Evidence map›Paper›PMID 30055087›Full record

ArticleInternational journal for numerical methods in biomedical engineering2018

Combining data from multiple sources to study mechanisms of aneurysm disease: Tools and techniques.

Juan R Cebral, Fernando Mut, Piyusha Gade, Fangzhou Cheng, Yasutaka Tobe, Juhana Frosen, Anne M Robertson

Abstract read
In one paragraph

Article in International journal for numerical methods in biomedical engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Modeling Perforator Occlusion After Flow Diversion.International journal for numerical methods in biomedical engineering · 2026
    Article
  3. Investigation of Contrast Retention in PCOM Aneurysms as a Possible Marker for Instability and Rupture.International journal for numerical methods in biomedical engineering · 2026
    Article
  4. Article
  5. Article
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  7. Analysis of the Role of Vasa Vasorum in the Oxygen Transport to the Aneurysm Wall.International journal for numerical methods in biomedical engineering · 2025
    Article
  8. Article
  9. Description of the local hemodynamic environment in intracranial aneurysm wall subdivisions.International journal for numerical methods in biomedical engineering · 2024
    Article
  10. 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
  11. Article
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  14. Complex wall modeling for hemodynamic simulations of intracranial aneurysms based on histologic images.International journal of computer assisted radiology and surgery · 2021
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  17. Review
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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.

Juan R CebralBioengineering Department, Volgenau School of Engineering, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0002-3216-0856
Fernando MutBioengineering Department, Volgenau School of Engineering, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0003-1907-3739
Piyusha GadeMechanical Engineering and Materials Science and Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Fangzhou ChengMechanical Engineering and Materials Science and Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Yasutaka TobeMechanical Engineering and Materials Science and Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Juhana FrosenHemorrhagic Brain Pathology Research Group, Neurocenter, Kuopio University Hospital, Kuopio, Finland.
Anne M RobertsonMechanical Engineering and Materials Science and Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-5063-4293

Funding

Improving Cerebral Aneurysm Risk Assessment through Understanding Wall Vulnerability and Failure ModesR01NS097457 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CEBRAL, JUAN R, ROBERTSON, ANNE MARIE · 2016 to 2025
$6.0M
NINDS NIH HHS R01 NS097457
6 · The paper itself

Abstract

introductionConnecting local hemodynamics, biomechanics, and tissue properties in cerebral aneurysms is important for understanding the processes of wall degeneration and subsequent aneurysm progression and rupture. This challenging problem requires integration of data from multiple sources.

methodsThis paper describes the tools and techniques developed to integrate data from multiple sources, including clinical information, 3D imaging, intraoperative videos, ex vivo micro-computed tomography (CT), and multiphoton microscopy. Central to this approach is a 3D tissue model constructed from micro-CT images of aneurysm samples resected during neurosurgery. This model is aligned to vascular models constructed from 3D clinical images and is used to map and compare flow, biomechanics, and tissue data.

resultsThe approach is illustrated with data of three human intracranial aneurysms. These case studies demonstrated the ability of this approach to study relationships between different factors affecting the aneurysm wall and produced provocative observations that will be further studied with larger series. For instance, "atherosclerotic" and "hyperplastic" looking parts of the aneurysm corresponded to thicker walls and occurred in regions of recirculating flow and low wall shear stress (WSS); thin regions were associated with inflow jets, flow impingement, and high WSS; blebs had walls of varying structures, including calcified, thin, or hyperplastic walls.

conclusionsThe current approach enables the study of interactions of multiple factors thought to be responsible for the progressive degradation and weakening of the aneurysm wall during its evolution.

Indexed as

Cerebral AngiographyHemodynamicsHumansHydrodynamicsImaging, Three-DimensionalIntracranial Aneurysmcerebral aneurysmshemodynamicsmappingmicro-CTwall properties

Identifiers

PMID30055087
PMCPMC6231954

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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.