Zeyad A. Metwalli, M.D.
Department of Interventional Radiology, Division of Diagnostic Imaging
About Dr. Zeyad A. Metwalli
Dr. Zeyad Metwalli is an Associate Professor in the Department of Interventional Radiology at the University of Texas M.D. Anderson Cancer Center. Dr. Metwalli earned his undergraduate degree in Bioengineering from Rice University and his medical degree from Baylor College of Medicine. He completed his diagnostic radiology residency at Baylor College of Medicine and an interventional radiology fellowship at Northwestern University's McGaw Medical Center. He joined the MD Anderson faculty in 2019 and maintains an active interventional radiology practice with clinical interests in liver-directed therapy and vascular interventions. Dr. Metwalli currently serves as the Interventional Radiology Department's Patient Safety Quality Officer. He is also actively involved in the Society of Interventional Radiology as well as the American College of Radiology.
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Present Title & Affiliation
Primary Appointment
Associate Professor, Department of Interventional Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX
Research Interests
Y90 radioembolization of the liver; Thermal ablation of liver tumors; Palliation of skeletal metastases; Venous interventions in cancer patients; Safety and Quality Improvement in Interventional Radiology
Clinical Interests
Liver-directed therapy including Y90 radioembolization and thermal ablation Vascular interventions for venous thromboembolic disease Pain management for osseous metastatic disease including thermal ablation and augmentation
Education & Training
Degree-Granting Education
| 2009 | Baylor College of Medicine, Houston, TX, USA, MD, Medicine |
| 2005 | Rice University, Houston, TX, USA, BS, Bioengineering |
Postgraduate Training
| 2014-2015 | Clinical Fellowship, Vascular and Interventional Radiology, Northwestern University McGaw Medical Center, Chicago, IL |
| 2010-2014 | Clinical Residency, Diagnostic Radiology, Baylor College of Medicine, Houston, TX |
| 2009-2010 | Clinical Internship, Transitional Residency, Virginia Tech Carilion School of Medicine, Roanoke, VA |
Board Certifications
| 2017 | American Board of Radiology, Interventional Radiology |
| 2015 | American Board of Radiology, Diagnostic Radiology |
Experience & Service
Academic Appointments
Assistant Professor, Department of Interventional Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, 2019 - 2024
Administrative Appointments/Responsibilities
Patient Safety and Quality Officer, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2021 - Present
Honors & Awards
| 2014 | Gold Humanism Honor Society, Baylor College of Medicine |
| 2014 | Naresh Prasad Award, Baylor College of Medicine |
| 2014 | Academic Achievement Award, Baylor College of Medicine |
| 2014 | Roentgen Resident/Fellow Research Award, Baylor College of Medicine |
| 2011 | Outstanding Lecturer in Clinical Medical Student Education in Radiology, Baylor College of Medicine |
| 2008 | Alpha Omega Alpha Honor Medical Society, Baylor College of Medicine |
Professional Memberships
Selected Publications
Peer-Reviewed Articles
- Pal K, Patel M, Chen SR, Odisio BC, Metwalli Z, Ahrar J, Irwin D, Sheth RA, Kuban JD. A Single-center Experience with a Shear Thinning Conformable Embolic. J Vasc Interv Radiol 35(8):1215-1220, 2024. e-Pub 2024. PMID: 38719091.
- Patel RM, Pal K, Ahmed SH, Kuban JD, Patel M, Shah K, Habibollahi P, Metwalli Z, Gurusamy V, Gupta S, Rojas-Hernandez CM, Afshar-Kharghan V, Kroll MH, Sheth RA. Mechanical Venous Thrombectomy for Deep Venous Thrombosis in Cancer Patients: A Single-Center Retrospective Study. Cardiovasc Intervent Radiol 47(5):556-566, 2024. e-Pub 2024. PMID: 38548981.
- Lin YM, Paolucci I, Albuquerque Marques Silva J, O'Connor CS, Fellman BM, Jones AK, Kuban JD, Huang SY, Metwalli ZA, Brock KK, Odisio BC. Intraprocedural Versus Initial Follow-up Minimal Ablative Margin Assessment After Colorectal Liver Metastasis Thermal Ablation: Which One Better Predicts Local Outcomes?. Invest Radiol 59(4):314-319, 2024. e-Pub 2023. PMID: 37812469.
