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Javier M. Romero, M.D.

TitleAssistant Professor of Radiology
InstitutionMassachusetts General Hospital
DepartmentRadiology
AddressMassachusetts General Hospital
GRY Building of 246
55 Fruit St
Boston MA 02114
Phone617/726-8789
Fax617/726-8395

 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Blanchard MS, Romero JM, Hoang MP. Case records of the Massachusetts General Hospital. Case 1-2014. A 32-year-old man with loss of vision and a rash. N Engl J Med. 2014 Jan 9; 370(2):159-66.
    View in: PubMed
  2. Romero JM, Pizzolato R, Atkinson W, Meader A, Jaimes C, Lamuraglia G, Jaff MR, Buonanno F, Almandoz JD, Gonzalez RG. Vasa vasorum enhancement on computerized tomographic angiography correlates with symptomatic patients with 50% to 70% carotid artery stenosis. Stroke. 2013 Dec; 44(12):3344-9.
    View in: PubMed
  3. Ciura VA, Romero JM. Nontraumatic acute intraparenchymal hemorrhage: algorithm for workup and differential diagnosis. Semin Roentgenol. 2014 Jan; 49(1):112-26.
    View in: PubMed
  4. Romero JM, Brouwers HB, Lu J, Delgado Almandoz JE, Kelly H, Heit J, Goldstein J, Rosand J, Gonzalez RG. Prospective validation of the computed tomographic angiography spot sign score for intracerebral hemorrhage. Stroke. 2013 Nov; 44(11):3097-102.
    View in: PubMed
  5. Brouwers HB, Backes D, Kimberly WT, Schwab K, Romero JM, Velthuis BK, Klijn CJ, Ogilvy CS, Regli L, Greenberg SM, Rosand J, Rinkel GJ, Goldstein JN. Computed tomography angiography spot sign does not predict case fatality in aneurysmal subarachnoid hemorrhage with intraparenchymal extension. Stroke. 2013 Jun; 44(6):1590-4.
    View in: PubMed
  6. Kamalian S, Kamalian S, Pomerantz SR, Tanpitukpongse TP, Gupta R, Romero JM, Katz DS. Role of cardiac and extracranial vascular CT in the evaluation/management of cerebral ischemia and stroke. Emerg Radiol. 2013 Oct; 20(5):417-28.
    View in: PubMed
  7. González RG, Copen WA, Schaefer PW, Lev MH, Pomerantz SR, Rapalino O, Chen JW, Hunter GJ, Romero JM, Buchbinder BR, Larvie M, Hirsch JA, Gupta R. The Massachusetts General Hospital acute stroke imaging algorithm: an experience and evidence based approach. J Neurointerv Surg. 2013 May; 5 Suppl 1:i7-i12.
    View in: PubMed
  8. Romero JM, Kelly HR, Delgado Almandoz JE, Hernandez-Siman J, Passanese JC, Lev MH, González RG. Contrast Extravasation on CT Angiography Predicts Hematoma Expansion and Mortality in Acute Traumatic Subdural Hemorrhage. AJNR Am J Neuroradiol. 2013 Aug; 34(8):1528-34.
    View in: PubMed
  9. Pizzolato R, Hirsch JA, Romero JM. Imaging challenges of carotid artery in-stent restenosis. J Neurointerv Surg. 2014 Jan 1; 6(1):32-41.
    View in: PubMed
  10. Brouwers HB, Falcone GJ, McNamara KA, Ayres AM, Oleinik A, Schwab K, Romero JM, Viswanathan A, Greenberg SM, Rosand J, Goldstein JN. CTA Spot Sign Predicts Hematoma Expansion in Patients with Delayed Presentation After Intracerebral Hemorrhage. Neurocrit Care. 2012 Dec; 17(3):421-8.
    View in: PubMed
  11. Brouwers HB, Goldstein JN, Romero JM, Rosand J. Clinical applications of the computed tomography angiography spot sign in acute intracerebral hemorrhage: a review. Stroke. 2012 Dec; 43(12):3427-32.
    View in: PubMed
  12. Brouwers HB, Biffi A, McNamara KA, Ayres AM, Valant V, Schwab K, Romero JM, Viswanathan A, Greenberg SM, Rosand J, Goldstein JN. Apolipoprotein E genotype is associated with CT angiography spot sign in lobar intracerebral hemorrhage. Stroke. 2012 Aug; 43(8):2120-5.
    View in: PubMed
  13. Romero JM. Stroke: is spot sign the answer for intracerebral haemorrhage? Nat Rev Neurol. 2012 Jun; 8(6):300-1.
    View in: PubMed
  14. Brouwers HB, Biffi A, Ayres AM, Schwab K, Cortellini L, Romero JM, Rost NS, Viswanathan A, Greenberg SM, Rosand J, Goldstein JN. Apolipoprotein E genotype predicts hematoma expansion in lobar intracerebral hemorrhage. Stroke. 2012 Jun; 43(6):1490-5.
