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Association of local solid mechanical, hemodynamic and morphological characteristics with ruptured intracranial aneurysm

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机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]China International Neuroscience Institute (China-INI), Beijing, China. [3]Boea Wisdom (Hangzhou) Network Technology Co., Ltd., Hangzhou, Zhejiang, China. [4]Department of Mechanical Engineering, The University of Iowa, Iowa City, Iowa, USA.
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The rupture of intracranial aneurysms (IAs) is a complicated phenomenon of which the mechanism is not fully understood. The purpose of this study is to associate local solid mechanical, hemodynamic, and morphological characteristics with rupture regions through statistical means, in an attempt to identify the parameters that are indicative of rupture propensity for IAs. Twenty patient-specific ruptured IA models were reconstructed from digital subtraction angiography (DSA), and applied in the analysis of wall tension, wall shear stress (WSS) and curvature. The precise rupture locations were marked out through intraoperative videos. Pearson correlation analysis was employed to investigate the correlations of these three parameters with patient characteristics and global geometric features. Univariate and multivariate logistic regression analysis were further performed on wall tension, WSS and curvature with regards to rupture and nonrupture regions. Receiver operating characteristic (ROC) analysis defining area under the curve (AUC) was performed on these three parameters. The univariate model of wall tension (AUC, 0.9750), WSS (AUC, 0.9300), curvature (0.8150) and their combined multivariate model (AUC, 0.9875) all present high AUC values. The wall tension, WSS and curvature are acceptable parameters relating to rupture regions. The rupture odd is more sensitive to the wall tension and WSS than curvature. Each logistic model is capable in discriminating ruptures from nonrupture regions, while the multivariate model is the most efficient.© 2022 John Wiley & Sons Ltd.

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出版当年[2022]版:
大类 | 3 区 工程技术
小类 | 2 区 数学与计算生物学 3 区 数学跨学科应用 3 区 工程:生物医学
最新[2025]版:
大类 | 4 区 医学
小类 | 2 区 数学与计算生物学 3 区 数学跨学科应用 4 区 工程:生物医学
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出版当年[2021]版:
Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 MATHEMATICS, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL
最新[2024]版:
Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 MATHEMATICS, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2024版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]China International Neuroscience Institute (China-INI), Beijing, China.
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通讯机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. [2]China International Neuroscience Institute (China-INI), Beijing, China. [4]Department of Mechanical Engineering, The University of Iowa, Iowa City, Iowa, USA. [*1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China and International Neuro-science Institute, No. 45 Changchun Street, Xicheng District, Beijing 100053, China. [*2]Department of Mechanical Engineering, The University of Iowa, Iowa City, IA 52242, USA.
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