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  • About JDMI
Dr. Timo Krings

Timo Krings, PhD, MD, FRCPC

Dr. Krings studied medicine in Aachen, Germany and at Harvard Medical School in Boston. After residency training in Neuroradiology in Aachen with Prof. Armin Thron, he completed a neurointerventional fellowship with Professor Pierre Lasjaunias in Paris, France and subsequently  joined the Neuroradiology division of the University of Toronto as a diagnostic and interventional Neuroradiologist in 2008.  He is currently cross appointed to Radiology and Neurosurgery at UHN and as an interventional Neuroradiologist at the Hospital for Sick Children. He is a Full Professor of Radiology and Surgery, and staff Diagnostic  and Interventional Neuroradiologist at the University Health Network, Mount Sinai and Women’s College Hospitals. He holds the David  Braley and Nancy Gordon Chair in Interventional Neuroradiology at the University of Toronto and is the Program Director of Interventional Neuroradiology at the Toronto Western Hospital.

Focusing his research efforts on Imaging and Treatment of Neurovascular Diseases, Dr. Krings has published more than 470 peer reviewed articles, and approximately 30 book chapters and four books on spinal, pediatric and interventional neuroradiology, and neurovascular anatomy.

His current research focusses on the prediction of brain bleeding from brain vascular malformations using a multidiscplinary approach, development of novel methods to treat these life changing events and estimating the relative effectiveness of treatments to determine the impact on Health Care. To this end he is working with a team of Neuro-imagers, Neurointerventionalists, Computational Scientists, Genetist Biologists and Epidemiologists within the Division of Neuroradiology.

Dr. Krings’s leadership in the field of Neuroradiology is bolstered by his distinguished grants and awards, including the Scientific Award of the European Society of Neuroradiology, the Lucien Appel Prize, and the Founders Award in Interventional Neuroradiology of the ESNR. For the development of the Neuroradiology Program in Toronto he won the Anderson Award of the Wightman-Berris Academy and was granted the Edward Lansdown Award for outstanding teaching in the Residency Program of the University of Toronto. In 2021 he received the Gold Medal of the British Society of Neuroradiology associated with the Kendall Lectureship.

Recent Publications

  • Medial Tentorial Meningeal Supply from the Collicular Artery : Anatomy and Endovascular Implications

    No abstract

  • Thoracolumbar spinal dural arteriovenous fistulae present with longer arteriovenous transit compared to cranial and cervical dural fistulae

    CONCLUSION: Prolonged arteriovenous transit times may represent a distinct feature of thoracolumbar spinal dural arteriovenous fistulaes. This may, […]

  • Concomitant Rupture of an Intracranial Aneurysm and a Dural Arteriovenous Fistula: Clinical Image

    A patient in his 50s presented with postcoital severe headache. Computed tomography revealed a subarachnoid hemorrhage but also a subdural hematoma […]

  • Duplication of the internal maxillary artery: Anatomical and clinical considerations

    Duplication of the internal maxillary artery (IMAX) results from a failed regression of either the embryological superficial or deep ring and is […]

  • Susceptibility weighted imaging for qualitative grading of persistent arteriovenous shunting in deep-seated arteriovenous malformations after stereotactic radiation surgery

    CONCLUSION: Post-SRS AVM draining veins shows a stepwise regression of the SWI signal grades which can be reliably used as a surrogate to monitor the […]

  • Outcomes of endovascular embolization for Vein of Galen malformations: An individual participant data meta-analysis

    CONCLUSIONS: We identify incomplete VOGM embolization independently associated with mortality and poor clinical outcome. While this study provides […]

  • Development of the SAFETEA Scores for Predicting Risks of Complications of Preventive Endovascular or Microneurosurgical Intracranial Aneurysm Occlusion

    CONCLUSIONS: The SAFETEA risk scores for endovascular and microneurosurgical treatment are based on seven easily retrievable risk factors to predict […]

  • Severe Orbital Congestion After a Brow Lift Due to an Osteodural Arteriovenous Fistula

    The authors describe a 73-year-old woman who developed worsening proptosis, binocular diplopia, and periorbital pain shortly after undergoing an open […]

  • Effect of Stenting Plus Medical Therapy vs Medical Therapy Alone on Risk of Stroke and Death in Patients With Symptomatic Intracranial Stenosis: The CASSISS Randomized Clinical Trial

    CONCLUSIONS AND RELEVANCE: Among patients with transient ischemic attack or ischemic stroke due to symptomatic severe intracranial atherosclerotic […]

  • Imaging in medically refractory epilepsy at 3 Tesla: a 13-year tertiary adult epilepsy center experience

    CONCLUSION: This study provides an updated description of the spectrum of 3 T MRI findings in adult MRE patients from a tertiary epilepsy center.

