Iryna Lobach, PhD

Associate Professor
Epidemiology & Biostatistics
+1 415 476-6115

Dr. Iryna V. Lobach conducts research in applied statistics and supports the biostatistics component of biomedical research.

Her methodological research interests are motivated by challenges arising in the analyses of how an effect of the genetic basis varies by non-genetic measures (environment), what is traditionally referred to as gene-environment interaction (GxE) analyses. This type of analyses might provide valuable clues to the underlying pathophysiologic mechanisms of complex phenotypes.

For example, in collaboration with statisticians and biomedical researchers, Dr. Lobach developed an efficient retrospective analysis of case-control genetic studies in situations when the environmental variable is measured with error, e.g. diet or physical activity. Both in theory and in practice, this method improves efficiency of the risk parameter estimates and is capable of correcting coverage of 95% Confidence Intervals from e.g. 68% of the standard approach to the nominal 95% in a practical example of analyses of association between calcium intake and the risk of colorectal adenoma analyses.

We developed statistical methods to incorporate heterogeneity of the clinical diagnosis characterized by biomarker studies in situations when 1) multiple distinct pathophysiologic mechanisms share symptoms and hence the clinical diagnosis; and 2) substantial segments of the population are undiagnosed. We show that the genetic variant will appear to interact with the environmental variable if the genetic variant affects the pathologically defined disease state and the environmental variable is related to the proportion of cases with that disease state. We then propose a pseudo-likelihood solution and apply the methods to large genome-wide studies of Prostate Cancer and Alzheimer’s disease.

Recently, we developed case-only estimates of GxE in settings when 1) multiple disease state share the clinical diagnosis, 2) frequencies of the disease state of interest within the clinical diagnosis vary by the E or other variables, 3) both clinical diagnosis and the disease states are common. We show the application to Alzheimer's disease.

We are also conducting studies to investigate bias in the genetic effect estimates due to omitting a continuous variable. Specifically, we are interested to assess what information is needed to correct the bias if the actual values of the continuous variable are not available to the researcher. For example, many of the genetic databases offer only a brief set of non-genetic variables. We show the application to Alzheimer's disease (https://www.biorxiv.org/content/10.1101/756015v1).

We have recently studied whether a case-only study of GxE is better than a case-control study in the context when the disease state is common and when the multiple distinct disease states share a clinical diagnosis. We investigated differences in the GxE estimates in the context of Alzheimer's disease (https://www.biorxiv.org/content/10.1101/760322v1).

Dr. Lobach supports the biostatistics component of multiple biomedical studies through collaboration, consultation (CTSI biostatistics consultant) and mentoring (K-grants, mentoring in the Training in Clinical Research Program).

Interests: Statistical Methodology (Clinical-pathological diagnoses relationship, Statistical genetics, Measurement error analyses, Pseudolikelihood analyses, Bayesian statistics), Applied statistics (estimation and inferences based on regression models, analyses of biomarker performance in diagnostics and prognostics, missing data analyses, variable selection and model averaging, analyses of high dimensional data, design of biomedical studies)

Publications: 

Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes.

BMC public health

Golovaty I, Wadhwa S, Fisher L, Lobach I, Crowe B, Levi R, Seligman H

Clinical Characteristics and Outcomes of Eyes with Intraocular Inflammation after Brolucizumab: Post Hoc Analysis of HAWK and HARRIER.

Ophthalmology. Retina

Singer M, Albini TA, Seres A, Baumal CR, Parikh S, Gale R, Kaiser PK, Lobach I, Feltgen N, Joshi MR, Ziemssen F, Bodaghi B

Diagnostic Accuracy of Amyloid versus 18 F-Fluorodeoxyglucose Positron Emission Tomography in Autopsy-Confirmed Dementia.

