Evidence map›Paper›PMID 30203115›Full record

ArticleCardiovascular engineering and technology2018

Real-World Variability in the Prediction of Intracranial Aneurysm Wall Shear Stress: The 2015 International Aneurysm CFD Challenge.

Kristian Valen-Sendstad, Aslak W Bergersen, Yuji Shimogonya, Leonid Goubergrits, Jan Bruening, Jordi Pallares, Salvatore Cito, Senol Piskin, Kerem Pekkan, Arjan J Geers and 45 more

Abstract read
In one paragraph

Article in Cardiovascular engineering and technology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Article
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  5. Review
  6. Article
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  9. Article
  10. On the Numerical Evaluation of Wall Shear Stress Using the Finite Element Method.International journal for numerical methods in biomedical engineering · 2025
    Article
  11. Review
  12. Article
  13. Article
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  15. Article
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  18. Review
  19. Article
  20. Image-based hemodynamic simulations for intracranial aneurysms: the impact of complex vasculature.International journal of computer assisted radiology and surgery · 2024
    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

55 authors.

Kristian Valen-SendstadSimula Research Laboratory and Center for Cardiological Innovation, Lysaker, Norway.
Aslak W BergersenSimula Research Laboratory and Center for Cardiological Innovation, Lysaker, Norway.
Yuji ShimogonyaNihon University, Tokyo, Japan.
Leonid GoubergritsCharité - Universitätsmedizin Berlin, Berlin, Germany.
Jan BrueningCharité - Universitätsmedizin Berlin, Berlin, Germany.
Jordi PallaresUniversitat Rovira i Virgili, Tarragona, Spain.
Salvatore CitoUniversitat Rovira i Virgili, Tarragona, Spain.
Senol PiskinUniversity of Texas at San Antonio, San Antonio, TX, USA.
Kerem PekkanKoc University, Istanbul, Turkey.
Arjan J GeersUniversitat Pompeu Fabra, Barcelona, Spain.
Ignacio LarrabideUniversidad Nacional del Centro de la Provincia de Buenos Aires, Buenos Aires, Argentina.
Saikiran RapakaSiemens Medical Solutions USA Inc., Malvern, PA, USA.
Viorel MihalefSiemens Medical Solutions USA Inc., Malvern, PA, USA.
Wenyu FuBeijing Union University, Beijing, China.
Aike QiaoBeijing University of Technology, Beijing, China.
Kartik JainSimula Research Laboratory and Center for Cardiological Innovation, Lysaker, Norway.
Sabine RollerUniversity of Siegen, Siegen, Germany.
Kent-Andre MardalSimula Research Laboratory and Center for Cardiological Innovation, Lysaker, Norway.
Ramji KamakotiDassault Systemes, Paris, France.
Thomas SpirkaSimpleware Software Solutions, Exeter, UK.
Neil AshtonUniversity of Oxford, Oxford, UK.
Alistair RevellUniversity of Manchester, Manchester, UK.
Nicolas AristokleousUniversity of Limerick, Limerick, Ireland.
J Graeme HoustonUniversity of Dundee, Dundee, UK.
Masanori TsujiMie Chuo Medical Center, Tsu, Japan.
Fujimaro IshidaMie Chuo Medical Center, Tsu, Japan.
Prahlad G MenonUniversity of Pittsburgh, Pittsburgh, PA, USA.
Leonard D BrowneUniversity of Limerick, Limerick, Ireland.
Stephen BroderickUniversity of Limerick, Limerick, Ireland.
Masaaki ShojimaUniversity of Tokyo, Tokyo, Japan.
Satoshi KoizumiUniversity of Tokyo, Tokyo, Japan.
Michael BarbourUniversity of Washington, Seattle, USA.
Alberto AlisedaUniversity of Washington, Seattle, USA.
Hernán G MoralesMedisys - Philips Research Paris, Paris, France.
Thierry LefèvreMedisys - Philips Research Paris, Paris, France.
Simona HodisTexas A&M University - Kingsville, Kingsville, TX, USA.
Yahia M Al-SmadiJordan University of Science and Technology, Irbid, Jordan.
Justin S TranStanford University, Stanford, CA, USA.
Alison L MarsdenStanford University, Stanford, CA, USA.
Sreeja VaippummadhomEinNel Technlogies, Chennai, India.
G Albert EinsteinEinNel Technlogies, Chennai, India.
Alistair G BrownSiemens PLM Software, Plano, TX, USA.
Kristian DebusSiemens PLM Software, Plano, TX, USA.
Kuniyasu NiizumaTohoku University, Sendai, Japan.
Sherif RashadTohoku University, Sendai, Japan.
Shin-Ichiro SugiyamaKohnan Hospital, Sendai, Japan.
M Owais KhanUniversity of Toronto, Toronto, ON, Canada.
Adam R UpdegroveUniversity of California, Berkeley, Berkeley, CA, USA.
Shawn C ShaddenUniversity of California, Berkeley, Berkeley, CA, USA.
Bart M W CornelissenAcademic Medical Center, Amsterdam, The Netherlands.
Charles B L M MajoieAcademic Medical Center, Amsterdam, The Netherlands.
Philipp BergUniversity of Magdeburg, Magdeburg, Germany.
Sylvia SaalfieldUniversity of Magdeburg, Magdeburg, Germany.
Kenichi KonoWakayama Rosai Hospital, Wakayama, Japan.
David A SteinmanUniversity of Toronto, Toronto, ON, Canada. steinman@mie.utoronto.ca.ORCID 0000-0002-7963-1168

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImage-based computational fluid dynamics (CFD) is widely used to predict intracranial aneurysm wall shear stress (WSS), particularly with the goal of improving rupture risk assessment. Nevertheless, concern has been expressed over the variability of predicted WSS and inconsistent associations with rupture. Previous challenges, and studies from individual groups, have focused on individual aspects of the image-based CFD pipeline. The aim of this Challenge was to quantify the total variability of the whole pipeline.

methods3D rotational angiography image volumes of five middle cerebral artery aneurysms were provided to participants, who were free to choose their segmentation methods, boundary conditions, and CFD solver and settings. Participants were asked to fill out a questionnaire about their solution strategies and experience with aneurysm CFD, and provide surface distributions of WSS magnitude, from which we objectively derived a variety of hemodynamic parameters.

resultsA total of 28 datasets were submitted, from 26 teams with varying levels of self-assessed experience. Wide variability of segmentations, CFD model extents, and inflow rates resulted in interquartile ranges of sac average WSS up to 56%, which reduced to < 30% after normalizing by parent artery WSS. Sac-maximum WSS and low shear area were more variable, while rank-ordering of cases by low or high shear showed only modest consensus among teams. Experience was not a significant predictor of variability.

conclusionsWide variability exists in the prediction of intracranial aneurysm WSS. While segmentation and CFD solver techniques may be difficult to standardize across groups, our findings suggest that some of the variability in image-based CFD could be reduced by establishing guidelines for model extents, inflow rates, and blood properties, and by encouraging the reporting of normalized hemodynamic parameters.

Indexed as

Cerebrovascular CirculationHemodynamicsModels, CardiovascularPatient-Specific ModelingBlood Flow VelocityCerebral AngiographyHumansImaging, Three-DimensionalIntracranial AneurysmMiddle Cerebral ArteryPredictive Value of TestsPrognosisRadiographic Image Interpretation, Computer-AssistedRegional Blood FlowReproducibility of ResultsStress, MechanicalIntracranial aneurysmPatient-specific modellingRupture riskUncertainty quantificationWall shear stress

Identifiers

PMID30203115
PMCPMC6290689

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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.