- Tewari SO, Metwalli ZA, Xu G. Pitfall of 18 F-PSMA PyL PET/CT Imaging of a Displaced Urinary Bladder as Recurrent Prostate Malignancy. Clin Nucl Med 48(12):1071-1072, 2023. e-Pub 2023. PMID: 37883147.
- Jones AK, Wunderle KA, Fruscello T, Simanowith M, Cline B, Dharmadhikari S, Duan X, Durack JC, Hirschl D, Kim DS, Mahmood U, Mann SD, Martin C, Metwalli Z, Moirano JM, Neill RA, Newsome J, Padua H, Schoenfeld AH, Miller DL. Patient Radiation Doses in Interventional Radiology Procedures: Comparison of fluoroscopy dose indices from the American College of Radiology Dose Index Registry-Fluoroscopy (DIR-Fluoro) Pilot to the RAD-IR study. J Vasc Interv Radiol 34(4):556-562.e3, 2023. e-Pub 2022. PMID: 36031041.
- Metwalli ZA, Lee SR and Sheth RA. Partial Splenic Embolization for the Treatment of Thrombocytopenia in Cancer Patients. Japanese Journal of Gastroenterology and Hepatology 9(5):1-6, 2022.
- Yevich S, Chen S, Metwalli Z, Kuban J, Lee S, Habibollahi P, McCarthy CJ, Irwin D, Huang S, Sheth RA. Radiofrequency Ablation of Spine Metastases: A Clinical and Technical Approach. Semin Musculoskelet Radiol 25(6):795-804, 2021. e-Pub 2021. PMID: 34937119.
- Al-Balas H, Metwalli ZA, Sada DM. Chronic splenic artery occlusion with gastric wall arterial ectasia, an unusual cause of massive upper gastrointestinal hemorrhage. BJR Case Rep 7(3):20200194, 2021. e-Pub 2021. PMID: 34131504.
- Al-Balas H, Metwalli ZA, Eberson S, Sada DM. Clinicopathological features of incidental parotid lesions. Head Face Med 17(1):10, 2021. e-Pub 2021. PMID: 33757536.
- Wang C, Kuban JD, Lee SR, Yevich S, Metwalli Z, McCarthy CJ, Sheth SA, Sheth RA. Utilization of Endovascular and Surgical Treatments for Symptomatic Uterine Leiomyomas: A Population Health Perspective. J Vasc Interv Radiol 31(10):1552-1559.e1, 2020. e-Pub 2020. PMID: 32917502.
- Niekamp A, Kuban JD, Lee SR, Yevich S, Metwalli Z, McCarthy CJ, Huang SY, Sheth SA, Sheth RA. Transjugular Intrahepatic Portosystemic Shunts Reduce Variceal Bleeding and Improve Survival in Patients with Cirrhosis: A Population-Based Analysis. J Vasc Interv Radiol 31(9):1382-1391.e2, 2020. e-Pub 2020. PMID: 32792277.
- Balabhadra S, Kuban JD, Lee S, Yevich S, Metwalli Z, McCarthy CJ, Huang SY, Tam A, Gupta S, Sheth SA, Sheth RA. Association of Inferior Vena Cava Filter Placement With Rates of Pulmonary Embolism in Patients With Cancer and Acute Lower Extremity Deep Venous Thrombosis. JAMA Netw Open 3(7):e2011079, 2020. e-Pub 2020. PMID: 32701160.
- Chaudhry H, Del Gaizo AJ, Frigini LA, Goldberg-Stein S, Long SD, Metwalli ZA, Morgan JA, Nguyen XV, Parker MS, Abujudeh H. Forty-One Million RADPEER Reviews Later: What We Have Learned and Are Still Learning. J Am Coll Radiol 17(6):779-785, 2020. e-Pub 2020. PMID: 31991118.
- Kuban JD, Lee SR, Yevich S, Metwalli Z, McCarthy CJ, Huang S, Tam AL, Gupta S, Sheth SA, Sheth RA. Changes in inferior vena cava filter placement and retrieval practice patterns from a population health perspective. Abdom Radiol (NY) 45(11). e-Pub 2020. PMID: 32285179.
- Sada DM, Metwalli ZA. Cystic Artery Hemorrhage after Cholecystostomy Catheter Exchange Treated with Transcatheter Embolization. Semin Intervent Radiol 36(2):108-110, 2019. e-Pub 2019. PMID: 31123381.