Annals of neurology

Lesman-Segev OH, La Joie R, Iaccarino L, Lobach I, Rosen HJ, Seo SW, Janabi M, Baker SL, Edwards L, Pham J, Olichney J, Boxer A, Huang E, Gorno-Tempini M, DeCarli C, Hepker M, Hwang JL, Miller BL, Spina S, Grinberg LT, Seeley WW, Jagust WJ, Rabinovici GD

A second X chromosome contributes to resilience in a mouse model of Alzheimer's disease.

Science translational medicine

Davis EJ, Broestl L, Abdulai-Saiku S, Worden K, Bonham LW, Miñones-Moyano E, Moreno AJ, Wang D, Chang K, Williams G, Garay BI, Lobach I, Devidze N, Kim D, Anderson-Bergman C, Yu GQ, White CC, Harris JA, Miller BL, Bennett DA, Arnold AP, De Jager PL, Palop JJ, Panning B, Yokoyama JS, Mucke L, Dubal DB

Performance of screening MRI in high risk patients at initial versus subsequent screen.

Clinical imaging

Hayward JH, Ray KM, Price ER, Sickles EA, Conlon K, Lobach I, Joe BN, Lee AY

Factors Predicting Metastatic Disease in 68Ga-PSMA-11 PET-Positive Osseous Lesions in Prostate Cancer.

Journal of nuclear medicine : official publication, Society of Nuclear Medicine

Chiu LW, Lawhn-Heath C, Behr SC, Juarez R, Perez PM, Lobach I, Bucknor MD, Hope TA, Flavell RR

A systematic review and meta-analysis examining the effects of cannabis and its derivatives in adults with malignant CNS tumors.

Neuro-oncology practice

Rodriguez-Almaraz JE, Chang S, Clarke J, Oberheim-Bush NA, Taylor J, Buerki R, Berger M, Zablotska L, Lobach I, Butowski N

Pathogenic DDX3X Mutations Impair RNA Metabolism and Neurogenesis during Fetal Cortical Development.

Neuron

Lennox AL, Hoye ML, Jiang R, Johnson-Kerner BL, Suit LA, Venkataramanan S, Sheehan CJ, Alsina FC, Fregeau B, Aldinger KA, Moey C, Lobach I, Afenjar A, Babovic-Vuksanovic D, Bézieau S, Blackburn PR, Bunt J, Burglen L, Campeau PM, Charles P, Chung BHY, Cogné B, Curry C, D'Agostino MD, Di Donato N, Faivre L, Héron D, Innes AM, Isidor B, Keren B, Kimball A, Klee EW, Kuentz P, Küry S, Martin-Coignard D, Mirzaa G, Mignot C, Miyake N, Matsumoto N, Fujita A, Nava C, Nizon M, Rodriguez D, Blok LS, Thauvin-Robinet C, Thevenon J, Vincent M, Ziegler A, Dobyns W, Richards LJ, Barkovich AJ, Floor SN, Silver DL, Sherr EH

Hyperpolarized in vivo pH imaging reveals grade-dependent acidification in prostate cancer.

Oncotarget

Korenchan DE, Bok R, Sriram R, Liu K, Santos RD, Qin H, Lobach I, Korn N, Wilson DM, Kurhanewicz J, Flavell RR

A Simple Approximation to Bias in Gene-Environment Interaction Estimates When a Case Might Not Be the Case.

Frontiers in genetics

Lobach I, Kim I, Alekseyenko A, Lobach S, Zhang L

The impact of technical parameters on ablation volume during MR-guided focused ultrasound of desmoid tumors.

International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group

Bucknor MD, Beroukhim G, Rieke V, Ozhinsky E, Lobach I

A simple approximation to the bias of gene-environment interactions in case-control studies with silent disease.

Genetic epidemiology

Lobach I, Sampson J, Lobach S, Alekseyenko A, Piryatinska A, He T, Zhang L

The Gambler's Fallacy in Screening Mammography.

Journal of the American College of Radiology : JACR

Callen AL, Lobach I, Mesina O, Marcus S, Joe BN, Sickles EA, Greenwood HI

Case-control studies of gene-environment interactions. When a case might not be the case.

