Evidence map›Paper›PMID 31122914›Full record

ArticleAJNR. American journal of neuroradiology2019

Surveillance of Unruptured Intracranial Saccular Aneurysms Using Noncontrast 3D-Black-Blood MRI: Comparison of 3D-TOF and Contrast-Enhanced MRA with 3D-DSA.

C Zhu, X Wang, L Eisenmenger, B Tian, Q Liu, A J Degnan, C Hess, D Saloner, J Lu

Erratum issuedOpen access · bronzeAbstract 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. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Application of deblur technology for improving the clarity of digital subtractive angiography.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  5. Article
  6. Volumetric surveillance of brain aneurysms: Pitfalls of MRA.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  7. Advanced cross-sectional imaging of cerebral aneurysms.The British journal of radiology · 2023
    Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

C ZhuFrom the Department of Radiology and Biomedical Imaging (C.Z., L.E., C.H., D.S.), University of California, San Francisco, San Francisco, California.ORCID 0000-0001-6898-549X
X WangDepartment of Radiology (X.W., B.T., Q.L., J.L.), Changhai Hospital, Shanghai, China.ORCID 0000-0001-7003-4917
L EisenmengerFrom the Department of Radiology and Biomedical Imaging (C.Z., L.E., C.H., D.S.), University of California, San Francisco, San Francisco, California.ORCID 0000-0001-6764-4239
B TianDepartment of Radiology (X.W., B.T., Q.L., J.L.), Changhai Hospital, Shanghai, China.ORCID 0000-0003-2446-4363
Q LiuDepartment of Radiology (X.W., B.T., Q.L., J.L.), Changhai Hospital, Shanghai, China.ORCID 0000-0002-4105-2160
A J DegnanDepartment of Radiology (A.J.D.), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-7373-0990
C HessFrom the Department of Radiology and Biomedical Imaging (C.Z., L.E., C.H., D.S.), University of California, San Francisco, San Francisco, California.ORCID 0000-0002-5132-5302
D SalonerFrom the Department of Radiology and Biomedical Imaging (C.Z., L.E., C.H., D.S.), University of California, San Francisco, San Francisco, California.ORCID 0000-0002-6989-8547
J LuDepartment of Radiology (X.W., B.T., Q.L., J.L.), Changhai Hospital, Shanghai, China cjr.lujianping@vip.163.com.ORCID 0000-0002-0380-7470
Second Military Medical University · CNUniversity of California, San Francisco · USChildren's Hospital of Philadelphia · US

Funding

Characterization of intracranial vessel wall morphology and inflammation using 3D high resolution MRIK99HL136883 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZHU, CHENGCHENG · 2017 to 2018
$181k
NHLBI NIH HHS K99 HL136883
6 · The paper itself

Abstract

background and purposePatients with unruptured intracranial aneurysms routinely undergo surveillance imaging to monitor growth. Angiography is the criterion standard for aneurysm diagnosis, but it is invasive. This study aimed to evaluate the accuracy and reproducibility of a 3D noncontrast black-blood MR imaging technique for unruptured intracranial aneurysm measurement in comparison with 3D-TOF and contrast-enhanced MRA, using 3D rotational angiography as a reference standard. MATERIALS AND

methodsSixty-four patients (57.3 ± 10.9 years of age, 41 women) with 68 saccular unruptured intracranial aneurysms were recruited. Patients underwent 3T MR imaging with 3D-TOF-MRA, 3D black-blood MR imaging, and contrast-enhanced MRA, and they underwent 3D rotational angiography within 2 weeks. The neck, width, and height of the unruptured intracranial aneurysms were measured by 2 radiologists independently on 3D rotational angiography and 3 MR imaging sequences. The accuracy and reproducibility were evaluated by Bland-Altman plots, the coefficient of variance, and the intraclass correlation coefficient.

results3D black-blood MR imaging demonstrates the best agreement with DSA, with the smallest limits of agreement and measurement error (coefficients of variance range, 5.87%-7.04%). 3D-TOF-MRA had the largest limits of agreement and measurement error (coefficients of variance range, 12.73%-15.78%). The average coefficient of variance was 6.26% for 3D black-blood MR imaging, 7.03% for contrast-enhanced MRA, and 15.54% for TOF-MRA. No bias was found among 3 MR imaging sequences compared with 3D rotational angiography. All 3 MR imaging sequences had excellent interreader agreement (intraclass correlation coefficient, >0.95). 3D black-blood MR imaging performed the best for patients with intraluminal thrombus (

conclusions3D black-blood MR imaging achieves better accuracy for aneurysm size measurements compared with 3D-TOF, using 3D rotational angiography as a criterion standard. This noncontrast technique is promising for surveillance of unruptured intracranial aneurysms.

Indexed as

AdultAgedCerebral AngiographyFemaleHumansImage Interpretation, Computer-AssistedImaging, Three-DimensionalIntracranial AneurysmMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID31122914
PMCPMC6582946
OpenAlexW2945684502

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.