  • Recognition of the variant type of spinal dural arteriovenous fistula: a rare but important consideration

    CONCLUSIONS: Recognition of the variant type of SDAVF is crucial for management, as correct localization of the fistulous point and bimetameric […]

  • Neurovascular Complications and Pulmonary Arteriovenous Malformation Feeding Artery Size

    No abstract

  • Prospective study on embolization of intracranial aneurysms with the pipeline device (PREMIER study): 3-year results with the application of a flow diverter specific occlusion classification

    CONCLUSIONS: The PED device presents as a safe and effective modality in treating small- and medium-sized intracranial aneurysms. The application of […]

  • Spontaneous intracranial hypotension: searching for the CSF leak

    Spontaneous intracranial hypotension is caused by loss of CSF at the level of the spine. The most frequent symptom of this disorder is orthostatic […]

  • Association of Iatrogenic Infarcts With Clinical and Cognitive Outcomes in the Evaluating Neuroprotection in Aneurysm Coiling Therapy Trial

    BACKGROUND AND OBJECTIVES: Small iatrogenic brain infarcts are often seen on diffusion-weighted MRI (DWI) following surgical or endovascular […]

  • Cerebral neurovascular embryology, anatomic variations, and congenital brain arteriovenous lesions

    Cerebral neurovascular development is a complex and coordinated process driven by the changing spatial and temporal metabolic demands of the […]

  • Quantification metrics for telangiectasia using optical coherence tomography

    Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder that causes vascular malformations throughout the body. The most […]

  • Robotic-assisted intracranial aneurysm treatment: 1 year follow-up imaging and clinical outcomes

    CONCLUSIONS: The Corpath GRX Robotic System demonstrated a precise control over the microcatheter, wire and stent during aneurysm treatment. Robotic […]

  • Gender Differences in Diagnostic Radiology Practice: An Observational Study

    CONCLUSIONS: Female radiologists tend to have a narrower scope of practice and make fewer mistakes than their male counterparts, even after detailed […]

  • Assessment of Discrepancies Between Follow-up Infarct Volume and 90-Day Outcomes Among Patients With Ischemic Stroke Who Received Endovascular Therapy

    CONCLUSIONS AND RELEVANCE: In this study, discrepancies between functional outcome and post-EVT infarct volume were associated with differences in […]

  • In Reply to the Letter to the Editor Regarding 'Symptomatic Unruptured Arteriovenous Malformations: Focal Oedema, Thrombosis and Vessel Wall Enhancement. A Retrospective Cohort Study'

    No abstract

  • Current Concepts in Intracranial Interstitial Fluid Transport and the Glymphatic System: Part II-Imaging Techniques and Clinical Applications

    The glymphatic system is a recently discovered network unique to the central nervous system that allows for dynamic exchange of interstitial fluid […]

  • The centrally restricted diffusion sign on MRI for assessment of radiation necrosis in metastases treated with stereotactic radiosurgery

    CONCLUSION: We found a low probability of radiation necrosis in the absence of the centrally restricted diffusion sign.

  • Current Concepts in Intracranial Interstitial Fluid Transport and the Glymphatic System: Part I-Anatomy and Physiology

    Normal physiologic function of organs requires a circulation of interstitial fluid to deliver nutrients and clear cellular waste products. Lymphatic […]

  • The cerebrofacial metameric syndromes: An embryological review and proposal of a novel classification scheme

    The cerebrofacial metameric syndromes are a group of congenital syndromes that result in vascular malformations throughout specific anatomical […]

  • Genome sequencing identifies rare tandem repeat expansions and copy number variants in Lennox-Gastaut syndrome

    Epilepsies are a group of common neurological disorders with a substantial genetic basis. Despite this, the molecular diagnosis of epilepsies remains […]

  • Correction to: Definition and Prioritization of Data Elements for Cohort Studies and Clinical Trials on Patients with Unruptured Intracranial Aneurysms: Proposal of a Multidisciplinary Research Group

    No abstract

  • Feasibility of robot-assisted neuroendovascular procedures

    CONCLUSIONS: This study demonstrates the feasibility of robot-assisted neurointerventional procedures. The authors' results represent an important […]

  • Utility of modified Rankin Scale for brain vascular malformations in hereditary hemorrhagic telangiectasia

    CONCLUSION: Most HHT-brain VM patients had good functional capacity (mRS scores 0-2) at baseline that did not change significantly over 3.4 mean […]

  • Dilated MMA sign in cDAVF and other arterial feeders on 3D TOF MRA

    CONCLUSION: The dilated middle meningeal artery sign is useful for identifying a cranial dural arteriovenous fistula. Dilatation of the occipital and […]

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