Volumetric Artificial Intelligence Analysis of Pre and Post Rupture Cerebral Aneurysms: Assessment of Morphologic Change.

Autor: Sahlein DH; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA. Electronic address: dsahlein@goodmancampbell.com., Babici D; Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road BC-71, Boca Raton, FL, USA., Gibson DP; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., Amuluru K; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., DeNardo AJ; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., Saleem Y; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., Payner TD; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., Kulwin CG; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA., Shah KJ; Department of Neurosurgery, Goodman Campbell Brain and Spine at Ascension St. Vincent Hospital, 13345, Illinois, Carmel, IN, USA.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Nov 27. Date of Electronic Publication: 2024 Nov 27.
DOI: 10.1016/j.wneu.2024.11.101
Abstrakt: Background: Cerebral aneurysm rupture is a major cause of potential years of life lost. Research on rupture risk has often compared unruptured and ruptured aneurysms with the implicit assumption that the rupture event does not significantly change aneurysm morphology. However, aneurysm morphology is charged by rupture, though precisely how remains a matter of debate.
Methods: We used a semi-automated artificial intelligence volumetric aneurysm analysis tool to study pre and post rupture aneurysms (N=6). Aneurysms were assessed quantitatively with conventional linear measurements as well as by using volume and surface area. Qualitative side-by-side and superimposed volumetric analysis was performed to assess for the likely point of rupture.
Results: The morphologic changes as measured using linear measurement showed both increases and decreases in size for maximum dimension, dome height, dome width, and neck width. Volume, however, increased in all cases - by a minimum of 11% (range 11-47%). In all cases, the point of rupture was clear from co-registration or side-by-side 3D volumetric comparisons.
Conclusion: All aneurysms in our cohort grew substantially in volume between pre and post rupture when measured with a semi-automated AI volumetric measurement tool. Linear measurements, however, showed both increases and decreases in size. Rupture site was easy to detect in all cases by qualitative volumetric assessment.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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