Evidence map›Paper›PMID 25632891›Full record

ArticleAnnals of biomedical engineering2015

Diversity in the Strength and Structure of Unruptured Cerebral Aneurysms.

Anne M Robertson, Xinjie Duan, Khaled M Aziz, Michael R Hill, Simon C Watkins, Juan R Cebral

Open access · greenAbstract read
In one paragraph

Article in Annals of biomedical engineering, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. What does computational fluid dynamics tell us about intracranial aneurysms? A meta-analysis and critical review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Pooled it
  2. Article
  3. Article
  4. Article
  5. A novel histological occlusion classification for coiled aneurysms based on multiphoton microscopy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Description of the local hemodynamic environment in intracranial aneurysm wall subdivisions.International journal for numerical methods in biomedical engineering · 2024
    Article
  11. Article
  12. Comapping Cellular Content and Extracellular Matrix with Hemodynamics in Intact Arterial Tissues Using Scanning Immunofluorescent Multiphoton Microscopy.Microscopy and microanalysis : the official journal of Microscopy Society of America, Microbeam Analysis Society, Microscopical Society of Canada · 2024
    Article
  13. Royal Society open science · 2024
    Article
  14. Article
  15. Article
  16. Computational Fluid Dynamic Simulations of Cerebral Aneurysms.Advances in experimental medicine and biology · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. 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

6 authors at 4 institutions in 1 country.

Anne M RobertsonDepartment of Mechanical Engineering and Materials Science, University of Pittsburgh, Pittsburgh, PA, USA, rbertson@pitt.edu.
Xinjie Duan
Khaled M Aziz
Michael R Hill
Simon C Watkins
Juan R Cebral
University of Pittsburgh · USAllegheny General Hospital · USGeorge Mason University · USThe University of Texas at Austin · US

Funding

Request for a Nikon A1R Multiphoton MicroscopeS10OD025041 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WATKINS, SIMON C · 2018 to 2018
$870k
The link between hemodynamics and wall structure in cerebral aneurysmsR21NS080031 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CEBRAL, JUAN R, ROBERTSON, ANNE MARIE · 2013 to 2014
$422k
NIH HHS S10 OD025041NINDS NIH HHS 1R21NS080031-01A1NINDS NIH HHS R21 NS080031
6 · The paper itself

Abstract

Intracranial aneurysms are pathological enlargements of brain arteries that are believed to arise from progressive wall degeneration and remodeling. Earlier work using classical histological approaches identified variability in cerebral aneurysm mural content, ranging from layered walls with intact endothelium and aligned smooth muscle cells, to thin, hypocellular walls. Here, we take advantage of recent advances in multiphoton microscopy, to provide novel results for collagen fiber architecture in 15 human aneurysm domes without staining or fixation as well as in 12 control cerebral arteries. For all aneurysm samples, the elastic lamina was absent and the abluminal collagen fibers had similar diameters to control arteries. In contrast, the collagen fibers on the luminal side showed great variability in both diameter and architecture ranging from dense fiber layers to sparse fiber constructs suggestive of ineffective remodeling efforts. The mechanical integrity of eight aneurysm samples was assessed using uniaxial experiments, revealing two sub-classes (i) vulnerable unruptured aneurysms (low failure stress and failure pressure), and (ii) strong unruptured aneurysms (high failure stress and failure pressure). These results suggest a need to refine the end-point of risk assessment studies that currently do not distinguish risk levels among unruptured aneurysms. We propose that a measure of wall integrity that identifies this vulnerable wall subpopulation will be useful for interpreting future biological and structural data.

Indexed as

AdultAgedBiomechanical PhenomenaCerebral ArteriesCollagenFemaleHumansIntracranial AneurysmMaleMicroscopy, Fluorescence, MultiphotonMiddle AgedStress, MechanicalCollagen

Identifiers

PMID25632891
PMCPMC4497939
OpenAlexW1967016036

What OpenQuestion holds

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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.