    View in: PubMed
  15. Romero JM, Heit JJ, Delgado Almandoz JE, Goldstein JN, Lu J, Halpern E, Greenberg SM, Rosand J, Gonzalez RG. Spot sign score predicts rapid bleeding in spontaneous intracerebral hemorrhage. Emerg Radiol. 2012 Jun; 19(3):195-202.
    View in: PubMed
  16. Delgado Almandoz JE, Jagadeesan BD, Moran CJ, Cross DT, Zipfel GJ, Lee JM, Romero JM, Derdeyn CP. Independent validation of the secondary intracerebral hemorrhage score with catheter angiography and findings of emergent hematoma evacuation. Neurosurgery. 2012 Jan; 70(1):131-40; discussion 140.
    View in: PubMed
  17. Delgado Almandoz JE, Kelly HR, Schaefer PW, Brouwers HB, Yoo AJ, Stone MJ, Goldstein JN, Rosand J, Lev MH, Gonzalez RG, Romero JM. CT angiography spot sign predicts in-hospital mortality in patients with secondary intracerebral hemorrhage. J Neurointerv Surg. 2012 Nov; 4(6):442-7.
    View in: PubMed
  18. Biffi A, Anderson CD, Jagiella JM, Schmidt H, Kissela B, Hansen BM, Jimenez-Conde J, Pires CR, Ayres AM, Schwab K, Cortellini L, Pera J, Urbanik A, Romero JM, Rost NS, Goldstein JN, Viswanathan A, Pichler A, Enzinger C, Rabionet R, Norrving B, Tirschwell DL, Selim M, Brown DL, Silliman SL, Worrall BB, Meschia JF, Kidwell CS, Broderick JP, Greenberg SM, Roquer J, Lindgren A, Slowik A, Schmidt R, Woo D, Rosand J. APOE genotype and extent of bleeding and outcome in lobar intracerebral haemorrhage: a genetic association study. Lancet Neurol. 2011 Aug; 10(8):702-9.
    View in: PubMed
  19. Delgado Almandoz JE, Romero JM. Advanced CT imaging in the evaluation of hemorrhagic stroke. Neuroimaging Clin N Am. 2011 May; 21(2):197-213, ix.
    View in: PubMed
  20. Murphy S, Cserti-Gazdewich C, Dhabangi A, Musoke C, Nabukeera-Barungi N, Price D, King ME, Romero J, Noviski N, Dzik W. Ultrasound findings in Plasmodium falciparum malaria: a pilot study. Pediatr Crit Care Med. 2011 Mar; 12(2):e58-63.
    View in: PubMed
  21. Delgado Almandoz JE, Su HS, Schaefer PW, Goldstein JN, Pomerantz SR, Lev MH, González RG, Romero JM. Frequency of adequate contrast opacification of the major intracranial venous structures with CT angiography in the setting of intracerebral hemorrhage: comparison of 16- and 64-section CT angiography techniques. AJNR Am J Neuroradiol. 2011 May; 32(5):839-45.
    View in: PubMed
  22. Greer DM, Styer AK, Toth TL, Kindregan CP, Romero JM. Case records of the Massachusetts General Hospital. Case 21-2010. A request for retrieval of oocytes from a 36-year-old woman with anoxic brain injury. N Engl J Med. 2010 Jul 15; 363(3):276-83.
    View in: PubMed
  23. Delgado Almandoz JE, Schaefer PW, Goldstein JN, Rosand J, Lev MH, González RG, Romero JM. Practical scoring system for the identification of patients with intracerebral hemorrhage at highest risk of harboring an underlying vascular etiology: the Secondary Intracerebral Hemorrhage Score. AJNR Am J Neuroradiol. 2010 Oct; 31(9):1653-60.
    View in: PubMed
  24. Turkbey B, Akpinar E. CT angiography in head and neck trauma. Radiology. 2010 Jun; 255(3):1008-9; author reply 1009.
    View in: PubMed
  25. Delgado Almandoz JE, Kelly HR, Schaefer PW, Lev MH, Gonzalez RG, Romero JM. Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology. 2010 May; 255(2):570-7.
    View in: PubMed
  26. Yoo AJ, Romero J, Hakimelahi R, Nogueira RG, Rabinov JD, Pryor JC, González RG, Hirsch JA, Schaefer PW. Predictors of functional outcome vary by the hemisphere of involvement in major ischemic stroke treated with intra-arterial therapy: a retrospective cohort study. BMC Neurol. 2010; 10:25.
    View in: PubMed
  27. Delgado Almandoz JE, Romero JM, Pomerantz SR, Lev MH. Computed tomography angiography of the carotid and cerebral circulation. Radiol Clin North Am. 2010 Mar; 48(2):265-81, vii-viii.
