Mahmoud Al-Hawary, M.D.
Department of Abdominal Imaging, Division of Diagnostic Imaging
About Mahmoud Al-Hawary
Dr. Al-Hawary is a Professor of Diagnostic Radiology at the University of Texas MD Anderson Cancer Center in Houston, TX. He was born and raised in Beirut, Lebanon. He earned his M.D. from the American University of Beirut, Beirut, Lebanon in 1997. He then performed a one-year internship at The American University of Beirut-Medical Center, Beirut, Lebanon followed by a residency in Diagnostic Radiology at the same institution, graduating in 2002. Dr. Al-Hawary then completed a fellowship in Abdominal Imaging at The University of Michigan, Ann Arbor, MI in 2003. He was subsequently appointed to a faculty position at the same institution where he spent the next 20 years during which he ascended to the rank of Professor in Radiology and Internal Medicine- Gastroenterology. Dr. Al-Hawary is an active member of multiple radiologic and medical boards, organization, and societies including the American College of Radiology ACR, Society of Abdominal Radiology SAR, Radiologic Society of North America RSNA, American Board of Radiology ABR, National Comprehensive Cancer Network NCCN, and American Gastroenterology Association AGA. Dr. Al-Hawary has authored and co-authored over 86 peer-reviewed articles, 2 book chapters and over 68 abstracts and scientific and educational exhibits at National and International conferences on the topics of body imaging focused mainly on IBD, bowel and pancreatic imaging. His published works on Abdominal Imaging can be found in numerous journals, some of which are the American Journal of Radiology; Radiographics; Radiology; Cancer Imaging; Gastroenterology; Journal of the National Comprehensive Cancer Network and Abdominal Imaging.
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Present Title & Affiliation
Primary Appointment
Professor, Department of Abdominal Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX
Research Interests
Pancreatic cancer, Cystic pancreatic lesions, GI tract malignancies, and developing practice parameters for patient care.
Clinical Interests
CT, MRI, US, GI
Education & Training
Degree-Granting Education
| 1997 | American University of Beirut, Beirut, LBN, MD, Medicine |
| 1992 | American University of Beirut, Beirut, LBN, BS, Biology |
Postgraduate Training
| 2002-2003 | Clinical Fellowship, Abdominal Imaging, University of Michigan Health System, Ann Arbor, MI |
| 1998-2002 | Clinical Residency, Diagnostic Radiology, American University of Beirut Medical Center, Beirut |
| 1997-1998 | Clinical Internship, American University of Beirut Medical Center, Beirut |
Board Certifications
| 2007 | American Board Of Radiology |
Honors & Awards
| 2021 | Certificate of Cum Laude, Radiological Society of North America |
| 2020 | Outstanding Clinical Faculty Award, Michigan Medicine |
| 2016 | Certificate of Cum Laude, Radiological Society of North America |
| 2016 | Certificate of Merit, Society of Abdominal Radiology |
| 2016 | Distinguished Reviewer, Abdominal Radiology |
| 2013 | Certificate of Merit, Radiological Society of North America |
| 2013 | Certificate of Cum Laude, Radiological Society of North America |
| 2012 | Certificate of Merit, Radiological Society of North America |
| 2011 | Certificate of Merit, Radiological Society of North America |
| 2011 | Certificate of Cum Laude, Radiological Society of North America |
| 2010 | Certificate of Merit, American Roentgen Ray Society |
| 2010 | Certificate of Merit, Radiological Society of North America |
Selected Publications
Peer-Reviewed Articles
- Benson AB, Venook AP, Al-Hawary MM, Azad N, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Garrido-Laguna I, Grem JL, Gunn A, Hecht JR, Hoffe S, Hubbard J, Hunt S, Jeck W, Johung KL, Kirilcuk N, Krishnamurthi S, Maratt JK, Messersmith WA, Meyerhardt J, Miller ED, Mulcahy MF, Nurkin S, Overman MJ, Parikh A, Patel H, Pedersen K, Saltz L, Schneider C, Shibata D, Skibber JM, Sofocleous CT, Stotsky-Himelfarb E, Tavakkoli A, Willett CG, Gregory K, Gurski L. Rectal cancer, version 2.2022, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 20(10):1139-1167, 2022. PMID: 36240850.
