Evidence map›Paper›PMID 34519953›Full record

ArticleInternational journal of computer assisted radiology and surgery2021

Luminal enhancement in intracranial aneurysms: fact or feature?-A quantitative multimodal flow analysis.

Franziska Gaidzik, Mariya Pravdivtseva, Naomi Larsen, Olav Jansen, Jan-Bernd Hövener, Philipp Berg

Abstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Franziska GaidzikLaboratory of Fluid Dynamics and Technical Flows, Otto-von-Guericke University, University of Magdeburg, Forschungscampus STIMULATE, Universitätsplatz 3, 39106, Magdeburg, Germany. franziska.gaidzik@ovgu.de.ORCID http://orcid.org/0000-0003-1924-821X
Mariya PravdivtsevaSection Biomedical Imaging, Molecular Imaging North Competence Center (MOIN CC), Kiel University, Kiel, Germany.ORCID http://orcid.org/0000-0001-9442-088X
Naomi LarsenDepartment of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein (UKSH), Kiel, Germany.
Olav JansenDepartment of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein (UKSH), Kiel, Germany.
Jan-Bernd HövenerSection Biomedical Imaging, Molecular Imaging North Competence Center (MOIN CC), Kiel University, Kiel, Germany.ORCID http://orcid.org/0000-0001-7255-7252
Philipp BergLaboratory of Fluid Dynamics and Technical Flows, Otto-von-Guericke University, University of Magdeburg, Forschungscampus STIMULATE, Universitätsplatz 3, 39106, Magdeburg, Germany.ORCID http://orcid.org/0000-0003-4140-6771

Funding

Bundesministerium für Bildung und Forschung 13GW0473ADeutsche Forschungsgemeinschaft BE 6230/2-1European Structural and Investment Funds ZS/2016/08/80646Research Training Group "Materials4Brain" GRK2154 P2
6 · The paper itself

Abstract

purposeIntracranial aneurysm (IA) wall enhancement on post-contrast vessel wall magnetic resonance imaging (VW-MRI) is assumed to be a biomarker for vessel wall inflammation and aneurysm instability. However, the exact factors contributing to enhancement are not yet clarified. This study investigates the relationship between luminal enhancement and intra-aneurysmal flow behaviour to assess the suitability of VW-MRI as a surrogate method for determining quantitative and qualitative flow behaviour in the aneurysm sac.

methodsVW-MRI signal is measured in the lumen of three patient-specific IA flow models and compared with the intra-aneurysmal flow fields obtained using phase-contrast magnetic resonance imaging (PC-MRI) and computational fluid dynamics (CFD). The IA flow models were supplied with two different time-varying flow regimes.

resultsOverall, the velocity fields acquired using PC-MRI or CFD were in good agreement with the VW-MRI enhancement patterns. Generally, the regions with slow-flowing blood show higher VW-MRI signal intensities, whereas high flow leads to a suppression of the signal. For all aneurysm models, a signal value above three was associated with velocity values below three cm/s.

conclusionRegions with lower enhancements have been correlated with the slow and high flow at the same time. Thus, further factors like flow complexity and stability can contribute to flow suppression in addition to the flow magnitude. Nevertheless, VW-MRI can qualitatively assess intra-aneurysmal flow phenomena and estimate the velocity range present in the corresponding region.

Indexed as

Intracranial AneurysmBlood Flow VelocityHumansHydrodynamicsMagnetic Resonance ImagingComputational fluid dynamicsIntracranial aneurysmsLuminal enhancementPhase-contrast-MRIVW-MRI

Identifiers

PMID34519953
PMCPMC8589743

What Socratic holds

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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.