{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T07:29:37Z","timestamp":1777188577261,"version":"3.51.4"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":1199,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100015739","name":"Bayer Vital GmbH","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015739","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100015739","name":"Bayer Vital GmbH","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015739","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:p>Paroxysmal Atrial fibrillation (AF) is often clinically silent and may be missed by the usual diagnostic workup after ischemic stroke. We aimed to determine whether shape characteristics of ischemic stroke lesions can be used to predict AF in stroke patients without known AF at baseline. Lesion shape quantification on brain MRI was performed in selected patients from the intervention arm of the Impact of standardized MONitoring for Detection of Atrial Fibrillation in Ischemic Stroke (MonDAFIS) study, which included patients with ischemic stroke or TIA without prior AF. Multiple morphologic parameters were calculated based on lesion segmentation in acute brain MRI data. Multivariate logistic models were used to test the association of lesion morphology, clinical parameters, and AF. A stepwise elimination regression was conducted to identify the most important variables. A total of 755 patients were included. Patients with AF detected within 2\u2009years after stroke (n\u2009=\u200986) had a larger overall oriented bounding box (OBB) volume (p\u2009=\u20090.003) and a higher number of brain lesion components (p\u2009=\u20090.008) than patients without AF. In the multivariate model, OBB volume (OR 1.72, 95%CI 1.29\u20132.35, p\u2009&amp;lt;\u20090.001), age (OR 2.13, 95%CI 1.52\u20133.06, p\u2009&amp;lt;\u20090.001), and female sex (OR 2.45, 95%CI 1.41\u20134.31, p\u2009=\u20090.002) were independently associated with detected AF. Ischemic lesions in patients with detected AF after stroke presented with a more dispersed infarct pattern and a higher number of lesion components. Together with clinical characteristics, these lesion shape characteristics may help in guiding prolonged cardiac monitoring after stroke.<\/jats:p>","DOI":"10.1177\/23969873221100895","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T09:26:38Z","timestamp":1653470798000},"page":"230-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Association of stroke lesion shape with newly detected atrial fibrillation \u2013 Results from the MonDAFIS study"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8965-8081","authenticated-orcid":false,"given":"Bernardo Crespo","family":"Pimentel","sequence":"first","affiliation":[{"name":"Department of Neurology, Medical Center Hamburg-Eppendorf, Hamburg, Germany 1"},{"name":"Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria 2"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thies","family":"Ingwersen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical Center Hamburg-Eppendorf, Hamburg, Germany 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl Georg","family":"Haeusler","sequence":"additional","affiliation":[{"name":"Department of Neurology, Universit\u00e4tsklinikum W\u00fcrzburg, Wurzburg, Germany 3"},{"name":"German Atrial Fibrillation Network (AFNET), M\u00fcnster, Germany 4"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eckhard","family":"Schlemm","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical Center Hamburg-Eppendorf, Hamburg, Germany 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils D","family":"Forkert","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Calgary, Calgary, AB, Canada 5"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepthi","family":"Rajashekar","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Calgary, Calgary, AB, Canada 5"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Mouches","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Calgary, Calgary, AB, Canada 5"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina","family":"K\u00f6nigsberg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical Center Hamburg-Eppendorf, Hamburg, Germany 1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulus","family":"Kirchhof","sequence":"additional","affiliation":[{"name":"German Atrial Fibrillation Network (AFNET), M\u00fcnster, Germany 4"},{"name":"Institute of Cardiovascular Sciences, College of Medical and Dental Sciences, Medical School, University of Birmingham, UK 6"},{"name":"Departments of Cardiology, UHB and SWBH NHS Trusts, Birmingham, UK 7"},{"name":"University Heart and Vascular Center Hamburg, Hamburg, Germany 8"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Kunze","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin, Charit\u00e9-Universit\u00e4tsmedizin Berlin, Berlin, Germany 9"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"T\u00fct\u00fcnc\u00fc","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin, Charit\u00e9-Universit\u00e4tsmedizin Berlin, Berlin, Germany 9"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel C","family":"Olma","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin, Charit\u00e9-Universit\u00e4tsmedizin Berlin, Berlin, Germany 9"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Kr\u00e4mer","sequence":"additional","affiliation":[{"name":"Center for Stroke Research Berlin, Charit\u00e9-Universit\u00e4tsmedizin Berlin, Berlin, Germany 9"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Michalski","sequence":"additional","affiliation":[{"name":"Department of Neurology, Universit\u00e4tsklinikum Leipzig, Leipzig, Germany 10"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Kraft","sequence":"additional","affiliation":[{"name":"Department of Neurology, Martha Maria Hospital, Halle D\u00f6lau, Germany 11"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timolaos","family":"Rizos","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Heidelberg, Heidelberg, Germany 12"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten","family":"Helberg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Clinical Center of Hubertusburg, Wermsdorf, Germany 13"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Clinical Center of Hubertusburg, Wermsdorf, Germany 14"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darius G","family":"Nabavi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vivantes Klinikum Neuk\u00f6lln, Berlin, Germany 15"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"R\u00f6ther","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asklepios Klinik Altona, Hamburg, Germany 16"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Laufs","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e4tsklinikum Leipzig, Leipzig, Germany 17"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Veltkamp","sequence":"additional","affiliation":[{"name":"Department of Neurology, Alfried Krupp Krankenhaus, Essen, Germany 18"},{"name":"Department of Brain Sciences, Imperial College London, UK 19"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter U","family":"Heuschmann","sequence":"additional","affiliation":[{"name":"Comprehensive Heart Failure Center & Clinical Trial Centre W\u00fcrzburg, University Hospital W\u00fcrzburg, Germany 20"},{"name":"Institute of Clinical Epidemiology and Biometry, University W\u00fcrzburg, Wurzburg, Germany 21"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bastian","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical Center Hamburg-Eppendorf, Hamburg, Germany 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