, Robin; Lorentzen, Eric; McArdle, Patrick F; Meschia, James F; Roquer, Jaume; Rundek, Tatjana; Sacco, Ralph L; Schmidt, Reinhold; Sharma, Pankaj; Slowik, Agnieszka; Stanne, Tara M; Thijs, Vincent; Vagal, Achala; Woo, Daniel; Bevan, Stephen; Kittner, Steven J; Mitchell, Braxton D; Rosand, Jonathan; Worrall, Bradford B; Jern, Christina; Lindgren, Arne G; Maguire, Jane; Rost, Natalia S 2019. Big Data Approaches to Phenotyping Acute Ischemic Stroke Using Automated Lesion Segmentation of Multi-Center Magnetic Resonance Imaging Data. Stroke, 50 7, 1734-1741

Benoit JL, Khatri P, Adeoye OM, Broderick JP, McMullan JT, Scheitz JF, Vagal AS, Eckman MH 2018. Prehospital Triage of Acute Ischemic Stroke Patients to an Intravenous tPA-Ready versus Endovascular-Ready Hospital: A Decision Analysis Prehosp Emerg Care, , 1

Ditmer A, Zhang B, Shujaat T, Pavlina A, Luibrand N, Gaskill-Shipley M, Vagal A 2018. Diagnostic accuracy of MRI texture analysis for grading gliomas J neuooncol, 140 3, 583

Ditmer, Austin; Zhang, Bin; Shujaat, Taimur; Pavlina, Andrew; Luibrand, Nicholas; Gaskill-Shipley, Mary; Vagal, Achala 2018. Diagnostic accuracy of MRI texture analysis for grading gliomas. Journal of neuro-oncology, 140 3, 583-589

Khatri P, Kleindorfer DO, Devlin T, Sawyer RN Jr, Starr M, Mejilla J, Broderick J, Chatterjee A, Jauch EC, Levine SR, Romano JG, Saver JL, Vagal A, Purdon B, Devenport J, Pavlov A, Yeatts SD; PRISMS Investigators. 2018. Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial. JAMA, 320 2, 156

Khatri, Pooja; Kleindorfer, Dawn O; Devlin, Thomas; Sawyer, Robert N; Starr, Matthew; Mejilla, Jennifer; Broderick, Joseph; Chatterjee, Anjan; Jauch, Edward C; Levine, Steven R; Romano, Jose G; Saver, Jeffrey L; Vagal, Achala; Purdon, Barbara; Devenport, Jenny; Pavlov, Andrey; Yeatts, Sharon D 2018. Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial. JAMA, 320 2, 156-166

Pavlina AA, Radhakrishnan R, Vagal AS 2018. Role of imaging in acute ischemic stroke Semin Ultrasound CT MR, 39 5, 412

Pavlina, Andrew A; Radhakrishnan, Rupa; Vagal, Achala S 2018. Role of Imaging in Acute Ischemic Stroke. Seminars in ultrasound, CT, and MR, 39 5, 412-424

Vagal A, Aviv R, Sucharew H, Reddy M, Hou Q, Michel P, Jovin T, Tomsick T, Wintermark M, Khatri P 2018. Collateral Clock Is More Important Than Time Clock for Tissue Fate Stroke, 49 9, 2102

Vagal, Achala; Aviv, Richard; Sucharew, Heidi; Reddy, Mahati; Hou, Qinghua; Michel, Patrik; Jovin, Tudor; Tomsick, Thomas; Wintermark, Max; Khatri, Pooja 2018. Collateral Clock Is More Important Than Time Clock for Tissue Fate. Stroke, 49 9, 2102-2107

Vagal, Achala; Aviv, Richard; Wintermark, Max 2018. Response by Vagal et al to Letter Regarding Article, "Collateral Clock Is More Important Than Time Clock for Tissue Fate: A Natural History Study of Acute Ischemic Strokes". Stroke, 49 12, e340

Yeatts SD, Broderick JP, Chatterjee A, Jauch EC, Levine SR, Romano JG, Saver JL, Vagal A, Purdon B, Devenport J, Khatri P 2018. Alteplase for the treatment of acute ischemic stroke in patients with low National Institutes of Health Stroke Scale and not clearly disabling deficits (Potential of rtPA for Ischemic Strokes with Mild Symptoms PRISMS): Rationale and design Int J Stroke, 13 6, 654

Yeatts, Sharon D; Broderick, Joseph P; Chatterjee, Anjan; Jauch, Edward C; Levine, Steven R; Romano, Jose G; Saver, Jeffrey L; Vagal, Achala; Purdon, Barbara; Devenport, Jenny; Khatri, Pooja 2018. Alteplase for the treatment of acute ischemic stroke in patients with low National Institutes of Health Stroke Scale and not clearly disabling deficits (Potential of rtPA for Ischemic Strokes with Mild Symptoms PRISMS): Rationale and design. International journal of stroke : official journal of the International Stroke Society, 13 6, 654-661

