Nicholas Stence, MD
Associate Professor, Radiology-Pediatric Radiology

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Medical School:
  • MD, University of Iowa Roy J. and Lucille A. Carver College of Medicine (2003)
Undergraduate School:
  • BS, University of Iowa (IA) (1999)
Internship:
  • University of Colorado (2004)
Residency:
  • University of Colorado, Chief Resident, Radiology (2008)
Fellowships:
  • Barrow Neurological Institute, Neuroradiology (2009)
  • University of Colorado (Children's Hospital Colorado) Program, Pediatric Radiology (2011)
Languages: English
Department: Radiology-Pediatric Radiology

Professional Titles

  • Pediatric Neuroradiologist

Teaching

  • Assistant Professor (2011)
    School of Medicine, Radiology
    Pediatric Neuroradiology

Publications

  • Shelkowitz E, Ficicioglu C, Stence N, Van Hove J, Larson A. Serial Magnetic Resonance Imaging (MRI) in Pyruvate Dehydrogenase Complex Deficiency. J Child Neurol. 2020 Feb;35(2):137-145. PubMed PMID: 31665995
  • Mirsky DM, Stence NV, Powers AM, Dingman AL, Neuberger I. Imaging of fetal ventriculomegaly. Pediatr Radiol. 2020 Dec;50(13):1948-1958. PubMed PMID: 33252761
  • Prince EW, Whelan R, Mirsky DM, Stence N, Staulcup S, Klimo P, Anderson RCE, Niazi TN, Grant G, Souweidane M, Johnston JM, Jackson EM, Limbrick DD Jr, Smith A, Drapeau A, Chern JJ, Kilburn L, Ginn K, Naftel R, Dudley R, Tyler-Kabara E, Jallo G, Handler MH, Jones K, Donson AM, Foreman NK, Hankinson TC. Robust deep learning classification of adamantinomatous craniopharyngioma from limited preoperative radiographic images. Sci Rep. 2020 Oct 9;10(1):16885. PubMed PMID: 33037266
  • Shapiro ALB, Moore BF, Sutton B, Wilkening G, Stence N, Dabelea D, Tregellas JR. In Utero Exposure to Maternal Overweight or Obesity is Associated with Altered Offspring Brain Function in Middle Childhood. Obesity (Silver Spring). 2020 Sep;28(9):1718-1725. PubMed PMID: 32772475
  • Shah PV, Wathen J, Keyes J, Osborne C, Messacar K, Stence N, Kothari K. Foreign Body Esophageal Perforation Leading to Multifocal Brain Abscesses: A Case Report. J Emerg Med. 2020 Oct;59(4):e131-e135. PubMed PMID: 32694010
  • Kripps K, Kierstein J, Nicklas D, Nelson J, Yang M, Collins A, Troy E, Escolar M, Maloney J, Neuberger I, Stence N, Baker PR 2nd. Unusual Neuroimaging in a Case of Rapidly Progressive Juvenile-Onset Krabbe Disease. J Child Neurol. 2020 Sep;35(10):649-653. PubMed PMID: 32484059
  • Carry PM, Duke VR, Brazell CJ, Stence N, Scholes M, Rousie DL, Hadley Miller N. Lateral semi-circular canal asymmetry in females with idiopathic scoliosis. PLoS One. 2020;15(4):e0232417. PubMed PMID: 32349123
  • Wilkinson CC, Stence NV, Serrano CA, Graber SJ, Batista-Silverman L, Schmidt-Beuchat E, French BM. Fusion patterns of major calvarial sutures on volume-rendered CT reconstructions. J Neurosurg Pediatr. 2020 Feb 7;:1-10. [Epub ahead of print] PubMed PMID: 32032951
  • Cain DW, Dingman AL, Armstrong J, Stence NV, Jensen AM, Mirsky DM. Subpial Hemorrhage of the Neonate. Stroke. 2020 Jan;51(1):315-318. PubMed PMID: 31694507
  • Shelkowitz E, Ficicioglu C, Stence N, Van Hove J, Larson A. Serial Magnetic Resonance Imaging (MRI) in Pyruvate Dehydrogenase Complex Deficiency. J Child Neurol. 2020 Feb;35(2):137-145. PubMed PMID: 31665995