- Tempero MA, Malafa MP, Al-Hawary MM, Behrman SW, Benson AB, Cardin DB, Chiorean EG, Chung V, Czito B, Del Chiaro M, Dillhoff M, Donahue TR, Dotan E, Ferrone CR, Fountzilas C, Hardacre J, Hawkins WG, Klute K, Ko AH, Kunstman JW, LoConte N, Lowy AM, Moravek C, Nakakura EK, Narang AK, Obando J, Polanco PM, Reddy S, Reyngold M, Scaife C, Shen J, Vollmer C, Wolff RA, Wolpin BM, Lynn B, George GV. Pancreatic adenocarcinoma, version 2.2021, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 19(4):439-457, 2021. e-Pub 2021. PMID: 33845462.
- Benson AB, Venook AP, Al-Hawary MM, Arain MA, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Farkas L, Garrido-Laguna I, Grem JL, Gunn A, Hecht JR, Hoffe S, Hubbard J, Hunt S, Johung KL, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Miller ED, Mulcahy MF, Nurkin S, Overman MJ, Parikh A, Patel H, Pedersen K, Saltz L, Schneider C, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Gregory KM, Gurski LA. Colon cancer, version 2.2021, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 19(3):329-359, 2021. e-Pub 2021. PMID: 33724754.
- Benson AB, Venook AP, Al-Hawary MM, Arain MA, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Garrido-Laguna I, Grem JL, Gunn A, Hoffe S, Hubbard J, Hunt S, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Miller ED, Mulcahy MF, Nurkin S, Overman MJ, Parikh A, Patel H, Pedersen K, Saltz L, Schneider C, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Johnson-Chilla A, Gurski LA. NCCN guidelines insights: Rectal cancer, version 6.2020. J Natl Compr Canc Netw 18(7):806-815, 2020. PMID: 32634771.
- Stidham RW, Enchakalody B, Waljee AK, Higgins PDR, Wang SC, Su GL, Wasnik AP, Al-Hawary MM. Assessing small bowel stricturing and morphology in Crohn's disease using semi-automated image analysis. Inflamm Bowel Dis 26(5):734-742, 2020. PMID: 31504540.
- Guglielmo FF, Anupindi SA, Fletcher JG, Al-Hawary MM, Dillman JR, Grand DJ, Bruining DH, Chatterji M, Darge K, Fidler JL, Gandhi NS, Gee MS, Grajo JR, Huang C, Jaffe TA, Park SH, Rimola J, Soto JA, Taouli B, Taylor SA, Baker ME. Small bowel Crohn's Disease at CT and MR enterography: Imaging atlas and glossary of terms. Radiographics 40(2):354-375, 2020. e-Pub 2020. PMID: 31951512.
- Henderson Brianna, Wang Stewart, Su Grace, Wasnik Ashish, <b>Al-Hawary MM</b>, Stidham Ryan. Machine learning methods to predict presence of intestine damage in patients with Crohn's disease. Proceedings of SPIE 1314, 2020.
- Hersberger KE, Mendiratta-Lala M, Fischer R, Kaza RK, Francis IR, Olszewski MS, Harju JF, Shi W, Manion FJ, Al-Hawary MM, Sahai V. Quantitative imaging assessment for clinical trials in oncology. J Natl Compr Canc Netw 17(12):1505-1511, 2019. PMID: 31805530.
- Benson AB, Venook AP, Al-Hawary MM, Arain MA, Chen YJ, Ciombor KK, Cohen SA, Cooper HS, Deming DA, Garrido-Laguna I, Grem JL, Hoffe SE, Hubbard J, Hunt S, Kamel A, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Miller ED, Mulcahy MF, Nurkin S, Overman MJ, Parikh A, Patel H, Pedersen KS, Saltz LB, Schneider C, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Johnson-Chilla A, Gregory KM, Gurski LA. Small bowel adenocarcinoma, version 1.2020, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 17(9):1109-1133, 2019. PMID: 31487687.
- Tempero MA, Malafa MP, Chiorean EG, Czito B, Scaife C, Narang AK, Fountzilas C, Wolpin BM, Al-Hawary MM, Asbun H, Behrman SW, Benson AB, Binder E, Cardin DB, Cha C, Chung V, Dillhoff M, Dotan E, Ferrone CR, Fisher G, Hardacre J, Hawkins WG, Ko AH, LoConte N, Lowy AM, Moravek C, Nakakura EK, O'Reilly EM, Obando J, Reddy S, Thayer S, Wolff RA, Burns JL, Zuccarino-Catania G. Pancreatic adenocarcinoma, version 1.2019. J Natl Compr Canc Netw 17(3):202-210, 2019. PMID: 30865919.
- Al-Hawary MM. Subspecialist reader reinterpretation of referred imaging studies: Added value and justification. Acad Radiol 25(7):823-824, 2018. e-Pub 2018. PMID: 29599008.
