Evidence map›Paper›PMID 31780462›Full record

ArticleAJNR. American journal of neuroradiology2019

Comparing Morphology and Hemodynamics of Stable-versus-Growing and Grown Intracranial Aneurysms.

E L Leemans, B M W Cornelissen, C H Slump, C B L M Majoie, J R Cebral, H A Marquering

Abstract readComparative 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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  15. Luminal enhancement in intracranial aneurysms: fact or feature?-A quantitative multimodal flow analysis.International journal of computer assisted radiology and surgery · 2021
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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

6 authors.

E L LeemansFrom the Departments of Biomedical Engineering and Physics (E.L.L., B.M.W.C., H.A.M.) e.l.leemans@amc.uva.nl.ORCID 0000-0002-3640-9938
B M W CornelissenFrom the Departments of Biomedical Engineering and Physics (E.L.L., B.M.W.C., H.A.M.).ORCID 0000-0001-8946-1548
C H SlumpMIRA Institute for Biomedical Engineering and Technical Medicine (B.M.W.C., C.H.S.), University of Twente, Enschede, the Netherlands.ORCID 0000-0001-8946-1548
C B L M MajoieRadiology and Nuclear Medicine (E.L.L., B.M.W.C., C.B.L.M.M., H.A.M.), Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-7600-9568
J R CebralBioengineering and Mechanical Engineering Department, (J.R.C.), Volgenau School of Engineering, George Mason University, Fairfax, Virginia.ORCID 0000-0002-7600-9568
H A MarqueringRadiology and Nuclear Medicine (E.L.L., B.M.W.C., C.B.L.M.M., H.A.M.), Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-7600-9568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAneurysm growth has been related to higher rupture risk. A better understanding of the characteristics related to growth may assist in the treatment decisions of unruptured intracranial aneurysms. This study aimed to identify morphologic and hemodynamic characteristics associated with aneurysm growth and to determine whether these characteristics deviate further from those of stable aneurysms after growth. MATERIALS AND

methodsWe included 81 stable and 56 growing aneurysms. 3D vascular models were segmented on CTA, MRA, or 3D rotational angiographic images. With these models, we performed computational fluid dynamics simulations. Morphologic (size, size ratios, and shape) and hemodynamic (inflow, vorticity, shear stress, oscillatory shear index, flow instability) characteristics were automatically calculated. We compared the characteristics between aneurysms that were stable and those that had grown at baseline and final imaging. The significance level after Bonferroni correction was

resultsAt baseline, no significant differences between aneurysms that were stable and those that had grown were detected (

conclusionsMorphologic and hemodynamic characteristics at baseline were not associated with aneurysm growth in our population. After growth, almost all indices increase toward values associated with higher rupture risks. Therefore, we stress the importance of longitudinal imaging and repeat risk assessment in unruptured aneurysms.

Indexed as

AgedCerebral AngiographyDisease ProgressionFemaleHemodynamicsHumansImaging, Three-DimensionalIntracranial AneurysmMaleMiddle AgedRisk Assessment

Identifiers

PMID31780462
PMCPMC6975342

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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.