  • Baltensperger A, Mirsky D, Maloney J, Neuberger I, Fenton L, Bernard T, Borgstede J, Stence N. Cost and Utility of Routine Contrast-Enhanced Neck MRA in a Pediatric MRI Stroke Evaluation Protocol. AJNR Am J Neuroradiol. 2019 Dec;40(12):2143-2145. PubMed PMID: 31727745
  • Flood TF, Bhatt PR, Jensen A, Maloney JA, Stence NV, Mirsky DM. Age-Dependent Signal Intensity Changes in the Structurally Normal Pediatric Brain on Unenhanced T1-Weighted MR Imaging. AJNR Am J Neuroradiol. 2019 Nov;40(11):1824-1828. PubMed PMID: 31601575
  • Lindberg DM, Stence NV, Grubenhoff JA, Lewis T, Mirsky DM, Miller AL, O'Neill BR, Grice K, Mourani PM, Runyan DK. Feasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young Children. Pediatrics. 2019 Oct;144(4). PubMed PMID: 31533974
  • Derderian SC, Greenan K, Mirsky DM, Stence NV, Graber S, Hankinson TC, Hubbell N, Alexander A, O'Neill BR, Wilkinson CC, Handler MH. The Utility of MRI in Pediatric Trauma Patients Suspected of Having Cervical Spine Injuries. J Trauma Acute Care Surg. 2019 Aug 16. [Epub ahead of print] PubMed PMID: 31425496
  • Norris GA, Garcia J, Hankinson TC, Handler M, Foreman N, Mirsky D, Stence N, Dorris K, Green AL. Diagnostic accuracy of neuroimaging in pediatric optic chiasm/sellar/suprasellar tumors. Pediatr Blood Cancer. 2019 Jun;66(6):e27680. PubMed PMID: 30848081
  • Stence NV, Fenton LZ, Levek C, Tong S, Coughlin CR 2nd, Hennermann JB, Wortmann SB, Van Hove JLK. Brain imaging in classic nonketotic hyperglycinemia: Quantitative analysis and relation to phenotype. J Inherit Metab Dis. 2019 May;42(3):438-450. PubMed PMID: 30737808
  • Weinman JP, Mirsky DM, Jensen AM, Stence NV. Dual energy head CT to maintain image quality while reducing dose in pediatric patients. Clin Imaging. 2019 May - Jun;55:83-88. PubMed PMID: 30769223
  • Klein C, Kleinschmidt-DeMasters BK, Liang X, Stence N, Tuder RM, Moore BE. A Review of Neuropathological Features of Familial and Adult Hemophagocytic Lymphohistiocytosis. J Neuropathol Exp Neurol. 2019 Mar 1;78(3):197-208. PubMed PMID: 30726926
  • Ritchey Z, Mirsky DM, Weitzenkamp D, Bernard TJ, Herson PS, Stence NV. Age-associated hippocampal volume changes in childhood arterial ischemic stroke. Childs Nerv Syst. 2018 Dec 8. [Epub ahead of print] PubMed PMID: 30535770
  • Bischoff A, Peña A, Ketzer J, Campbell K, O' Neill B, Stence N, Mirsky D. The conus medullaris ratio: A new way to identify tethered cord on MRI. J Pediatr Surg. 2018 Nov 6. [Epub ahead of print] PubMed PMID: 30518494
  • Fullerton HJ, Stence N, Hills NK, Jiang B, Amlie-Lefond C, Bernard TJ, Friedman NR, Ichord R, Mackay MT, Rafay MF, Chabrier S, Steinlin M, Elkind MSV, deVeber GA, Wintermark M. Focal Cerebral Arteriopathy of Childhood. Stroke. 2018 Nov;49(11):2590-2596. PubMed PMID: 30355212
  • Wagenaar AE, Mirsky DM, Stence NV, Wine TM, Chan KH. Infection of the spheno-occipital synchondrosis: A morbid complication following adenoidectomy. Int J Pediatr Otorhinolaryngol. 2018 Aug;111:59-62. PubMed PMID: 29958615
  • Schur S, Allen V, White A, Mirsky D, Stence N, O'Neill B, Handler M, Dudley R, Laoprasert P. Significance of FDG-PET Hypermetabolism in Children with Intractable Focal Epilepsy. Pediatr Neurosurg. 2018;53(3):153-162. PubMed PMID: 29672310
  • Boehnke M, Mirsky D, Stence N, Stanley RM, Lindberg DM. Occult head injury is common in children with concern for physical abuse. Pediatr Radiol. 2018 Aug;48(8):1123-1129. PubMed PMID: 29654352