- Shankar PR, Kaza RK, Al-Hawary MM, Masch WR, Curci NE, Mendiratta-Lala M, Sakala MD, Johnson TD, Davenport MS. Impact of clinical history on maximum PI-RADS version 2 score: A six-reader 120-case sham history retrospective evaluation. Radiology 288(1):158-163, 2018. e-Pub 2018. PMID: 29664338.
- Benson AB, Venook AP, Al-Hawary MM, Cederquist L, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Engstrom PF, Grem JL, Grothey A, Hochster HS, Hoffe S, Hunt S, Kamel A, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Mulcahy MF, Murphy JD, Nurkin S, Saltz L, Sharma S, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Wuthrick E, Gregory KM, Freedman-Cass DA. Anal carcinoma, version 2.2018, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 16(7):852-871, 2018. PMID: 30006428.
- Benson AB, Venook AP, Al-Hawary MM, Cederquist L, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Engstrom PF, Grem JL, Grothey A, Hochster HS, Hoffe S, Hunt S, Kamel A, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Mulcahy MF, Murphy JD, Nurkin S, Saltz L, Sharma S, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Wuthrick E, Gregory KM, Gurski L, Freedman-Cass DA. Rectal cancer, version 2.2018, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 16(7):874-901, 2018. PMID: 30006429.
- Shankar PR, Wasnik AP, Al-Hawary MM, Francis IR, Kaza RK. Hypervascular pancreatic lesions: a pattern-based approach to differentiation. Abdom Radiol (NY) 43(4):1013-1028, 2018. PMID: 29086008.
- Benson AB, Venook AP, Al-Hawary MM, Cederquist L, Chen YJ, Ciombor KK, Cohen S, Cooper HS, Deming D, Engstrom PF, Garrido-Laguna I, Grem JL, Grothey A, Hochster HS, Hoffe S, Hunt S, Kamel A, Kirilcuk N, Krishnamurthi S, Messersmith WA, Meyerhardt J, Miller ED, Mulcahy MF, Murphy JD, Nurkin S, Saltz L, Sharma S, Shibata D, Skibber JM, Sofocleous CT, Stoffel EM, Stotsky-Himelfarb E, Willett CG, Wuthrick E, Gregory KM, Freedman-Cass DA. NCCN guidelines insights: Colon cancer, version 2.2018. J Natl Compr Canc Netw 16(4):359-369, 2018. PMID: 29632055.
- Bruining DH, Zimmermann EM, Loftus EV, Sandborn WJ, Sauer CG, Strong SA, Society of Abdominal Radiology Crohn’s Disease-Focused Panel. Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel Crohn's disease. Radiology 286(3):776-799, 2018. e-Pub 2018. PMID: 29319414.
- Bruining DH, Zimmermann EM, Loftus EV Jr., Sandborn WJ, Sauer CG, Strong SA, Society of Abdominal Radiology Crohn's disease-focused panel:Al-Hawary MM, Anupindi S, Baker ME, Bruining D, Darge K, Dillman J, Einstein D, Fidler JL, Fletcher JG, Gee MS, Grand D, Guglielmo F, Hara AK, Jaffe TA, Maglinte D, Megibow A, Park SH, Platt J, Podberesky D, Rimola J, Sahani DV, Soto J, Taylor SA. Consensus recommendations for evaluation, interpretation, and utilization of computed tomography and magnetic resonance enterography in patients with small bowel Crohn's disease. Gastroenterology 154(4):1172-1194, 2018. PMID: 29329905.
- Tempero MA, Malafa MP, Al-Hawary MM, Asbun H, Bain A, Behrman SW, Benson AB, Binder E, Cardin DB, Cha C, Chiorean EG, Chung V, Czito B, Dillhoff M, Dotan E, Ferrone CR, Hardacre J, Hawkins WG, Herman J, Ko AH, Komanduri S, Koong A, LoConte N, Lowy AM, Moravek C, Nakakura EK, O'Reilly EM, Obando J, Reddy S, Scaife C, Thayer S, Weekes CD, Wolff RA, Wolpin BM, Burns J, Darlow S. Pancreatic adenocarcinoma, version 2.2017, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 15(8):1028-1061, 2017. PMID: 28784865.
- Federle MP, Jaffe TA, Davis PL, Al-Hawary MM, Levine MS. Contrast media for fluoroscopic examinations of the GI and GU tracts: current challenges and recommendations. Abdom Radiol (NY) 42(1):90-100, 2017. PMID: 27503380.
