Evidence map›Paper›PMID 26892986›Full record

ArticleAJNR. American journal of neuroradiology2016

Thinner Regions of Intracranial Aneurysm Wall Correlate with Regions of Higher Wall Shear Stress: A 7T MRI Study.

R Blankena, R Kleinloog, B H Verweij, P van Ooij, B Ten Haken, P R Luijten, G J E Rinkel, J J M Zwanenburg

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. MR Intracranial Vessel Wall Imaging: A Systematic Review.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2020
    Pooled it
  3. 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
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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

8 authors.

R BlankenaFrom the Department of Neurology and Neurosurgery (R.B., R.K., B.H.V., G.J.E.R.) Faculty of Science and Technology (R.B., B.t.H.), Department of Technical Medicine, University of Twente, Enschede, the Netherlands.ORCID 0000-0002-9689-9377
R KleinloogFrom the Department of Neurology and Neurosurgery (R.B., R.K., B.H.V., G.J.E.R.).ORCID 0000-0002-5315-5001
B H VerweijFrom the Department of Neurology and Neurosurgery (R.B., R.K., B.H.V., G.J.E.R.).ORCID 0000-0003-4927-4646
P van OoijDepartment of Biomedical Engineering and Physics (P.v.O.), Academic Medical Center, Amsterdam, the Netherlands.ORCID 0000-0001-8755-0192
B Ten HakenFaculty of Science and Technology (R.B., B.t.H.), Department of Technical Medicine, University of Twente, Enschede, the Netherlands.ORCID 0000-0001-8159-7424
P R LuijtenBrain Center Rudolf Magnus, Department of Radiology (P.R.L., J.J.M.Z.) Image Sciences Institute (P.R.L., J.J.M.Z.), University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0002-8040-8449
G J E RinkelFrom the Department of Neurology and Neurosurgery (R.B., R.K., B.H.V., G.J.E.R.).ORCID 0000-0001-8930-3953
J J M ZwanenburgBrain Center Rudolf Magnus, Department of Radiology (P.R.L., J.J.M.Z.) Image Sciences Institute (P.R.L., J.J.M.Z.), University Medical Center Utrecht, Utrecht, the Netherlands j.j.m.zwanenburg@umcutrecht.nl.ORCID 0000-0002-4282-5719

Funding

European Research Council 337333
6 · The paper itself

Abstract

background and purposeBoth hemodynamics and aneurysm wall thickness are important parameters in aneurysm pathophysiology. Our aim was to develop a method for semi-quantitative wall thickness assessment on in vivo 7T MR images of intracranial aneurysms for studying the relation between apparent aneurysm wall thickness and wall shear stress. MATERIALS AND

methodsWall thickness was analyzed in 11 unruptured aneurysms in 9 patients who underwent 7T MR imaging with a TSE-based vessel wall sequence (0.8-mm isotropic resolution). A custom analysis program determined the in vivo aneurysm wall intensities, which were normalized to the signal of nearby brain tissue and were used as measures of apparent wall thickness. Spatial wall thickness variation was determined as the interquartile range in apparent wall thickness (the middle 50% of the apparent wall thickness range). Wall shear stress was determined by using phase-contrast MR imaging (0.5-mm isotropic resolution). We performed visual and statistical comparisons (Pearson correlation) to study the relation between wall thickness and wall shear stress.

results3D colored apparent wall thickness maps of the aneurysms showed spatial apparent wall thickness variation, which ranged from 0.07 to 0.53, with a mean variation of 0.22 (a variation of 1.0 roughly means a wall thickness variation of 1 voxel [0.8 mm]). In all aneurysms, apparent wall thickness was inversely related to wall shear stress (mean correlation coefficient, -0.35; P < .05).

conclusionsA method was developed to measure the wall thickness semi-quantitatively, by using 7T MR imaging. An inverse correlation between wall shear stress and apparent wall thickness was determined. In future studies, this noninvasive method can be used to assess spatial wall thickness variation in relation to pathophysiologic processes such as aneurysm growth and rupture.

Indexed as

AgedFemaleHemodynamicsHumansImaging, Three-DimensionalIntracranial AneurysmMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingStress, Mechanical

Identifiers

PMID26892986
PMCPMC4880045

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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.