PloS one

Lobach I, Sampson J, Alekseyenko A, Lobach S, Zhang L

Gene-environment interactions in case-control studies with silent disease.

Genetic epidemiology

Lobach I, Sampson J, Lobach S, Zhang L

Rates of Amyloid Imaging Positivity in Patients With Primary Progressive Aphasia.

JAMA neurology

Santos-Santos MA, Rabinovici GD, Iaccarino L, Ayakta N, Tammewar G, Lobach I, Henry ML, Hubbard I, Mandelli ML, Spinelli E, Miller ZA, Pressman PS, O'Neil JP, Ghosh P, Lazaris A, Meyer M, Watson C, Yoon SJ, Rosen HJ, Grinberg L, Seeley WW, Miller BL, Jagust WJ, Gorno-Tempini ML

Synovial Fluid Profile at the Time of Anterior Cruciate Ligament Reconstruction and Its Association With Cartilage Matrix Composition 3 Years After Surgery.

The American journal of sports medicine

Amano K, Huebner JL, Stabler TV, Tanaka M, McCulloch CE, Lobach I, Lane NE, Kraus VB, Ma CB, Li X

CSF neurofilament light chain and phosphorylated tau 181 predict disease progression in PSP.

Neurology

Rojas JC, Bang J, Lobach IV, Tsai RM, Rabinovici GD, Miller BL, Boxer AL, AL-108-231 Investigators

Effect of Background Parenchymal Enhancement on Breast MR Imaging Interpretive Performance in Community-based Practices.

Radiology

Ray KM, Kerlikowske K, Lobach IV, Hofmann MB, Greenwood HI, Arasu VA, Hylton NM, Joe BN

Clustered Microcysts on Breast Ultrasound: What Is an Appropriate Management Recommendation?

AJR. American journal of roentgenology

Greenwood HI, Lee AY, Lobach IV, Carpentier BM, Freimanis RI, Strachowski LM

Altered cargo proteins of human plasma endothelial cell-derived exosomes in atherosclerotic cerebrovascular disease.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology

Goetzl EJ, Schwartz JB, Mustapic M, Lobach IV, Daneman R, Abner EL, Jicha GA

A multicenter study to define sarcopenia in patients with end-stage liver disease.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

Carey EJ, Lai JC, Wang CW, Dasarathy S, Lobach I, Montano-Loza AJ, Dunn MA, Fitness, Life Enhancement, and Exercise in Liver Transplantation Consortium

Tau prions from Alzheimer's disease and chronic traumatic encephalopathy patients propagate in cultured cells.

Proceedings of the National Academy of Sciences of the United States of America

Woerman AL, Aoyagi A, Patel S, Kazmi SA, Lobach I, Grinberg LT, McKee AC, Seeley WW, Olson SH, Prusiner SB

Cognition and neuropsychiatry in behavioral variant frontotemporal dementia by disease stage.

Neurology

Bertoux M, Sarazin M, Pasquier F, Bottlaender M, de Souza LC, Mioshi E, Hornberger M, Ranasinghe KG, Rankin KP, Lobach IV, Kramer JH, Sturm VE, Bettcher BM, Possin K, You SC, Lamarre AK, Shany-Ur T, Stephens ML, Perry DC, Lee SE, Miller ZA, Gorno-Tempini ML, Rosen HJ, Boxer A, Seeley WW, Rabinovici GD, Vossel KA, Miller BL

Serum miRNA Signatures Are Indicative of Skeletal Fractures in Postmenopausal Women With and Without Type 2 Diabetes and Influence Osteogenic and Adipogenic Differentiation of Adipose Tissue-Derived Mesenchymal Stem Cells In Vitro.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research

Heilmeier U, Hackl M, Skalicky S, Weilner S, Schroeder F, Vierlinger K, Patsch JM, Baum T, Oberbauer E, Lobach I, Burghardt AJ, Schwartz AV, Grillari J, Link TM

Decreased synaptic proteins in neuronal exosomes of frontotemporal dementia and Alzheimer's disease.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology

Goetzl EJ, Kapogiannis D, Schwartz JB, Lobach IV, Goetzl L, Abner EL, Jicha GA, Karydas AM, Boxer A, Miller BL

Distinct Subtypes of Behavioral Variant Frontotemporal Dementia Based on Patterns of Network Degeneration.