- Reddy N, Metwalli ZA. Ruptured pancreaticoduodenal artery aneurysm presenting with duodenal obstruction. Radiol Case Rep 14(5):568-571, 2019. e-Pub 2019. PMID: 30891105.
- Goldberg-Stein S, Frigini LA, Long S, Metwalli Z, Nguyen XV, Parker M, Abujudeh H. ACR RADPEER Committee White Paper with 2016 Updates: Revised Scoring System, New Classifications, Self-Review, and Subspecialized Reports. J Am Coll Radiol 14(8):1080-1086, 2017. e-Pub 2017. PMID: 28551339.
- Zhang DS, Metwalli Z, Hussain KB. Arterial-Portal Fistula After Percutaneous Liver Biopsy in Hepatic Allograft Causing Hemobilia and Pancreatitis. Clin Gastroenterol Hepatol 15(1):e3-e4, 2017. e-Pub 2016. PMID: 27451092.
- Harmoush S, Chinnadurai P, El Salek K, Metwalli Z, Herce H, Bhatt A, Steinkuller P, Vece T, Siddiqui S, Pimpalwar A, Marx D, Mawad M, Pimpalwar S. Multimodality Image-Guided Sclerotherapy of Low-Flow Orbital Vascular Malformations: Report of Single-Center Experience. J Vasc Interv Radiol 27(7):987-995.e4, 2016. e-Pub 2016. PMID: 27184528.
- Metwalli ZA, Lee SR, Yevich SM, Benndorf G.. Staged Endovascular Treatment of a Complex Intraorbital Arteriovenous Malformation: A Case Report. Neurographics 6(2):71-75, 2016.
- Nachiappan AC, Valentin LI, Metwalli ZA, Vicens RA, Delumpa A, Philip PS, Kumar S, Soloff EV. CT Dose Reduction Workshop: An Active Educational Experience. J Am Coll Radiol 12(6):610-6.e1, 2015. PMID: 26047402.
- Nachiappan AC, Metwalli ZA, Hailey BS, Patel RA, Ostrowski ML, Wynne DM. The thyroid: review of imaging features and biopsy techniques with radiologic-pathologic correlation. Radiographics 34(2):276-93, 2014. PMID: 24617678.
- Lee SR, Metwalli ZA, Yevich SM, Whigham CJ, Benndorf G. Variability in evolution and course of gunshot injuries to the neck and impact on management. A case report. Interv Neuroradiol 19(4):489-95, 2013. e-Pub 2013. PMID: 24355155.
- Metwalli ZA, Guillerman RP, Mehollin-Ray AR, Schlesinger AE. Imaging features of intravesical urachal cysts in children. Pediatr Radiol 43(8):978-82, 2013. e-Pub 2013. PMID: 23370693.
- Metwalli ZA, Kan JH, Munjal KA, Orth RC, Zhang W, Guillerman RP. MRI of suspected lower extremity musculoskeletal infection in the pediatric patient: how useful is bilateral imaging?. AJR Am J Roentgenol 201(2):427-32, 2013. PMID: 23883225.
Abstracts
- Stringham J, Kuban JD, Metwalli ZA, Huang SY, Habibollahi P, Chen S, Yevich Y, Sheth R. Vertebral Augmentation and Radiofrequency Ablation for the Treatment of Fractures in Cancer Patients. Society of Interventional Radiology 2023 Annual Meeting, 2023.
- Bande K, Metwalli ZA, Odisio B, Tzeng C, Tran Cao H, Huang SY. Total liver venous deprivation compared to sequential portal vein embolization followed by hepatic vein embolization on future liver remnant hypertrophy prior to major liver resection. Society of Interventional Radiology 2023 Annual Meeting, 2023.
- Odisio B, Lin Y, Paolucci I, Sheth R, Metwalli ZA, O'Connor C, Briones-Dimayuga M, Chun Y, Vauthey Y, Fellman B, Jones A, Brock K. Clinical impact of volumetric image method for confirming tumour coverage with ablation on patients with malignant lesions (COVER-ALL Trial). Cardiovascular and Interventional Radiological Society of Europe 2022 Annual Meeting, 2022.
