5 191

Cited 9 times in

Morphological parameters related to ruptured aneurysm in the patient with multiple cerebral aneurysms (clinical investigation)

DC FieldValueLanguage
dc.contributor.author전홍준-
dc.contributor.author허승곤-
dc.contributor.author김소연-
dc.contributor.author박근영-
dc.contributor.author이재환-
dc.date.accessioned2015-01-06T17:28:10Z-
dc.date.available2015-01-06T17:28:10Z-
dc.date.issued2014-
dc.identifier.issn0161-6412-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100037-
dc.description.abstractOBJECTIVES: We evaluated the rupture risk of multiple cerebral aneurysms in aspects of various morphological parameters, and determined which parameter can be a reliable predictor as one aneurysm ruptured, and the others did not. METHODS: Between 2007 and 2012, three-dimensional (3D) angiographic images of 85 patients harboring multiple aneurysms (85 ruptured and 104 unruptured aneurysms) were used to assess the following morphological parameters: geometry of the aneurysm itself, e.g., maximal size, aspect ratio, bottleneck ratio, height/width ratio, undulation, and daughter sac; architecture of the aneurysm and surrounding vessels, e.g. aneurysmal angle, vessel angle, inflow angle, parent-daughter angle, and size ratio type I & II. Univariate analysis was applied to all parameters, and significant parameters were identified in multivariate analysis, yielding the cut-off point from receiver-operating characteristic (ROC) curve analysis. RESULTS: On multivariate logistic regression, the aspect ratio [odds ratio (OR), 1.21; 95% confidence interval (CI), 1.05-1.41] and daughter sac (OR, 3.12; 95% CI, 1.05-9.27) were significant parameters in geometries of the aneurysm itself. The size ratio type I (OR, 1.14; 95% CI, 1.05-1.22) and parent-daughter angle (OR, 1.02; 95% CI, 1.00-1.04) were independent parameters in architecture of the aneurysm and surrounding vessels. From the ROC curve, the aspect ratio and size ratio type I had cut-off values of 1.3 and 1.8, respectively. CONCLUSION: Several morphological parameters were investigated to predict a rupture in multiple cerebral aneurysms using 3D angiogram. The aspect ratio, size ratio type I, daughter sac, and parent-daughter angle were revealed as competent parameters.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1056~1052-
dc.relation.isPartOfNeurological Research-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAneurysm, Ruptured/pathology*-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHImaging, Three-Dimensional-
dc.subject.MESHIntracranial Aneurysm/pathology*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRisk Factors-
dc.titleMorphological parameters related to ruptured aneurysm in the patient with multiple cerebral aneurysms (clinical investigation)-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorHong Jun Jeon-
dc.contributor.googleauthorJae Whan Lee-
dc.contributor.googleauthorSo Yeon Kim-
dc.contributor.googleauthorKeun Young Park-
dc.contributor.googleauthorSeung Kon Huh-
dc.identifier.doi10.1179/1743132814Y.0000000393-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03566-
dc.contributor.localIdA04356-
dc.contributor.localIdA03088-
dc.contributor.localIdA00618-
dc.contributor.localIdA01442-
dc.relation.journalcodeJ02337-
dc.identifier.pmid24852695-
dc.identifier.urlhttp://www.maneyonline.com/doi/abs/10.1179/1743132814Y.0000000393-
dc.subject.keywordAspect ratio,-
dc.subject.keywordDaughter sac,-
dc.subject.keywordMorphological parameters,-
dc.subject.keywordMultiple cerebral aneurysms,-
dc.subject.keywordParent–daughter angle-
dc.subject.keywordSize ratio-
dc.contributor.alternativeNameJeon, Hong Jun-
dc.contributor.alternativeNameHuh, Seung Kon-
dc.contributor.alternativeNameKim, So Yeon-
dc.contributor.alternativeNamePark, Keun Young-
dc.contributor.alternativeNameLee, Jae Whan-
dc.contributor.affiliatedAuthorJeon, Hong Jun-
dc.contributor.affiliatedAuthorHuh, Seung Kon-
dc.contributor.affiliatedAuthorLee, Jae Whan-
dc.contributor.affiliatedAuthorKim, So Yeon-
dc.contributor.affiliatedAuthorPark, Keun Young-
dc.rights.accessRightsfree-
dc.citation.volume36-
dc.citation.number12-
dc.citation.startPage1056-
dc.citation.endPage1052-
dc.identifier.bibliographicCitationNeurological Research, Vol.36(12) : 1056-1052, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.