Evidence map›Paper›PMID 30733254›Full record

ArticleAJNR. American journal of neuroradiology2019

Comparison of Pipeline Embolization Device Sizing Based on Conventional 2D Measurements and Virtual Simulation Using the Sim&Size Software: An Agreement Study.

J M Ospel, G Gascou, V Costalat, L Piergallini, K A Blackham, D W Zumofen

Abstract readComparative StudyMulticenter Study
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Virtual implantation of Derivo Embolization Devices using PreSize Neurovascular software: Accuracy evaluation and size selection comparison study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  3. Software-based simulation for pipeline vantage flow diverter preprocedural assessment: Method and validation study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Article
  5. Article
  6. Verification of software-based preoperative simulation of flow diverters in clinical cases.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  7. Clinical impact of Sim & SizeInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  8. Predicting flow diverter sizing using the AneuGuideJournal of neurointerventional surgery · 2023
    Article
  9. Article
  10. "Virtual stent" - clinical evaluation and user experience of on-the-fly stent simulation in treatment of cerebral aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  11. Semi-automated cerebral aneurysm segmentation and geometric analysis for WEB sizing utilizing a cloud-based computational platform.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Pipeline Sizing Based on Computer Simulation.AJNR. American journal of neuroradiology · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

J M OspelFrom the Diagnostic and Interventional Neuroradiology Section (J.M.O., K.A.B., D.W.Z.), Department of Radiology and Nuclear Medicine.ORCID 0000-0003-0029-6764
G GascouDepartment of Neuroradiology (G.G., V.C., L.P.), Hôpital Gui de Chauliac, Centre Hospitalier Universitaire de Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0002-0817-7324
V CostalatDepartment of Neuroradiology (G.G., V.C., L.P.), Hôpital Gui de Chauliac, Centre Hospitalier Universitaire de Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0001-8428-9101
L PiergalliniDepartment of Neuroradiology (G.G., V.C., L.P.), Hôpital Gui de Chauliac, Centre Hospitalier Universitaire de Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0002-2899-1761
K A BlackhamFrom the Diagnostic and Interventional Neuroradiology Section (J.M.O., K.A.B., D.W.Z.), Department of Radiology and Nuclear Medicine kristineann.blackham@usb.ch.ORCID 0000-0002-1620-1144
D W ZumofenFrom the Diagnostic and Interventional Neuroradiology Section (J.M.O., K.A.B., D.W.Z.), Department of Radiology and Nuclear Medicine.ORCID 0000-0002-7265-8501

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe Sim&Size software simulates case-specific intraluminal Pipeline Embolization Device behavior, wall apposition, and device length in real-time on the basis of rotational angiography DICOM data. The purpose of this multicenter study was to evaluate whether preimplantation device simulation with the Sim&Size software results in selection of different device dimensions than manual sizing. MATERIALS AND

methodsIn a multicenter cohort of 74 patients undergoing aneurysm treatment with the Pipeline Embolization Device, we compared apparent optimal device dimensions determined by neurointerventionalists with considerable Pipeline Embolization Device experience based on manual 2D measurements taken from rotational angiography with computed optimal dimensions determined by Sim&Size experts blinded to the neurointerventionalists' decision. Agreement between manually determined and computed optimal dimensions was evaluated with the Cohen κ. The significance of the difference was analyzed with the Wilcoxon signed rank test.

resultsThe agreement index between manual selection and computed optimal dimensions was low (κ for diameter = 0.219; κ for length = 0.149,

conclusionsLow agreement between manually determined and computed optimal device dimensions is not proof, per se, that virtual simulation performs better than manual selection. Nevertheless, it ultimately reflects the potential for optimization of the device-sizing process, and use of the Sim&Size software reduces, in particular, device length. Nevertheless, further evaluation is required to clarify the impact of device-dimension modifications on outcome.

Indexed as

Computer SimulationSoftwareAgedBlood Vessel ProsthesisEmbolization, TherapeuticFemaleHumansIntracranial AneurysmMaleMiddle AgedTreatment Outcome

Identifiers

PMID30733254
PMCPMC7028658

What OpenQuestion holds

Textmetadata
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.