JAMA neurology

Ranasinghe KG, Rankin KP, Pressman PS, Perry DC, Lobach IV, Seeley WW, Coppola G, Karydas AM, Grinberg LT, Shany-Ur T, Lee SE, Rabinovici GD, Rosen HJ, Gorno-Tempini ML, Boxer AL, Miller ZA, Chiong W, DeMay M, Kramer JH, Possin KL, Sturm VE, Bettcher BM, Neylan M, Zackey DD, Nguyen LA, Ketelle R, Block N, Wu TQ, Dallich A, Russek N, Caplan A, Geschwind DH, Vossel KA, Miller BL

Tumor immune profiling predicts response to anti-PD-1 therapy in human melanoma.

The Journal of clinical investigation

Daud AI, Loo K, Pauli ML, Sanchez-Rodriguez R, Sandoval PM, Taravati K, Tsai K, Nosrati A, Nardo L, Alvarado MD, Algazi AP, Pampaloni MH, Lobach IV, Hwang J, Pierce RH, Gratz IK, Krummel MF, Rosenblum MD

Cargo proteins of plasma astrocyte-derived exosomes in Alzheimer's disease.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology

Goetzl EJ, Mustapic M, Kapogiannis D, Eitan E, Lobach IV, Goetzl L, Schwartz JB, Miller BL

Intravenous heparin dosing strategy in hospitalized patients with atrial dysrhythmias.

Journal of thrombosis and thrombolysis

Roswell RO, Greet B, Shah S, Bernard S, Milin A, Lobach I, Guo Y, Radford MJ, Berger JS

Clinical correlates of longitudinal brain atrophy in progressive supranuclear palsy.

Parkinsonism & related disorders

Tsai RM, Lobach I, Bang J, Whitwell JL, Senjem ML, Jack CR, Rosen H, Miller B, Boxer AL, AL-108-231 Investigators

Predicting disease progression in progressive supranuclear palsy in multicenter clinical trials.

Parkinsonism & related disorders

Bang J, Lobach IV, Lang AE, Grossman M, Knopman DS, Miller BL, Schneider LS, Doody RS, Lees A, Gold M, Morimoto BH, Boxer AL, AL-108-231 Investigators

Power calculations and placebo effect for future clinical trials in progressive supranuclear palsy.

Movement disorders : official journal of the Movement Disorder Society

Stamelou M, Schöpe J, Wagenpfeil S, Del Ser T, Bang J, Lobach IY, Luong P, Respondek G, Oertel WH, Boxer A, Höglinger GU, AL-108-231 Investigators, Tauros Investigators, and MDS-Endorsed PSP Study Group

Cognition and neuropsychiatry in behavioral variant frontotemporal dementia by disease stage.

Neurology

Ranasinghe KG, Rankin KP, Lobach IV, Kramer JH, Sturm VE, Bettcher BM, Possin K, Christine You S, Lamarre AK, Shany-Ur T, Stephens ML, Perry DC, Lee SE, Miller ZA, Gorno-Tempini ML, Rosen HJ, Boxer A, Seeley WW, Rabinovici GD, Vossel KA, Miller BL

Identifying preoperative language tracts and predicting postoperative functional recovery using HARDI q-ball fiber tractography in patients with gliomas.

Journal of neurosurgery

Caverzasi E, Hervey-Jumper SL, Jordan KM, Lobach IV, Li J, Panara V, Racine CA, Sankaranarayanan V, Amirbekian B, Papinutto N, Berger MS, Henry RG

MLL Rearrangment and EVI1 Deletion in BCR/ABL1 Positive Chronic Myeloid Leukemia.