- Al-Hawary MM. Role of imaging in diagnosing and staging pancreatic cancer. J Natl Compr Canc Netw 14(5 Suppl):678-80, 2016. PMID: 27226513.
- Al-Hawary MM, Kaza RK, Francis IR. Optimal imaging modalities for the diagnosis and staging of periampullary masses. Surg Oncol Clin N Am 25(2):239-53, 2016. PMID: 27013362.
- Patel N, Maturen KE, Kaza RK, Gandikota G, Al-Hawary MM, Wasnik AP. Imaging of presacral masses--a multidisciplinary approach. Br J Radiol 89(1061):20150698, 2016. e-Pub 2016.
- O'Malley RG, Al-Hawary MM, Kaza RK, Wasnik AP, Platt JF, Francis IR. MDCT findings in small bowel obstruction: implications of the cause and presence of complications on treatment decisions. Abdom Imaging 40(7):2248-62, 2015. PMID: 26070748.
- Kaza RK, Al-Hawary MM, Sokhandon F, Shirkhoda A, Francis IR. Pitfalls in pancreatic imaging. Semin Roentgenol 50(4):320-7, 2015. e-Pub 2015. PMID: 26542432.
- Al-Hawary MM, Francis IR, Anderson MA. Pancreatic solid and cystic neoplasms: Diagnostic evaluation and intervention. Radiol Clin North Am 53(5):1037-48, 2015. PMID: 26321452.
- Wasnik AP, Maturen KE, Kaza RK, Al-Hawary MM, Francis IR. Primary and secondary disease of the peritoneum and mesentery: review of anatomy and imaging features. Abdom Imaging 40(3):626-42, 2015. PMID: 25189130.
- Brandel DW, Al-Hawary MM, Wasnik AP. Retroperitoneal lobular capillary hemangioma with synchronous ipsilateral renal cell carcinoma. Abdom Imaging 39(5):1137-40, 2014. PMID: 25237004.
- Cuneo KC, Chenevert TL, Ben-Josef E, Feng MU, Greenson JK, Hussain HK, Simeone DM, Schipper MJ, Anderson MA, Zalupski MM, Al-Hawary MM, Galban CJ, Rehemtulla A, Feng FY, Lawrence TS, Ross BD. A pilot study of diffusion-weighted MRI in patients undergoing neoadjuvant chemoradiation for pancreatic cancer. Transl Oncol 7(5):644-9, 2014. e-Pub 2014. PMID: 25389460.
- Hussain M, Daignault S, Agarwal N, Grivas PD, Siefker-Radtke AO, Puzanov I, MacVicar GR, Levine EG, Srinivas S, Twardowski P, Eisenberger MA, Quinn DI, Vaishampayan UN, Yu EY, Dawsey S, Day KC, Day ML, Al-Hawary MM, Smith DC. A randomized phase 2 trial of gemcitabine/cisplatin with or without cetuximab in patients with advanced urothelial carcinoma. Cancer 120(17):2684-93, 2014. e-Pub 2014. PMID: 24802654.
- Davenport MS, Khalatbari S, Liu PS, Maturen KE, Kaza RK, Wasnik AP, Al-Hawary MM, Glazer DI, Stein EB, Patel J, Somashekar DK, Viglianti BL, Hussain HK. Repeatability of diagnostic features and scoring systems for hepatocellular carcinoma by using MR imaging. Radiology 272(1):132-42, 2014. e-Pub 2014. PMID: 24555636.
- Gaetke-Udager K, Wasnik AP, Kaza RK, Al-Hawary MM, Maturen KE, Udager AM, Azar SF, Francis IR. Multimodality imaging of splenic lesions and the role of non-vascular, image-guided intervention. Abdom Imaging 39(3):570-87, 2014. PMID: 24525666.
- Al-Hawary MM, Francis IR, Chari ST, Fishman EK, Hough DM, Lu DS, Macari M, Megibow AJ, Miller FH, Mortele KJ, Merchant NB, Minter RM, Tamm EP, Sahani DV, Simeone DM. Pancreatic ductal adenocarcinoma radiology reporting template: consensus statement of the Society of Abdominal Radiology and the American Pancreatic Association. Radiology 270(1):248-60, 2014. PMID: 24354378.
- Al-Hawary MM, Francis IR, Chari ST, Fishman EK, Hough DM, Lu DS, Macari M, Megibow AJ, Miller FH, Mortele KJ, Merchant NB, Minter RM, Tamm EP, Sahani DV, Simeone DM. Pancreatic ductal adenocarcinoma radiology reporting template: consensus statement of the society of abdominal radiology and the American Pancreatic Association. Gastroenterology 146(1):291-304.e1, 2014. PMID: 24355035.
