Review Article Imaging Evaluation for the Size of Saccular Intracranial Aneurysm

被引:0
作者
Zhu, Chenyu [1 ]
Liu, Ronghui [2 ,3 ]
Ye, Yufang [2 ,3 ]
Li, Zijin [4 ]
Li, Wentao [5 ]
Zhang, Xingliang [6 ]
Xie, Yibing [7 ]
Zhang, Shuqian [2 ,3 ]
机构
[1] North China Univ Sci & Technol, Dept Grad Sch, Tangshan, Hebei, Peoples R China
[2] Hebei Gen Hosp, Dept Radiol, Shijiazhuang, Hebei, Peoples R China
[3] Hebei Prov Key Lab Cerebral Networks & Cognit Diso, Shijiazhuang, Hebei, Peoples R China
[4] Yuebei Peoples Hosp, Dept Radiol, Shaoguan, Guangdong, Peoples R China
[5] Tianjin Univ Tradit Chinese Med, Teaching Hosp 1, Dept Radiol, Tianjin, Peoples R China
[6] Hebei Med Univ, Dept Grad Sch, Shijiazhuang, Hebei, Peoples R China
[7] Hebei North Univ, Dept Grad Sch, Zhangjiakou, Hebei, Peoples R China
关键词
Aneurysm morphology; Aneurysm size; Follow-up; Intracranial aneurysm; Ruptured intracranial aneurysms; UNRUPTURED CEREBRAL ANEURYSMS; DIGITAL-SUBTRACTION-ANGIOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; CT ANGIOGRAPHY; RISK-FACTORS; SUBARACHNOID HEMORRHAGE; NATURAL-HISTORY; RUPTURE RISK; FOLLOW-UP; TOMOGRAPHY ANGIOGRAPHY;
D O I
10.1016/J.WNEU.2023.12.059
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: In addition to evaluate the morphologic characteristics of intracranial aneurysms, the dimension of the aneurysm is an important parameter for selecting treatment strategies, determining follow-up period, and predicting the risk of rupture. High-resolution vessel wall imaging has an increasingly dominant role in measuring aneurysm size and assessing the risk of rupture accurately. The size of saccular intracranial aneurysm may play an important role as a predictor of the rupture risk. With the rapid improvement in radiological techniques, different noninvasive imaging methods have respective characteristics in saccular intracranial aneurysms (sIA) measurement and morphologic description. Although most studies believe that the larger the aneurysm, the higher the risk of rupture, there is still a synergistic effect of multiple factors (such as location, morphology, history of aneurysmal subarachnoid hemorrhage, and even patient factors) to explain the rupture of small aneurysms. METHODS: A literature search was performed of intracranial aneurysm size and risk of rupture. RESULTS: The specificity and sensitivity of different imaging methods for evaluating intracranial aneurysms varied based on sizes. Rupture risk of aneurysms was associated with multiple factors. A comprehensive assessment that considered aneurysm size in conjunction with other relevant factors would be helpful in guiding options of management. CONCLUSIONS: Accurate measurement of the dimension of sIA is an important basis in the selection of appropriate treatment including intravascular intervention or surgical clipping, as well as for determining the follow-up cycles for conservative or postoperative treatment. A uniform definition of sIA size is recommended to facilitate the integration of similar studies and to accomplish rapid and effective screening of cases in sIA treatment.
引用
收藏
页码:172 / 179
页数:8
相关论文
共 76 条
[1]  
Ajiboye Norman, 2015, ScientificWorldJournal, V2015, P954954, DOI 10.1155/2015/954954
[2]   Medical progress: Cerebral aneurysms [J].
Brisman, Jonathan L. ;
Song, Joon K. ;
Newell, David W. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (09) :928-939
[3]   Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening [J].
Brown, Robert D., Jr. ;
Broderick, Jrioseph P. .
LANCET NEUROLOGY, 2014, 13 (04) :393-404
[4]   Intracranial Aneurysm Enlargement on Serial Magnetic Resonance Angiography Frequency and Risk Factors [J].
Burns, Joseph D. ;
Huston, John, III ;
Layton, Kennith F. ;
Piepgras, David G. ;
Brown, Robert D. .
STROKE, 2009, 40 (02) :406-411
[5]  
Carter BS, 2006, NEUROSURGERY, V58, P217, DOI 10.1227/01.NEU.0000194639.37803.F8
[6]   Stent-Assisted Coiling Versus Balloon Remodeling of Wide-Neck Aneurysms: Comparison of Angiographic Outcomes [J].
Chalouhi, N. ;
Starke, R. M. ;
Koltz, M. T. ;
Jabbour, P. M. ;
Tjoumakaris, S. I. ;
Dumont, A. S. ;
Rosenwasser, R. H. ;
Singhal, S. ;
Gonzalez, L. F. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2013, 34 (10) :1987-1992
[7]  
Chen GY, 2021, Jilin Medical Journal, V42, P2853
[8]   Morphologic and Hemodynamic Risk Factors in Ruptured Aneurysms Imaged before and after Rupture [J].
Chien, A. ;
Sayre, J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2014, 35 (11) :2130-2135
[9]   Enlargement of small, asymptomatic, unruptured intracranial aneurysms in patients with no history of subarachnoid hemorrhage: the different factors related to the growth of single and multiple aneurysms Clinical article [J].
Chien, Aichi ;
Liang, Feng ;
Sayre, James ;
Salamon, Noriko ;
Villablanca, Pablo ;
Vinuela, Fernando .
JOURNAL OF NEUROSURGERY, 2013, 119 (01) :190-197
[10]   Comparison of 3D TOF-MRA and 3D CE-MRA at 3T for imaging of intracranial aneurysms [J].
Cirillo, Mario ;
Scomazzoni, Francesco ;
Cirillo, Luigi ;
Cadioli, Marcello ;
Simionato, Franco ;
Iadanza, Antonella ;
Kirchin, Miles ;
Righi, Claudio ;
Anzalone, Nicoletta .
EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (12) :E853-E859