Evidence map›Paper›PMID 30733253›Full record

ArticleAJNR. American journal of neuroradiology2019

Local Hemodynamic Conditions Associated with Focal Changes in the Intracranial Aneurysm Wall.

J R Cebral, F Detmer, B J Chung, J Choque-Velasquez, B Rezai, H Lehto, R Tulamo, J Hernesniemi, M Niemela, A Yu and 8 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. 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
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  8. Review
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  10. Observational
  11. Article
  12. Article
  13. Review
  14. Observational
  15. 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
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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
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

18 authors.

J R CebralFrom the Department of Bioengineering (J.R.C., F.D., B.J.C.), Volgenau School of Engineering, George Mason University, Fairfax, Virginia jcebral@gmu.edu.ORCID 0000-0002-3216-0856
F DetmerFrom the Department of Bioengineering (J.R.C., F.D., B.J.C.), Volgenau School of Engineering, George Mason University, Fairfax, Virginia.ORCID 0000-0003-0434-0355
B J ChungFrom the Department of Bioengineering (J.R.C., F.D., B.J.C.), Volgenau School of Engineering, George Mason University, Fairfax, Virginia.ORCID 0000-0002-5846-7944
J Choque-VelasquezNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0001-5220-1216
B RezaiNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0003-3937-2816
H LehtoNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0003-3129-8156
R TulamoNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0003-1103-0216
J HernesniemiNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0001-8163-8804
M NiemelaNeurosurgery Research Group (J.C.-V., B.R., H.L., R.T., J.H., M.N.), Biomedicum Helsinki and Helsinki University Central Hospital, Helsinki, Finland.ORCID 0000-0003-1526-0684
A YuDepartment of Neurosurgery (A.Y., R.W., K.A.), Allegheny General Hospital, Pittsburgh, Pennsylvania.ORCID 0000-0002-1582-7938
R WilliamsonDepartment of Neurosurgery (A.Y., R.W., K.A.), Allegheny General Hospital, Pittsburgh, Pennsylvania.ORCID 0000-0001-8779-5819
K AzizDepartment of Neurosurgery (A.Y., R.W., K.A.), Allegheny General Hospital, Pittsburgh, Pennsylvania.ORCID 0000-0001-5618-5567
S ShakurDepartment of Neurosurgery (S.S., S.A.-H., F.C.), University of Illinois at Chicago, Chicago, Illinois.ORCID 0000-0002-2794-1885
S Amin-HanjaniDepartment of Neurosurgery (S.S., S.A.-H., F.C.), University of Illinois at Chicago, Chicago, Illinois.ORCID 0000-0002-1289-4596
F CharbelDepartment of Neurosurgery (S.S., S.A.-H., F.C.), University of Illinois at Chicago, Chicago, Illinois.ORCID 0000-0001-7816-2809
Y TobeMechanical Engineering and Materials Science and Department of Bioengineering (Y.T., A.R.), Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0003-0473-0644
A RobertsonMechanical Engineering and Materials Science and Department of Bioengineering (Y.T., A.R.), Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-5063-4293
J FrösenHemorrhagic Brain Pathology Research Group (J.F.), Neurocenter, Kuopio University Hospital, Kuopio, Finland.ORCID 000-0003-4677-950x

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

background and purposeAneurysm hemodynamics has been associated with wall histology and inflammation. We investigated associations between local hemodynamics and focal wall changes visible intraoperatively. MATERIALS AND

methodsComputational fluid dynamics models were constructed from 3D images of 65 aneurysms treated surgically. Aneurysm regions with different visual appearances were identified in intraoperative videos: 1) "atherosclerotic" (yellow), 2) "hyperplastic" (white), 3) "thin" (red), 4) rupture site, and 5) "normal" (similar to parent artery), They were marked on 3D reconstructions. Regional hemodynamics was characterized by the following: wall shear stress, oscillatory shear index, relative residence time, wall shear stress gradient and divergence, gradient oscillatory number, and dynamic pressure; these were compared using the Mann-Whitney test.

resultsHyperplastic regions had lower average wall shear stress (

conclusionsLocal hemodynamics is associated with visible focal wall changes. Slow swirling flow with low and oscillatory wall shear stress was associated with atherosclerotic and hyperplastic changes. High flow conditions prevalent in regions near the flow impingement site characterized by higher and less oscillatory wall shear stress were associated with local "thinning" of the wall.

Indexed as

Models, CardiovascularHemodynamicsHumansHydrodynamicsImaging, Three-DimensionalIntracranial AneurysmRisk FactorsStress, Mechanical

Identifiers

PMID30733253
PMCPMC6420361

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Registered trials

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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.