    View in: PubMed
  28. Sheth KN, Cushing TA, Wendell L, Lev MH, Romero JM, Schwab K, Smith EE, Greenberg SM, Rosand J, Goldstein JN. Comparison of hematoma shape and volume estimates in warfarin versus non-warfarin-related intracerebral hemorrhage. Neurocrit Care. 2010 Feb; 12(1):30-4.
    View in: PubMed
  29. Delgado Almandoz JE, Schaefer PW, Kelly HR, Lev MH, Gonzalez RG, Romero JM. Multidetector CT angiography in the evaluation of acute blunt head and neck trauma: a proposed acute craniocervical trauma scoring system. Radiology. 2010 Jan; 254(1):236-44.
    View in: PubMed
  30. Delgado Almandoz JE, Yoo AJ, Stone MJ, Schaefer PW, Oleinik A, Brouwers HB, Goldstein JN, Rosand J, Lev MH, Gonzalez RG, Romero JM. The spot sign score in primary intracerebral hemorrhage identifies patients at highest risk of in-hospital mortality and poor outcome among survivors. Stroke. 2010 Jan; 41(1):54-60.
    View in: PubMed
  31. Slovut DP, Romero JM, Hannon KM, Dick J, Jaff MR. Detection of common carotid artery stenosis using duplex ultrasonography: a validation study with computed tomographic angiography. J Vasc Surg. 2010 Jan; 51(1):65-70.
    View in: PubMed
  32. Romero J, Vari A, Gambarrutta C, Oliviero A. Tracheostomy timing in traumatic spinal cord injury. Eur Spine J. 2009 Oct; 18(10):1452-7.
    View in: PubMed
  33. Delgado Almandoz JE, Yoo AJ, Stone MJ, Schaefer PW, Goldstein JN, Rosand J, Oleinik A, Lev MH, Gonzalez RG, Romero JM. Systematic characterization of the computed tomography angiography spot sign in primary intracerebral hemorrhage identifies patients at highest risk for hematoma expansion: the spot sign score. Stroke. 2009 Sep; 40(9):2994-3000.
    View in: PubMed
  34. Greer DM, Friday RP, Romero J, Auluck PK. Case records of the Massachusetts General Hospital. Case 17-2009. A 30-year-old man with progressive neurologic deficits. N Engl J Med. 2009 May 28; 360(22):2341-51.
    View in: PubMed
  35. Oleinik A, Romero JM, Schwab K, Lev MH, Jhawar N, Delgado Almandoz JE, Smith EE, Greenberg SM, Rosand J, Goldstein JN. CT angiography for intracerebral hemorrhage does not increase risk of acute nephropathy. Stroke. 2009 Jul; 40(7):2393-7.
    View in: PubMed
  36. Delgado Almandoz JE, Schaefer PW, Forero NP, Falla JR, Gonzalez RG, Romero JM. Diagnostic accuracy and yield of multidetector CT angiography in the evaluation of spontaneous intraparenchymal cerebral hemorrhage. AJNR Am J Neuroradiol. 2009 Jun; 30(6):1213-21.
    View in: PubMed
  37. Romero JM, Babiarz LS, Forero NP, Murphy EK, Schaefer PW, Gonzalez RG, Lev MH. Arterial wall enhancement overlying carotid plaque on CT angiography correlates with symptoms in patients with high grade stenosis. Stroke. 2009 May; 40(5):1894-6.
    View in: PubMed
  38. Babiarz LS, Romero JM, Murphy EK, Brobeck B, Schaefer PW, González RG, Lev MH. Contrast-enhanced MR angiography is not more accurate than unenhanced 2D time-of-flight MR angiography for determining > or = 70% internal carotid artery stenosis. AJNR Am J Neuroradiol. 2009 Apr; 30(4):761-8.
    View in: PubMed
  39. Romero JM, Artunduaga M, Forero NP, Delgado J, Sarfaraz K, Goldstein JN, Gonzalez RG, Schaefer PW. Accuracy of CT angiography for the diagnosis of vascular abnormalities causing intraparenchymal hemorrhage in young patients. Emerg Radiol. 2009 May; 16(3):195-201.
    View in: PubMed
  40. Jaff MR, Goldmakher GV, Lev MH, Romero JM. Imaging of the carotid arteries: the role of duplex ultrasonography, magnetic resonance arteriography, and computerized tomographic arteriography. Vasc Med. 2008 Nov; 13(4):281-92.
    View in: PubMed
  41. Gerberding JL, Romero JM, Ferraro MJ. Case records of the Massachusetts General Hospital. Case 34-2008. A 58-year-old woman with neck pain and fever. N Engl J Med. 2008 Oct 30; 359(18):1942-9.
