Evidence map›Paper›PMID 24162859›Full record

Trial reportAnnals of biomedical engineering2014

Accuracy of computational cerebral aneurysm hemodynamics using patient-specific endovascular measurements.

Patrick M McGah, Michael R Levitt, Michael C Barbour, Ryan P Morton, John D Nerva, Pierre D Mourad, Basavaraj V Ghodke, Danial K Hallam, Laligam N Sekhar, Louis J Kim and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Annals of biomedical engineering, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Hemodynamic and patient-level considerations in inferior mesenteric artery aneurysm management.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Predictive modeling and in vivo assessment of cerebral blood flow in the management of complex cerebral aneurysms.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2016
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Patrick M McGahDepartment of Mechanical Engineering, University of Washington, Stevens Way, Box 352600, Seattle, WA, 98195, USA, pmcgah@u.washington.edu.
Michael R Levitt
Michael C Barbour
Ryan P Morton
John D Nerva
Pierre D Mourad
Basavaraj V Ghodke
Danial K Hallam
Laligam N Sekhar
Louis J Kim
Alberto Aliseda

Funding

Predicting cerebral aneurysm recurrence using Doppler guidewire measurementsR01NS088072 · NINDS · UNIVERSITY OF WASHINGTON · PI KIM, LOUIS JOONG · 2014 to 2018
$1.7M
Doppler flow wires and hemodynamics in intracranial aneurysmsR03NS078539 · NINDS · UNIVERSITY OF WASHINGTON · PI KIM, LOUIS JOONG · 2012 to 2013
$152k
NINDS NIH HHS 1R03NS078539NINDS NIH HHS R01 NS088072NINDS NIH HHS R03 NS078539
6 · The paper itself

Abstract

Computational hemodynamic simulations of cerebral aneurysms have traditionally relied on stereotypical boundary conditions (such as blood flow velocity and blood pressure) derived from published values as patient-specific measurements are unavailable or difficult to collect. However, controversy persists over the necessity of incorporating such patient-specific conditions into computational analyses. We perform simulations using both endovascularly-derived patient-specific and typical literature-derived inflow and outflow boundary conditions. Detailed three-dimensional anatomical models of the cerebral vasculature are developed from rotational angiography data, and blood flow velocity and pressure are measured in situ by a dual-sensor pressure and velocity endovascular guidewire at multiple peri-aneurysmal locations in 10 unruptured cerebral aneurysms. These measurements are used to define inflow and outflow boundary conditions for computational hemodynamic models of the aneurysms. The additional in situ measurements which are not prescribed in the simulation are then used to assess the accuracy of the simulated flow velocity and pressure drop. Simulated velocities using patient-specific boundary conditions show good agreement with the guidewire measurements at measurement locations inside the domain, with no bias in the agreement and a random scatter of ≈25%. Simulated velocities using the simplified, literature-derived values show a systematic bias and over-predicted velocity by ≈30% with a random scatter of ≈40%. Computational hemodynamics using endovascularly measured patient-specific boundary conditions have the potential to improve treatment predictions as they provide more accurate and precise results of the aneurysmal hemodynamics than those based on commonly accepted reference values for boundary conditions.

Indexed as

Cerebrovascular CirculationComputer SimulationModels, CardiovascularAdultAgedBlood Flow VelocityCerebral AngiographyFemaleHumansIntracranial AneurysmMaleMiddle Aged

Identifiers

PMID24162859
PMCPMC3941739

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.