- Al-Hawary MM, Kaza RK, Azar SF, Ruma JA, Francis IR. Mimics of pancreatic ductal adenocarcinoma. Cancer Imaging 13(3):342-9, 2013. e-Pub 2013.
- Al-Hawary MM, Francis IR. Pancreatic ductal adenocarcinoma staging. Cancer Imaging 13(3):360-4, 2013. e-Pub 2013. PMID: 24060977.
- Al-Hawary MM, Kaza RK, Wasnik AP, Francis IR. Staging of pancreatic cancer: role of imaging. Semin Roentgenol 48(3):245-52, 2013. PMID: 23796375.
- Davenport MS, Viglianti BL, Al-Hawary MM, Caoili EM, Kaza RK, Liu PS, Maturen KE, Chenevert TL, Hussain HK. Comparison of acute transient dyspnea after intravenous administration of gadoxetate disodium and gadobenate dimeglumine: effect on arterial phase image quality. Radiology 266(2):452-61, 2013. e-Pub 2012. PMID: 23192781.
- O'Malley RB, Al-Hawary MM, Kaza RK, Wasnik AP, Liu PS, Hussain HK. Rectal imaging: part 2, perianal fistula evaluation on pelvic MRI--what the radiologist needs to know. AJR Am J Roentgenol 199(1):W43-53, 2012. PMID: 22733931.
- Luther J, Faje AJ, Al-Hawary MM, Kao JY. Anaplastic lymphoma masquerading as sclerosing mesenteritis: a case report. J Gastrointest Cancer 43(2):364-6, 2012.
- Bradley DA, Daignault S, Ryan CJ, Dipaola RS, Cooney KA, Smith DC, Small E, Mathew P, Gross ME, Stein MN, Chen A, Pienta KJ, Escara-Wilke J, Doyle G, Al-Hawary MM, Keller ET, Hussain M. Cilengitide, EMD 121974, NSC 707544, in asymptomatic metastatic castration resistant prostate cancer patients: a randomized phase II trial by the prostate cancer clinical trials consortium. Invest New Drugs 29(6):1432-40, 2011. e-Pub 2010.
- Kaza RK, Azar S, Al-Hawary MM, Francis IR. Primary and secondary neoplasms of the spleen. Cancer Imaging 10(1):173-82, 2010. e-Pub 2010. PMID: 20713317.
- Al-Hawary MM, Francis Isaac R, Korobkin Melvyn. Non-invasive evaluation of the incidentally detected indeterminate adrenal mass. Best Pract. Res. Clin. Endocrinol. Metab 19(2):277-292, 2005. PMID: 15763701.
Invited Articles
- Soloff EV, Al-Hawary MM, Desser TS, Fishman EK, Minter RM, Zins M. Imaging assessment of pancreatic Cancer resectability after neoadjuvant therapy: AJR expert panel narrative review. AJR Am J Roentgenol 218(4):570-581, 2022. e-Pub 2021. PMID: 34851713.
- Al-Hawary MM. Invited Commentary: GI bleeding at CT angiography and CT enterography-The hunt for the elusive source of bleeding. Radiographics 41(6):E173-E174, 2021. PMID: 34597238.
- Santillan CS, Huang C, Eisenstein S, Al-Hawary MM. MRI of perianal Crohn's disease: Technique and interpretation. Top Magn Reson Imaging 30(1):63-76, 2021. PMID: 33528212.
- Wasnik AP, Al-Hawary MM. Invited commentary on MRI evaluation of the response of rectal cancer to neoadjuvant chemoradiation therapy. Radiographics 39(2):556-568, 2019. PMID: 30844344.
- Al-Hawary MM, Zimmermann EM, Hussain HK. MR imaging of the small bowel in Crohn disease. Magn Reson Imaging Clin N Am 22(1):13-22, 2014. PMID: 24238129.
- Al-Hawary M, Zimmermann EM. A new look at Crohn's disease: novel imaging techniques. Curr Opin Gastroenterol 28(4):334-40, 2012. PMID: 22678451.
- Al-Hawary MM, Zimmermann EM. Choosing the right cross-sectional imaging technique: trading image quality for radiation risk. Inflamm Bowel Dis 17(5):1089-91, 2011. e-Pub 2010. PMID: 21484960.
- Al-Hawary MM, Francis IR, Korobkin M. Non-invasive evaluation of the incidentally detected indeterminate adrenal mass. Best Pract Res Clin Endocrinol Metab 19(2):277-92, 2005. PMID: 15763701.