    View in: PubMed
  42. Schaefer PW, Yoo AJ, Bell D, Barak ER, Romero JM, Nogueira RG, Lev MH, Schwamm LH, Gonzalez RG, Hirsch JA. CT angiography-source image hypoattenuation predicts clinical outcome in posterior circulation strokes treated with intra-arterial therapy. Stroke. 2008 Nov; 39(11):3107-9.
    View in: PubMed
  43. Butterton JR, Collier DS, Romero JM, Zembowicz A. Case records of the Massachusetts General Hospital. Case 14-2007. A 59-year-old man with fever and pain and swelling of both eyes and the right ear. N Engl J Med. 2007 May 10; 356(19):1980-8.
    View in: PubMed
  44. Kourbatova EV, Leonard MK, Romero J, Kraft C, del Rio C, Blumberg HM. Risk factors for mortality among patients with extrapulmonary tuberculosis at an academic inner-city hospital in the US. Eur J Epidemiol. 2006; 21(9):715-21.
    View in: PubMed
  45. Brobeck BR, Forero NP, Romero JM. Practical noninvasive neurovascular imaging of the neck arteries in patients with stroke, transient ischemic attack, and suspected arterial disease that may lead to ischemia, infarction, or flow abnormalities. Semin Ultrasound CT MR. 2006 Jun; 27(3):177-93.
    View in: PubMed
  46. Romero JM. CT angiography source image evaluation for stroke. Semin Ultrasound CT MR. 2005 Dec; 26(6):387-93.
    View in: PubMed
  47. Romero JM, Ackerman RH, Dault NA, Lev MH. Noninvasive evaluation of carotid artery stenosis: indications, strategies, and accuracy. Neuroimaging Clin N Am. 2005 May; 15(2):351-65, xi.
    View in: PubMed
  48. Lev MH, Romero JM, Gonzalez RG. Flow voids in time-of-flight MR angiography of carotid artery stenosis? It depends on the TE! AJNR Am J Neuroradiol. 2003 Nov-Dec; 24(10):2120.
    View in: PubMed
  49. Lev MH, Romero JM, Goodman DN, Bagga R, Kim HY, Clerk NA, Ackerman RH, Gonzalez RG. Total occlusion versus hairline residual lumen of the internal carotid arteries: accuracy of single section helical CT angiography. AJNR Am J Neuroradiol. 2003 Jun-Jul; 24(6):1123-9.
    View in: PubMed
  50. Carmody IC, Romero J, Velmahos GC. Day for night: should we staff a trauma center like a nightclub? Am Surg. 2002 Dec; 68(12):1048-51.
    View in: PubMed
  51. de la Fuente A, Sánchez JR, Fernández JL, Romero J, Berjon J, Moriones I. The Medtronic Intact bioprosthesis: clinical and hemodynamic performance over 13 years. Artif Organs. 2002 Oct; 26(10):851-5.
    View in: PubMed
  52. Romero JM, Lev MH, Chan ST, Connelly MM, Curiel RC, Jackson AE, Gonzalez RG, Ackerman RH. US of neurovascular occlusive disease: interpretive pearls and pitfalls. Radiographics. 2002 Sep-Oct; 22(5):1165-76.
    View in: PubMed
  53. Schaefer PW, Romero JM, Grant PE, Wu O, Sorensen AG, Koroshetz W, González RG. Diffusion magnetic resonance imaging of acute ischemic stroke. Semin Roentgenol. 2002 Jul; 37(3):219-29.
    View in: PubMed
  54. Romero J, Schaefer P, McDonald C, Schwamm L, González RG. Conventional magnetic resonance imaging of acute stroke. Semin Roentgenol. 2002 Jul; 37(3):206-11.
    View in: PubMed
  55. Schaefer PW, Romero JM, Grant PE, Wu O, Sorensen AG, Koroshetz W, González RG. Perfusion magnetic resonance imaging of acute ischemic stroke. Semin Roentgenol. 2002 Jul; 37(3):230-6.
    View in: PubMed
  56. Romero JM, Schaefer PW, Grant PE, Becerra L, González RG. Diffusion MR imaging of acute ischemic stroke. Neuroimaging Clin N Am. 2002 Feb; 12(1):35-53.
    View in: PubMed
  57. Barrett KM, Ackerman RH, Gahn G, Romero JM, Candia M. Basilar and middle cerebral artery reserve: a comparative study using transcranial Doppler and breath-holding techniques. Stroke. 2001 Dec 1; 32(12):2793-6.
    View in: PubMed
  58. Esquivel M, Romero JM, Berdasco A, Gutiérrez JA, Jiménez JM, Posada E, Ruben M. [Nutritional status of preschool children in Ciudad de La Habana from 1972 to 1993]. Rev Panam Salud Publica. 1997 May; 1(5):349-54.
    View in: PubMed
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