Risk of Rupture of Small Intracranial Aneurysms (≤5 mm) Among the Chinese Population

Wang, Guangxian; Yang, Yan; Liu, Lan-lan; Li, Wen; Duan, Mei-chun; Yin, Jie; Dong, Zhen

doi:10.1016/j.wneu.2020.12.034

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…IAs located in the AcoA, PcomA, or PC are considered to have a high risk of rupture [17][18][19]. However, we did not nd that location signi cantly increased the rupture risk in our previous studies [20][21][22]. Similar to our study, 2 previous studies also con rmed that location was not related to IA rupture [2,14].…”

Section: Discussionsupporting

confidence: 79%

Identification of ruptured intracranial aneurysms using the aneurysm-specific prediction score in patients with multiple aneurysmal subarachnoid hemorrhages

Zhang

Zhao

Liu

et al. 2022

Preprint

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Background: For patients with multiple aneurysmal subarachnoid hemorrhages (SAHs), a simple and fast imaging method that can identify ruptured intracranial aneurysms (RIAs) may have great clinical value. We sought to use the aneurysm-specific prediction (ASP) score to identify RIAs in patients with multiple IAs (MIAs) and evaluate the ASP score.Methods: Between May 2018 and May 2021, 134 patients with 290 MIAs were retrospectively analyzed. All patients had an SAH due to IA rupture. CT angiography (CTA) was used to assess the maximum diameter, shape, and location of IAs to calculate the ASP score. Then, the ASP score was applied to patients with actual RIAs. Results: The IAs with the highest ASP scores had not ruptured in 17 (12.7%) of the 134 patients with 290 MIAs. The sensitivity, specificity, false omission rate, diagnostic error rate, and diagnostic accuracy of the ASP score were higher than those of the maximum diameter, shape, and location of IAs.Conclusions: The present study suggests that the ASP score has high diagnostic accuracy in identifying RIAs in patients with MIAs and SAH, but that it needs further evaluation.

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Section: Discussionsupporting

confidence: 79%

Identification of ruptured intracranial aneurysms using the aneurysm-specific prediction score in patients with multiple aneurysmal subarachnoid hemorrhages

Zhang

Zhao

Liu

et al. 2022

Preprint

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Clinical Scales in Aneurysm Rupture Prediction

Sanchez,

Miller,

Samaniego

2024

SVIN

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The rate of incidentally discovered unruptured intracranial aneurysms has increased with the broad availability of neuroimaging. The determination of the risk of rupture of brain aneurysms is challenging. Several clinical scales for aneurysm rupture prediction have been developed. The most common scales are PHASES, ELAPSS, and UIATS. These scales are not routinely used in clinical practice due to inherent shortcomings. In this review, we analyze the risk factors used in generating these scales and the performance of these scales in clinical studies. We also discuss new potential biomarkers and tools to predict aneurysm rupture.

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Risk of Rupture of Small Intracranial Aneurysms (≤5 mm) Among the Chinese Population

Cited by 2 publications

References 14 publications

Identification of ruptured intracranial aneurysms using the aneurysm-specific prediction score in patients with multiple aneurysmal subarachnoid hemorrhages

Identification of ruptured intracranial aneurysms using the aneurysm-specific prediction score in patients with multiple aneurysmal subarachnoid hemorrhages

Clinical Scales in Aneurysm Rupture Prediction

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