Evidence map›Paper›PMID 24557706›Full record

ArticleAJNR. American journal of neuroradiology2014

Rupture-associated changes of cerebral aneurysm geometry: high-resolution 3D imaging before and after rupture.

J J Schneiders, H A Marquering, R van den Berg, E VanBavel, B Velthuis, G J E Rinkel, C B Majoie

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Biomechanical stress profiling in coronary arteries via two-phase blood FSI.Biomechanics and modeling in mechanobiology · 2025
    Article
  4. Computational fluid dynamics and shape analysis enhance aneurysm rupture risk stratification.International journal of computer assisted radiology and surgery · 2025
    Article
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  6. Predisposing factors for the deformation of parent artery of anterior circulation saccular aneurysm after stent-assisted embolization: A retrospective cohort study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  7. Hemodynamic factor evaluation using computational fluid dynamics analysis for de novo bleb formation in unruptured intracranial aneurysms.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  19. Site-specific elevation of interleukin-1β and matrix metalloproteinase-9 in the Willis circle by hemodynamic changes is associated with rupture in a novel rat cerebral aneurysm model.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
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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

7 authors at 1 institution in 1 country.

J J SchneidersFrom the Departments of Radiology (J.J.S., H.A.M., R.v.d.B., C.B.M.) j.j.schneiders@amc.uva.nl.
H A MarqueringFrom the Departments of Radiology (J.J.S., H.A.M., R.v.d.B., C.B.M.)Biomedical Engineering and Physics (H.A.M., E.V.), Academic Medical Center, Amsterdam, the Netherlands.
R van den BergFrom the Departments of Radiology (J.J.S., H.A.M., R.v.d.B., C.B.M.).
E VanBavelBiomedical Engineering and Physics (H.A.M., E.V.), Academic Medical Center, Amsterdam, the Netherlands.
B VelthuisDepartment of Radiology (B.V.), University Medical Center Utrecht, Utrecht, the Netherlands.
G J E RinkelDepartment of Neurology and Neurosurgery (G.J.E.R.), Brain Center Rudolf Magnus.
C B MajoieFrom the Departments of Radiology (J.J.S., H.A.M., R.v.d.B., C.B.M.).
Academic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeComparisons of geometric data of ruptured and unruptured aneurysms may yield risk factors for rupture. Data on changes of geometric measures associated with rupture are, however, sparse, because patients with ruptured aneurysms rarely have undergone previous imaging of the intracranial vasculature. We had the opportunity to assess 3D geometric differences of aneurysms before and after rupture. The purpose of this study was to evaluate possible differences between prerupture and postrupture imaging of a ruptured intracranial aneurysm. MATERIALS AND

methodsUsing high-quality 3D image data, we generated 3D geometric models before and after rupture and compared these for changes in aneurysm volume and displacement. A neuroradiologist qualitatively assessed aneurysm shape change, the presence of perianeurysmal hematoma, and subsequent mass effect exerted on aneurysm and parent vessels.

resultsAneurysm volume was larger in the postrupture imaging in 7 of 9 aneurysms, with a median increase of 38% and an average increase of 137%. Three aneurysms had new lobulations on postrupture imaging; 2 other aneurysms were displaced up to 5 mm and had changed in geometry due to perianeurysmal hematoma.

conclusionsGeometric comparisons of aneurysms before and after rupture show a large volume increase, origination of lobulations, and displacement due to perianeurysmal hematoma. Geometric and hemodynamic comparison of series of unruptured and ruptured aneurysms in the search for rupture-risk-related factors should be interpreted with caution.

Indexed as

Models, AnatomicModels, CardiovascularAneurysm, RupturedCerebral AngiographyCerebral ArteriesComputer SimulationHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalIntracranial AneurysmModels, Neurological

Identifiers

PMID24557706
PMCPMC7966588
OpenAlexW2080010782

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.