  • Dingman AL, Stence NV, O'Neill BR, Sillau SH, Chapman KE. Seizure Severity Is Correlated With Severity of Hypoxic-Ischemic Injury in Abusive Head Trauma. Pediatr Neurol. 2018 May;82:29-35. PubMed PMID: 29625848
  • Larson DB, Chen MC, Lungren MP, Halabi SS, Stence NV, Langlotz CP. Performance of a Deep-Learning Neural Network Model in Assessing Skeletal Maturity on Pediatric Hand Radiographs. Radiology. 2018 Apr;287(1):313-322. PubMed PMID: 29095675
  • Flood TF, Stence NV, Maloney JA, Mirsky DM. Pediatric Brain: Repeated Exposure to Linear Gadolinium-based Contrast Material Is Associated with Increased Signal Intensity at Unenhanced T1-weighted MR Imaging. Radiology. 2017 Jan;282(1):222-228. PubMed PMID: 27467467
  • Larson DB, Chen MC, Lungren MP, Halabi SS, Stence NV, Langlotz CP. Performance of a Deep-Learning Neural Network Model in Assessing Skeletal Maturity on Pediatric Hand Radiographs. Radiology. 2017 Nov 2;:170236. [Epub ahead of print] PubMed PMID: 29095675
  • Oushy S, Parker JJ, Campbell K, Palmer C, Wilkinson C, Stence NV, Handler MH, Mirsky DM. Frontal and occipital horn ratio is associated with multifocal intraparenchymal hemorrhages in neonatal shunted hydrocephalus. J Neurosurg Pediatr. 2017 Nov;20(5):432-438. PubMed PMID: 28885094
  • Stence NV, Pabst LL, Hollatz AL, Mirsky DM, Herson PS, Poisson S, Traystman RJ, Bernard TJ. Predicting Progression of Intracranial Arteriopathies in Childhood Stroke With Vessel Wall Imaging. Stroke. 2017 Aug;48(8):2274-2277. PubMed PMID: 28679853
  • Lee S, Mirsky DM, Beslow LA, Amlie-Lefond C, Danehy AR, Lehman L, Stence NV, Vossough A, Wintermark M, Rivkin MJ. Pathways for Neuroimaging of Neonatal Stroke. Pediatr Neurol. 2017 Apr;69:37-48. PubMed PMID: 28262550
  • Domi T, Vossough A, Stence NV, Felling RJ, Leung J, Krishnan P, Watson CG, Grant PE, Kassner A. The Potential for Advanced Magnetic Resonance Neuroimaging Techniques in Pediatric Stroke Research. Pediatr Neurol. 2017 Apr;69:24-36. PubMed PMID: 28237248
  • O'Neill BR, Gallegos D, Herron A, Palmer C, Stence NV, Hankinson TC, Corbett Wilkinson C, Handler MH. Use of magnetic resonance imaging to detect occult spinal dysraphism in infants. J Neurosurg Pediatr. 2017 Feb;19(2):217-226. PubMed PMID: 27911245
  • Flood TF, Stence NV, Maloney JA, Mirsky DM. Pediatric Brain: Repeated Exposure to Linear Gadolinium-based Contrast Material Is Associated with Increased Signal Intensity at Unenhanced T1-weighted MR Imaging. Radiology. 2017 Jan;282(1):222-228. PubMed PMID: 27467467
  • Patibandla MR, Ridder T, Dorris K, Torok MR, Liu AK, Handler MH, Stence NV, Fenton LZ, Hankinson TC. Atypical pediatric ganglioglioma is common and associated with a less favorable clinical course. J Neurosurg Pediatr. 2016 Jan;17(1):41-8. PubMed PMID: 26431248
  • Stence NV, Mirsky DM, Deoni SC, Armstrong-Wells J. Paradoxical centrally increased diffusivity in perinatal arterial ischemic stroke. Pediatr Radiol. 2016 Jan;46(1):82-6. PubMed PMID: 26238967
  • Ritchey Z, Hollatz AL, Weitzenkamp D, Fenton LZ, Maxwell EC, Bernard TJ, Stence NV. Pediatric Cortical Vein Thrombosis: Frequency and Association With Venous Infarction. Stroke. 2016 Mar;47(3):866-8. PubMed PMID: 26888536
  • Bernard TJ, Friedman NR, Stence NV, Jones W, Ichord R, Amlie-Lefond C, Dowling MM, Rivkin MJ. Preparing for a "Pediatric Stroke Alert". Pediatr Neurol. 2016 Mar;56:18-24. PubMed PMID: 26969238
