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An approach to quantitative assessment of hemodynamic differences between unruptured and ruptured ophthalmic artery aneurysms

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收录情况: ◇ SCIE ◇ EI

机构: [1]Capital Med Univ, Sch Biomed Engn, Beijing, Peoples R China; [2]Beijing Tiantan Hosp, Beijing Neurosurg Inst, Beijing, Peoples R China
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关键词: Ophthalmic artery aneurysm hemodynamics computational fluid dynamics flow field feature energy loss

摘要:
Background and purpose: Hemodynamic parameters are important in the pathogenesis, evolution and rupture of intracranial aneurysm. Energy loss (EL) has been applied for the rupture risk prediction of artery aneurysms recently. We proposed a new EL and further investigate its effects on the rupture of aneurysms. Materials and methods: Sixty-four patient-specific ophthalmic aneurysm datasets were divided into ruptured and unruptured groups based on their clinical history. Based on patient-specific 3D-DSA data, realistic models were retrospectively reconstructed and then analyzed by using computational fluid dynamic method. Results: The flow field feature EL in ruptured cases was significantly higher than that in unruptured cases. The average wall shear stress (WSS) and the maximum WSS in ruptured cases were higher than those in unruptured cases. Modified pressure loss coefficient (PLCM) in ruptured cases was slight higher than that in unruptured cases but the difference has no statistical significance. Multivariate logistic regression analysis demonstrated flow field feature EL (p<0.05) and the maximum WSS (p<0.05) were the only independently significant variables to predict rupture of ophthalmic aneurysm. There were no differences in PLCM, the maximum oscillatory shear index (OSI), the average OSI and AR between the two groups. Conclusion: Flow field feature EL may be a reliable factor to predict the rupture risk of aneurysms.

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出版当年[2015]版:
大类 | 3 区 工程技术
小类 | 3 区 计算机:跨学科应用 4 区 工程:生物医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 计算机:跨学科应用 4 区 工程:生物医学
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出版当年[2014]版:
Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q3 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Capital Med Univ, Sch Biomed Engn, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Sch Biomed Engn, Beijing, Peoples R China;
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