Journal of the Association of Genetic Technologists

Ivanov A, Sukhanova M, Raul T, Borinets O, Hui W, Aggarwal V, Raca G

Gene Level Meta-Analysis of Quantitative Traits by Functional Linear Models.

Genetics

Fan R, Wang Y, Boehnke M, Chen W, Li Y, Ren H, Lobach I, Xiong M

Comparing CSF biomarkers and brain MRI in the diagnosis of sporadic Creutzfeldt-Jakob disease.

Neurology. Clinical practice

Forner SA, Takada LT, Bettcher BM, Lobach IV, Tartaglia MC, Torres-Chae C, Haman A, Thai J, Vitali P, Neuhaus J, Bostrom A, Miller BL, Rosen HJ, Geschwind MD

White matter involvement in sporadic Creutzfeldt-Jakob disease.

Brain : a journal of neurology

Caverzasi E, Mandelli ML, DeArmond SJ, Hess CP, Vitali P, Papinutto N, Oehler A, Miller BL, Lobach IV, Bastianello S, Geschwind MD, Henry RG

A risk score for prediction of hyperglycemia at coronary angiography.

JACC. Cardiovascular interventions

Shah B, Burdowski J, Lobach I, Gianos E, Sedlis SP

Generalized functional linear models for gene-based case-control association studies.

Genetic epidemiology

Fan R, Wang Y, Mills JL, Carter TC, Lobach I, Wilson AF, Bailey-Wilson JE, Weeks DE, Xiong M

Interleukin-6, age, and corpus callosum integrity.

PloS one

Bettcher BM, Watson CL, Walsh CM, Lobach IV, Neuhaus J, Miller JW, Green R, Patel N, Dutt S, Busovaca E, Rosen HJ, Yaffe K, Miller BL, Kramer JH

Spinal cord gray matter atrophy correlates with multiple sclerosis disability.

Annals of neurology

Schlaeger R, Papinutto N, Panara V, Bevan C, Lobach IV, Bucci M, Caverzasi E, Gelfand JM, Green AJ, Jordan KM, Stern WA, von Büdingen HC, Waubant E, Zhu AH, Goodin DS, Cree BA, Hauser SL, Henry RG

Frontal white matter tracts sustaining speech production in primary progressive aphasia.

The Journal of neuroscience : the official journal of the Society for Neuroscience

Mandelli ML, Caverzasi E, Binney RJ, Henry ML, Lobach I, Block N, Amirbekian B, Dronkers N, Miller BL, Henry RG, Gorno-Tempini ML

Divergent CSF t alterations in two common tauopathies: Alzheimer's disease and progressive supranuclear palsy.

Journal of neurology, neurosurgery, and psychiatry

Wagshal D, Sankaranarayanan S, Guss V, Hall T, Berisha F, Lobach I, Karydas A, Voltarelli L, Scherling C, Heuer H, Tartaglia MC, Miller Z, Coppola G, Ahlijanian M, Soares H, Kramer JH, Rabinovici GD, Rosen HJ, Miller BL, Meredith J, Boxer AL

Davunetide in patients with progressive supranuclear palsy: a randomised, double-blind, placebo-controlled phase 2/3 trial.

The Lancet. Neurology

Boxer AL, Lang AE, Grossman M, Knopman DS, Miller BL, Schneider LS, Doody RS, Lees A, Golbe LI, Williams DR, Corvol JC, Ludolph A, Burn D, Lorenzl S, Litvan I, Roberson ED, Höglinger GU, Koestler M, Jack CR, Van Deerlin V, Randolph C, Lobach IV, Heuer HW, Gozes I, Parker L, Whitaker S, Hirman J, Stewart AJ, Gold M, Morimoto BH, AL-108-231 Investigators

From door-to-balloon time to contact-to-device time: predictors of achieving target times in patients with ST-elevation myocardial infarction.

