Evidence map›Paper›PMID 38830670›Full record

ArticleJournal of neurointerventional surgery2025

Evaluation of flow diverters for cerebral aneurysm therapy: recommendations for imaging analyses in clinical studies, endorsed by ESMINT, ESNR, OCIN, SILAN, SNIS, and WFITN.

Jens Fiehler, Santiago Ortega-Gutierrez, Vania Anagnostakou, Jonathan Cortese, H Saruhan Cekirge, David Fiorella, Ricardo Hanel, Zsolt Kulcsar, Saleh Lamin, Jianmin Liu and 12 more

Abstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2025. 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. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Indirect flow diversion for the treatment of saccular posterior inferior cerebellar artery aneurysms: An 11-year single-center retrospective study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

22 authors.

Jens FiehlerDepartment of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany fiehler@uke.de.ORCID http://orcid.org/0000-0001-8533-7478
Santiago Ortega-GutierrezNeurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.ORCID http://orcid.org/0000-0002-3408-1297
Vania AnagnostakouDepartment of Radiology, New England Center for Stroke Research, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.ORCID http://orcid.org/0000-0001-5101-3192
Jonathan CorteseInterventional Neuroradiology, Biĉetre Hospital, Le Kremlin Biĉetre, France.
H Saruhan CekirgeRadiology, Koru Health Group, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4521-2301
David FiorellaDepartment of Neurosurgery, Stony Brook University, Stony Brook, New York, USA.ORCID http://orcid.org/0000-0002-2677-8780
Ricardo HanelStroke & Cerebrovascular Center, Baptist Neurological Institute and Lyerly Neurosurgery, Jacksonville, Florida, USA.
Zsolt KulcsarNeuroradiology, University Hospital Zurich, Zurich, Switzerland.
Saleh LaminInterventional Neuroradiology and Radiology, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Jianmin LiuNeurosurgery, Naval Medical University, Shanghai, China.
Pedro LylykInterventional Neuroradiology, Clinical Institute ENERI, Buenos Aires, Argentina.
Franklin A MardenAlexian Brothers Medical Center, Elk Grove Village, Illinois, USA.
Vitor M PereiraDepartment of Neurosurgery, Unity Health Toronto, Toronto, Ontario, Canada.
Marios-Nikos PsychogiosDepartment of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
Hal RiceDepartment of Interventional Neuroradiology, Gold Coast University Hospital, Southport, Queensland, Australia.ORCID http://orcid.org/0000-0002-3764-573X
Aymeric RouchaudInterventional Neuroradiology, Centre Hospitalier Universitaire de Limoges, Limoges, France.ORCID http://orcid.org/0000-0003-0902-3375
Isil SaatciRadiology, Koru Health Group, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1690-5501
Adnan H SiddiquiNeurosurgery and Radiology, and Canon Stroke and Vascular Research Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.ORCID http://orcid.org/0000-0002-9519-0059
Laurent SpelleInterventional Neuroradiology, NEURI Brain Vascular Center, Biĉetre Hospital, Le Kremlin Biĉetre, France.ORCID http://orcid.org/0000-0002-6748-8528
Pengfei YangDepartment of Neurosurgery, Naval Medical University Changhai Hospital, Shanghai, China.
Astrid GramsDepartment of Neuroradiology, Medical University of Innsbruck, Innsbruck, Austria.
Matthew J GounisDepartment of Radiology, New England Center for Stroke Research, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.ORCID http://orcid.org/0000-0002-8034-2785

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple studies and meta-analyses have described the technical and clinical outcomes in large cohorts of aneurysm patients treated with flow diverters (FDs). Variations in evaluation methodology complicate making comparisons among studies, hinder understanding of the device behavior, and pose an obstacle in the assessment of further advances in FD therapy.

methodsA multidisciplinary panel of neurointerventionalists, imaging experts, and neuroradiologists convened with the goal of establishing consensus recommendations for the standardization of image analyses in FD studies.

resultsA standardized methodology is proposed for evaluating and reporting radiological outcomes of FD treatment of intracranial aneurysms. The recommendations include general imaging considerations for clinical studies and evaluations of longitudinal changes, such as neointimal lining and stenosis. They cover standards for classification of aneurysm location, morphology, measurements, as well as the assessment of aneurysm occlusion, wall apposition, and neck coverage. These reporting standards further define four specific braid deformation patterns: foreshortening, fish-mouthing, braid bump deformation, and braid collapse, collectively termed 'F2B2'.

conclusionsWhen widely applied, standardization of methods of measuring and reporting outcomes will help to harmonize the assessment of treatment outcomes in clinical studies, help facilitate communication of results among specialists, and help enable research and development to focus on specific aspects of FD techniques and technology.

Indexed as

Endovascular ProceduresIntracranial AneurysmStentsHumansAneurysmAngiographyFlow DiverterStandardsSubarachnoid

Identifiers

PMID38830670
PMCPMC12171491

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.