- Mahvash A, Odisio B, Abdelsalam M, Kuban J, Metwalli ZA, Chasen B, Kaseb A, Kappadath SC. Radioembolization for HCC Patients With Personalized Yttrium-90 Dosimetry for Curative Intent (RAPY90D) : Interim Results. Society of Interventional Radiology 2022 Annual Meeting, 2022.
- Lin EY, Kuban JD, Metwalli Z, Habibollahi P, Awad A, Sheth RA. Mechanical thrombectomy vs pharmacomechanical thrombolysis for deep venous thrombosis in cancer patients. Society of Interventional Radiology 2022 Annual Meeting, 2022.
- Yasaswi V, Kuban JD, Metwalli ZA, Habibollahi P, McCarthy CJ, Sheth RA. Evaluation of chronic sequelae of pulmonary embolism in cancer patients: a population health analysis. Society of Interventional Radiology 2022 Annual Meeting, 2022.
- Lee SS, Tran Cao HS, Tzeng CW, Metwalli ZA, Koay EJ, Ludmir EB, Chun YS, Chun SG, Javle MM. Clinical outcomes analysis of TP53-mutated advanced and metastatic biliary tract cancers. Journal of Clinical Oncology 39(15_suppl):4106, 2021.
- Stringam J, Niekamp A, Kuban JD, Metwalli ZA, Huang S, Chen S, Yevich S, Sheth RA. Radiofrequency Ablation in Conjunction with Vertebral Augmentation for the Treatment of Spine Metastases. Society of Interventional Radiology Annual Meeting, 2021.
- Borror W, Kuban J, Lee S, Metwalli Z, McCarthy C, Sheth S, Sheth R. Comparison of endovascular and open revascularization in patients with critical limb ischemia from a population-based study. Society of Interventional Radiology Annual Meeting, 2020.
- Burney I, Metwalli ZA , Sada D, Al-Balas HA.. Primary Percutaneous Placement of Low-Profile versus Traditional Pigtail and Standard Balloon-Retention Gastrostomy Catheters in Adults: A Retrospective Review. RSNA 100th Scientific Assembly and Annual Meeting, 2018.
- Eberson SN, Al-Balas HA, Metwalli ZA, Sada D.. Histologic Diagnosis of Incidentally Discovered Parotid Lesions: Should Biopsy Be Pursued?. RSNA 100th Scientific Assembly and Annual Meeting, 2018.
- Valentin LI, Soloff E, Nachappan A, Metwalli ZA , Vicens R, Delumpa AE, Kumar S, Philip PS.. CT Dose Reduction Workshop in Radiology Residency Program. Association of University Radiologists 62nd Annual Meeting, 2014.
- Metwalli ZA, Pimpalwar S, Chinnadurai P, Agrawal M, Marx D, Pimpalwar A.. Orbital Lymphatic Malformations: Does Treatment with Percutaneous Bleomycin Have Promise?. Society of Pediatric Radiology 57th Annual Meeting, 2014.
- Yevich SY, Lee SR, Metwalli ZA , Shaltoni H, Mawad ME, Benndorf G. Endovascular Management of Traumatic Injuries to the Arteries of the Face & Head and Neck. German National Radiology Congress, 2013.
- Guillerman RP, Metwalli ZA , Lalani SR, Burrage LC, Langston C, Mallory GB. Congenital Multilobar Pseudo-Emphysema: A Severe Progressive Lung Growth Disorder Associated with Filamin A Gene Mutations. Society of Pediatric Radiology 56th Annual Meeting, 2013.
- Metwalli ZA , Kan JH, Munjal KA, Orth RC, Guillerman RP.. MR Imaging of Suspected Lower Extremity Musculoskeletal Infection in the Pediatric Patient: How Useful Is Bilateral Imaging?. Radiological Society of North Americal 98th Scientific Assembly and Annual Meeting, 2012.
Book Chapters
- Metwalli ZA, Ahrar JU, Wallace MJ. Interventional Radiology for the Cancer Patient. In: Holland-Frei Cancer Medicine. 10. Wiley-Blackwell, 521-530, 2023.
- Amini B, Metwalli ZA. Introduction to Diagnostic Radiology. In: Musculoskeletal Radiology. 1. McGraw Hill: New York, 405-484, 2014.
Patient Reviews
CV information above last modified September 09, 2024