Sato, Shoichiro; Delcourt, Candice; Heeley, Emma; Arima, Hisatomi; Zhang, Shihong; Al-Shahi Salman, Rustam; Stapf, Christian; Woo, Daniel; Flaherty, Matthew L; Vagal, Achala; Levi, Christopher; Davies, Leo; Wang, Jiguang; Robinson, Thompson; Lavados, Pablo M; Lindley, Richard I; Chalmers, John; Anderson, Craig S 2016. Significance of Cerebral Small-Vessel Disease in Acute Intracerebral Hemorrhage. Stroke, 47 3, 701-7

Schmitz, Marie L; Yeatts, Sharon D; Tomsick, Thomas A; Liebeskind, David S; Vagal, Achala; Broderick, Joseph P; Khatri, Pooja 2016. Recanalization and Angiographic Reperfusion Are Both Associated with a Favorable Clinical Outcome in the IMS III Trial. Interventional neurology, 5 3-4, 118-122

Vagal, Achala; Menon, Bijoy K; Foster, Lydia D; Livorine, Anthony; Yeatts, Sharon D; Qazi, Emmad; d'Esterre, Chris; Shi, Junzi; Demchuk, Andrew M; Hill, Michael D; Liebeskind, David S; Tomsick, Thomas; Goyal, Mayank 2016. Association Between CT Angiogram Collaterals and CT Perfusion in the Interventional Management of Stroke III Trial. Stroke, 47 2, 535-8

Warach, Steven J; Luby, Marie; Albers, Gregory W; Bammer, Roland; Bivard, Andrew; Campbell, Bruce C V; Derdeyn, Colin; Heit, Jeremy J; Khatri, Pooja; Lansberg, Maarten G; Liebeskind, David S; Majoie, Charles B L M; Marks, Michael P; Menon, Bijoy K; Muir, Keith W; Parsons, Mark W; Vagal, Achala; Yoo, Albert J; Alexandrov, Andrei V; Baron, Jean-Claude; Fiorella, David J; Furlan, Anthony J; Puig, Josep; Schellinger, Peter D; Wintermark, Max 2016. Acute Stroke Imaging Research Roadmap III Imaging Selection and Outcomes in Acute Stroke Reperfusion Clinical Trials: Consensus Recommendations and Further Research Priorities. Stroke, 47 5, 1389-98

Adeoye, Opeolu; Sucharew, Heidi; Khoury, Jane; Vagal, Achala; Schmit, Pamela A; Ewing, Irene; Levine, Steven R; Demel, Stacie; Eckerle, Bryan; Katz, Brian; Kleindorfer, Dawn; Stettler, Brian; Woo, Daniel; Khatri, Pooja; Broderick, Joseph P; Pancioli, Arthur M 2015. Combined Approach to Lysis Utilizing Eptifibatide and Recombinant Tissue-Type Plasminogen Activator in Acute Ischemic Stroke-Full Dose Regimen Stroke Trial. Stroke, 46 9, 2529-33

Vagal, Achala S; Sucharew, Heidi; Prabhakaran, Shyam; Khatri, Pooja; Jovin, Tudor; Michel, Patrik; Wintermark, Max 2015. Final infarct volume discriminates outcome in mild strokes. The neuroradiology journal, 28 4, 404-8

Hartings JA, Wilson JA, Look AC, Vagal AS, Shutter LA, Dreier JP, Ringer A, Zuccarello M 2013. Patients with Aneurysmal Subarchnoid Hemorrhage Acta Neurochir Suppl, 27 115, 131-141

Chapman T, Carrico C, Vagal A, Paladin A 2012. Promotion as a Clinician Educator in Academic Radiology Departments: Guidelines at Three Major Institutions Acad Radiol, 19 1, 119-124

Von Fischer N, Eng H, Vagal AS 2012. Early Diffusion Weighted Imaging Findings in Hypoxic Anoxic Injury: Case Series and Review of the Literature Neuroadiol J, 25 1, 22-29

Meyer CA, Vagal AS, Seaman D 2011. Put Your Back Into It: Pathologic Conditions of the Spine at Chest CT Radiographics, 31 , 1425-1441

Thangasamy SJ, Vagal AS, Seaman D 2011. Remote Cerebellar Hemorrhage as an Unusual Complication of Supratentorial Surgery: Case Report and Review of Literature Neuroradiol J, 1 17, 827-830

Air EL, Vagal AS, Kendler A, McPherson CM 2010. Isolated Cerebellar Mucormycosis, Slowly Progressive Over One Year in an Immunocompetent Patient Surg Neurol Int, 1 , 81