  • Ahmed FN, Stence NV, Mirsky DM. Asymptomatic Interhypothalamic Adhesions in Children. AJNR Am J Neuroradiol. 2016 Apr;37(4):726-9. PubMed PMID: 26635283
  • Delavan JA, Stence NV, Mirsky DM, Gralla J, Fadell MF. Confidence in Assessment of Lumbar Spondylolysis Using Three-Dimensional Volumetric T2-Weighted MRI Compared With Limited Field of View, Decreased-Dose CT. Sports Health. 2016 Jul;8(4):364-71. PubMed PMID: 27282808
  • O'Neill BR, Gallegos D, Herron A, Palmer C, Stence NV, Hankinson TC, Corbett Wilkinson C, Handler MH. Use of magnetic resonance imaging to detect occult spinal dysraphism in infants. J Neurosurg Pediatr. 2016 Dec 2;:1-10. [Epub ahead of print] PubMed PMID: 27911245
  • Good RJ, Messacar K, Stence NV, Press CA, Carpenter TC. Abnormal Neuroimaging in a Case of Infant Botulism. Front Pediatr. 2015;3:108. PubMed PMID: 26697417
  • Lall NU, Stence NV, Mirsky DM. Magnetic Resonance Imaging of Pediatric Neurologic Emergencies. Top Magn Reson Imaging. 2015 Dec;24(6):291-307. PubMed PMID: 26636636
  • Ahmed FN, Stence NV, Mirsky DM. Asymptomatic Interhypothalamic Adhesions in Children. AJNR Am J Neuroradiol. 2015 Dec 3. [Epub ahead of print] PubMed PMID: 26635283
  • Winston KR, Stence NV, Boylan AJ, Beauchamp KM. Upward Translation of Cerebellar Tonsils following Surgical Expansion of Supratentorial Cranial Vault: A Unified Biomechanical Explanation of Chiari Type I. Pediatr Neurosurg. 2015;50(5):243-9. PubMed PMID: 26367858
  • Press CA, Lindsay A, Stence NV, Fenton LZ, Bernard TJ, Mirsky DM. Cavernous Sinus Thrombosis in Children: Imaging Characteristics and Clinical Outcomes. Stroke. 2015 Sep;46(9):2657-60. PubMed PMID: 26251243
  • Goldenberg NA, Abshire T, Blatchford PJ, Fenton LZ, Halperin JL, Hiatt WR, Kessler CM, Kittelson JM, Manco-Johnson MJ, Spyropoulos AC, Steg PG, Stence NV, Turpie AG, Schulman S. Multicenter randomized controlled trial on Duration of Therapy for Thrombosis in Children and Young Adults (the Kids-DOTT trial): pilot/feasibility phase findings. J Thromb Haemost. 2015 Sep;13(9):1597-605. PubMed PMID: 26118944
  • Maloney JA, Mirsky DM, Messacar K, Dominguez SR, Schreiner T, Stence NV. MRI findings in children with acute flaccid paralysis and cranial nerve dysfunction occurring during the 2014 enterovirus D68 outbreak. AJNR Am J Neuroradiol. 2015 Feb;36(2):245-50. PubMed PMID: 25414005
  • Plimpton SR, Stence N, Hemenway M, Hankinson TC, Foreman N, Liu AK. Cerebral radiation necrosis in pediatric patients. Pediatr Hematol Oncol. 2015 Feb;32(1):78-83. PubMed PMID: 23647507
  • Hoffman LM, Plimpton SR, Foreman NK, Stence NV, Hankinson TC, Handler MH, Hemenway MS, Vibhakar R, Liu AK. Fractionated stereotactic radiosurgery for recurrent ependymoma in children. J Neurooncol. 2014 Jan;116(1):107-11. PubMed PMID: 24078173
  • Madden JR, Rush SZ, Stence N, Foreman NK, Liu AK. Radiation-induced gliomas in 2 pediatric patients with neurofibromatosis type 1: case study and summary of the literature. J Pediatr Hematol Oncol. 2014 Mar;36(2):e105-8. PubMed PMID: 24136023
  • Sabry A, Hauk PJ, Jing H, Su HC, Stence NV, Mirsky DM, Nagel MA, Abbott JK, Dragone LL, Armstrong-Wells J, Curtis DJ, Cohrs R, Schmid DS, Gilden D, Gelfand EW. Vaccine strain varicella-zoster virus-induced central nervous system vasculopathy as the presenting feature of DOCK8 deficiency. J Allergy Clin Immunol. 2014 Apr;133(4):1225-7. PubMed PMID: 24418481