Clinical cardiology

Roswell RO, Greet B, Parikh P, Mignatti A, Freese J, Lobach I, Guo Y, Keller N, Radford M, Bangalore S

Periprocedural glycemic control in patients with diabetes mellitus undergoing coronary angiography with possible percutaneous coronary intervention.

The American journal of cardiology

Shah B, Berger JS, Amoroso NS, Mai X, Lorin JD, Danoff A, Schwartzbard AZ, Lobach I, Guo Y, Feit F, Slater J, Attubato MJ, Sedlis SP

Application of quantitative DTI metrics in sporadic CJD.

NeuroImage. Clinical

Caverzasi E, Henry RG, Vitali P, Lobach IV, Kornak J, Bastianello S, Dearmond SJ, Miller BL, Rosen HJ, Mandelli ML, Geschwind MD

Handedness and language learning disability differentially distribute in progressive aphasia variants.

Brain : a journal of neurology

Miller ZA, Mandelli ML, Rankin KP, Henry ML, Babiak MC, Frazier DT, Lobach IV, Bettcher BM, Wu TQ, Rabinovici GD, Graff-Radford NR, Miller BL, Gorno-Tempini ML

Modifiable risk factor burden and the prevalence of peripheral artery disease in different vascular territories.

Journal of vascular surgery

Berger JS, Hochman J, Lobach I, Adelman MA, Riles TS, Rockman CB

Capgras syndrome in Dementia with Lewy Bodies.

International psychogeriatrics

Thaipisuttikul P, Lobach I, Zweig Y, Gurnani A, Galvin JE

Mean platelet volume and long-term mortality in patients undergoing percutaneous coronary intervention.

The American journal of cardiology

Shah B, Oberweis B, Tummala L, Amoroso NS, Lobach I, Sedlis SP, Grossi E, Berger JS

Effectiveness of smoking-cessation interventions for urban hospital patients: study protocol for a randomized controlled trial.

Trials

Grossman E, Shelley D, Braithwaite RS, Lobach I, Goffin A, Rogers E, Sherman S

Very long-term clinical follow-up after fractional flow reserve-guided coronary revascularization.

The Journal of invasive cardiology

Miller LH, Toklu B, Rauch J, Lorin JD, Lobach I, Sedlis SP

Inverse relationship between cirrhosis and massive tumours in hepatocellular carcinoma.

HPB : the official journal of the International Hepato Pancreato Biliary Association

Sarpel U, Ayo D, Lobach I, Xu R, Newman E

Risk factors for early-onset and late-onset hepatocellular carcinoma in Asian immigrants with hepatitis B in the United States.

The American journal of gastroenterology

Wan DW, Tzimas D, Smith JA, Kim S, Araujo J, David R, Lobach I, Sarpel U

Mechanisms of myocardial infarction in women without angiographically obstructive coronary artery disease.

Circulation

Reynolds HR, Srichai MB, Iqbal SN, Slater JN, Mancini GB, Feit F, Pena-Sing I, Axel L, Attubato MJ, Yatskar L, Kalhorn RT, Wood DA, Lobach IV, Hochman JS

Factors associated with frequent utilization of crisis substance use detoxification services.

Journal of addictive diseases

Carrier E, McNeely J, Lobach I, Tay S, Gourevitch MN, Raven MC

Mexican urban occupational health in the US: a population at risk.

Journal of community health

Gany F, Dobslaw R, Ramirez J, Tonda J, Lobach I, Leng J

Cancer portal project: a multidisciplinary approach to cancer care among Hispanic patients.

Journal of oncology practice

Gany F, Ramirez J, Nierodzick ML, McNish T, Lobach I, Leng J

Normal intima-media thickness on carotid ultrasound reliably excludes an ischemic cause of cardiomyopathy.

American heart journal

Reynolds HR, Steckman DA, Tunick PA, Kronzon I, Lobach I, Rosenzweig BP

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