Andaluz N, Choutka O, Vagal AS, Strunk R, Zuccarello M 2010. Patient Selection for Revascularization Procedures in Adult Moya Moya Disease Based on Dynamic Perfusion Computerized Tomography with Acetazolamide Challenge (PCTA) Neurosurg Rev, 33 2, 225-233

Moore M, Vagal AS, Strub W, Leach JL 2010. Reducing the Gray Zone: Imaging Spectrum of Hypoperfusion and Hypoxic Brain Injury in Adults Emerg Radiol, 7 2, 123-130

O'Brien W, Vagal AS 2010. CT Angiograms in Neuroimaging Sem in Roetgenol, 45 2, 107-115

Vagal AS, Leach JL, Fernandez M, Zuccarello M 2009. The Acetazolamide Challenge: Techniques and Applications in the Evaluation of Chronic Cerebral Ischemia Am J Neuroradiol , 30 5, 876-884

Akbar JJ, Meyer CA, Shipley RT, Vagal AS 2008. Cardiopulmonary Imaging in Sarcoidosis Clin Chest Med, 29 , 429-443

Fodor DW, Vagal AS, Wismann RD, Choe KA 2008. Meniscal Gymnastics: Common and Uncommon Locations Of Meniscal Flip and Flop Curr Probl Diagn Radiol, 37 , 15-25

WM Strub, JL Leach, T Tomsick, ASVagal 2007. Overnight Preliminary Head CT Interpretations Provided by Residents: Locations of Misidentified Intracranial Hemorrhage Am J Neuroradiol , 28 , 1679-1682

Vagal AS, Starnes A, Bakkar R, Meyer C 2006. Semi Invasive Aspergillosis with Chest Wall and Spinal Involvement: A Case Report and Discussion J Infect Dis Clin Prac, 14 6, 369-372

Vagal AS, Choe K 2005. Case Report and Discussion: "A Patient with Mental Status Changes and Multiple Hepatic Calcifications J Infect Dis Clin Prac, 13 4, 190-195

Strub WM, Vagal AS, Tomsick T, Moulton JS 10-2006. Overnight Resident Preliminary Interpretations on CT Examinations: Should the Process Continue? Emerg Radiol, 13 1, 19-23

Meyer, CA, Hall, JE, Mehall JR, Wolf RK, Schneeberger EW, Vagal AS, Strunk, RS, Hahn HS 07-2007. Impact of Preoperative 64-Slice CT Scanning on Mini-Maze Atrial Fibrillation Surgery Innov Techno Tech Cardiothorac Vasc Surg, 2 4, 169-175

Strub WM, Vagal AS, Meyer C 07-2007. Optimizing Coronary Artery Imaging in Patients with Atrial Fibrillation with ECG-gated 64-MDCT Am J Roentgenol, 189 1, W50-1

Vagal AS, Shipley RT, Meyer CA 05-2007. Radiographic Manifestations of Sarcoidosis Clin Dermatol, 25 3, 312-25

McKenzie JT, Guarnaschelli JN, Vagal AS, Warnick RE, Breneman JC 04-2013. Hypofractionated Stereotactic Radiotheraphy for Unifocal and Multifocal Recurrence of Malignant Gliomas. JNeurooncol, ,

Strub WM, Leach JL,Ying J, Vagal AS 02-2007. First Year Radiology Residents Not Taking Call: Will There Be a Difference? Emerg Radiol, 13 5, 231-5

Benoit, Justin L; Khatri, Pooja; Adeoye, Opeolu M; Broderick, Joseph P; McMullan, Jason T; Scheitz, Jan F; Vagal, Achala S; Eckman, Mark H . Prehospital Triage of Acute Ischemic Stroke Patients to an Intravenous tPA-Ready versus Endovascular-Ready Hospital: A Decision Analysis. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 22 6, 722-733

Guarnaschelli, Jess N; Vagal, Achala S; McKenzie, Joshua T; McPherson, Christopher M; Warnick, Ronald E; Batra, Vivek; Breneman, John C; Lamba, Michael A . Target definition for malignant gliomas: no difference in radiation treatment volumes between 1.5T and 3T magnetic resonance imaging. Practical radiation oncology, 4 5, e195-201

Plancher, Joao McONeil; Hufnagel, Robert B; Vagal, Achala; Peariso, Katrina; Saal, Howard M; Broderick, Joseph P . Case of Small Vessel Disease Associated with COL4A1 Mutations following Trauma. Case reports in neurology, 7 2, 142-7

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Department of Anesthesiology

Medical Sciences Building
Room 3502
231 Albert Sabin Way
PO Box 670531
Cincinnati, OH 45267-0531

Mail Location: 0531
Phone: 513-558-2402
Fax: 513-558-0995
Email: mcclanpa@ucmail.uc.edu