  • Maloney JA, Mirsky DM, Messacar K, Dominguez SR, Schreiner T, Stence NV. MRI Findings in Children with Acute Flaccid Paralysis and Cranial Nerve Dysfunction Occurring during the 2014 Enterovirus D68 Outbreak. AJNR Am J Neuroradiol. 2014 Nov 20. [Epub ahead of print] PubMed PMID: 25414005
  • Sabry A, Hauk PJ, Jing H, Su HC, Stence NV, Mirsky DM, Nagel MA, Abbott JK, Dragone LL, Armstrong-Wells J, Curtis DJ, Cohrs R, Schmid DS, Gilden D, Gelfand EW. Vaccine strain varicella-zoster virus-induced central nervous system vasculopathy as the presenting feature of DOCK8 deficiency. J Allergy Clin Immunol. 2014 Apr;133(4):1225-7. PubMed PMID: 24418481
  • Madden JR, Rush SZ, Stence N, Foreman NK, Liu AK. Radiation-induced gliomas in 2 pediatric patients with neurofibromatosis type 1: case study and summary of the literature. J Pediatr Hematol Oncol. 2014 Mar;36(2):e105-8. PubMed PMID: 24136023
  • Hoffman LM, Plimpton SR, Foreman NK, Stence NV, Hankinson TC, Handler MH, Hemenway MS, Vibhakar R, Liu AK. Fractionated stereotactic radiosurgery for recurrent ependymoma in children. J Neurooncol. 2014 Jan;116(1):107-11. PubMed PMID: 24078173
  • Llamado R, Czaja A, Stence N, Davidson J. Continuous octreotide infusion for sulfonylurea-induced hypoglycemia in a toddler. J Emerg Med. 2013 Dec;45(6):e209-13. PubMed PMID: 23827165
  • Plimpton SR, Stence N, Hemenway M, Hankinson TC, Foreman N, Liu AK. Cerebral Radiation Necrosis in Pediatric Patients. Pediatr Hematol Oncol. 2013 May 7. [Epub ahead of print] PubMed PMID: 23647507
  • Goldenberg NA, Jenkins S, Jack J, Armstrong-Wells J, Fenton LZ, Stence NV, Oleszek J, Boada R, Wilkening GN, Wilkinson C, Soep JB, Miyamoto SD, Bajaj L, Mourani PM, Manco-Johnson MJ, Bernard TJ. Arteriopathy, D-dimer, and risk of poor neurologic outcome in childhood-onset arterial ischemic stroke. J Pediatr. 2013 May;162(5):1041-6.e1. PubMed PMID: 23260102
  • Stence NV, Coughlin CR 2nd, Fenton LZ, Thomas JA. Distinctive pattern of restricted diffusion in a neonate with molybdenum cofactor deficiency. Pediatr Radiol. 2013 Jul;43(7):882-5. PubMed PMID: 23250031
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Professional Memberships

  • American Society of Neuroradiology, Senior Member

Practice Locations

Children's Hospital Colorado Anschutz Medical Campus
13123 East 16th Ave
Aurora, CO 80045
720-777-1234

Children's Hospital Colorado - Colorado Fetal Care Center
13123 E 16th Ave, B735
Aurora, CO 80045
720-777-4463

Hospital Affiliation
  • University of Colorado Hospital
  • Children's Hospital Colorado

Specialty Information

Specialties
  • Diagnostic, Board Certification (2008)
  • Neuroradiology, Board Certification (, 2010)
Conditions & Treatments
  • Radiology - Neuroradiology
  • Radiology

General Information

Medical Schools:
  • MD, University of Iowa Roy J. and Lucille A. Carver College of Medicine (2003)
Undergraduate Schools:
  • BS, University of Iowa (IA) (1999)
Internships:
  • University of Colorado (2004)
Residency Programs:
  • University of Colorado, Chief Resident, Radiology (2008)
Fellowships:
  • Barrow Neurological Institute, Neuroradiology (2009)
  • University of Colorado (Children's Hospital Colorado) Program, Pediatric Radiology (2011)
Languages: English
Department: Radiology-Pediatric Radiology
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