Correlation of 4D-CTA Imaging and Rupture Risk of Anterior Communicating Aneurysms

Yiming XU; Hongli ZHU; Xinyan ZHOU; Jing LIANG

doi:10.12259/j.issn.2095-610X.S20231221

Volume 44 Issue 12

Dec. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(12): 133-138

Yiming XU, Hongli ZHU, Xinyan ZHOU, Jing LIANG. Correlation of 4D-CTA Imaging and Rupture Risk of Anterior Communicating Aneurysms[J]. Journal of Kunming Medical University, 2023, 44(12): 133-138. doi: 10.12259/j.issn.2095-610X.S20231221

Citation:

Yiming XU, Hongli ZHU, Xinyan ZHOU, Jing LIANG. Correlation of 4D-CTA Imaging and Rupture Risk of Anterior Communicating Aneurysms[J]. Journal of Kunming Medical University, 2023, 44(12): 133-138. doi: 10.12259/j.issn.2095-610X.S20231221

Citation:

PDF( 3470 KB)

Correlation of 4D-CTA Imaging and Rupture Risk of Anterior Communicating Aneurysms

doi: 10.12259/j.issn.2095-610X.S20231221

Dept. of Radiology，Yan’an Hospital，Kunming Yunnan 650500，China

Received Date: 2023-09-27
Available Online: 2023-12-15
Publish Date: 2023-12-25

Abstract

Abstract

Objective To explore the correlation between 4D-CTA imaging and the risk factors for the rupture of anterior communicating aneurysms. Methods A total of 100 patients with anterior communicating aneurysms in the Department of Radiology of Yan’ an Hospital of Kunming City from June 2020 to March 2023 were selected as the study objects. The patients were divided into ruptured group and unruptured group based on whether the aneurysm had ruptured（with 50 cases in each group）. The unruptured group（50 cases） received conservative treatment and follow-up observation for 1-12 months. The measurements included the aneurysm neck width（Wn）, aneurysm height（H）, average diameter of the carrying artery（DA）, aneurysm length（L）, aneurysm neck ratio（AR）, the ratio of aneurysm height to carrying artery diameter（SR）, aneurysm volume to aneurysm base area（VOR）, and the search for the pulsation point of the aneurysm, analyzing the correlation between these measurements and aneurysm rupture. Results Wn, AR, L and SR in ruptured group 1 were higher than those in non-ruptured group 1（P < 0.05）. Wn, AR, L and SR in fracture group 2 were higher than those in non-fracture group 2（P < 0.05）. The CT values of internal carotid artery and middle cerebral artery, and the CT values and noise of brain parenchyma in 4D-CTA were higher than those in 3D-CTA（P < 0.05）. Conclusion The use of 4D-CTA imaging for quantitative analysis of anterior communicating aneurysms can not only predict the risk of rupture, but also provide better image quality compared to 3D imaging while reducing radiation dosage. 4D-CTA imaging has a positive impact on the diagnosis and treatment of clinical aneurysms.
- Quantitative analysis,
- Anterior communicating aneurysm ruptured,
- 4D-CTA,
- Morphological feature

FullText(HTML)

References(20)

References

[1]	Adeeb N,Griessenauer C J,Dmytriw A A,et al. Risk of branch occlusion and ischemic complications with the pipeline embolization device in the treatment of posterior circulation aneurysms[J]. AJNR Am J Neuro Radiol,2018,39(7):1303-1309. doi: 10.3174/ajnr.A5696
[2]	胡罗健,高凯波,杨明方,等. 16层螺旋CT血管造影对前交通动脉瘤破裂风险因素分析[J]. 实用放射学杂志,2011,27(2):169-172.
[3]	黄钟情,周新卫,孟志华,等. 运用CTA分析颅内动脉瘤破裂的危险因素[J]. 临床放射学杂志,2017,36(1):15-19. doi: 10.13437/j.cnki.jcr.2017.01.005
[4]	Beck J,Rohde S,el Beltagy M,et al. Difference in configuration of ruptured and unruptured intracranial aneurysms determined by biplanar digital subtraction angiography[J]. Acta Neurochir(Wien),2003,145(10):861-865. doi: 10.1007/s00701-003-0124-0
[5]	徐鹏,陈英,施小燕,等. 3D-CTA 对颅内后循环出血性动脉瘤早期诊断的价值[J]. 中华急诊医学杂志,2020,29(1):127-131.
[6]	Hallikainen J,Keränen S,Savolainen J,et al. Role of oral pathogens in the pathogenesis of intracranial aneurysm: Review of existing evidence and potential mechanisms[J]. Neurosurg Rev,2021,44(1):239-247. doi: 10.1007/s10143-020-01253-y
[7]	Sahnoun M,Soize S,Manceau P. Intracranial aneurysm treatment with WEB and adjunctive stent: Preliminary evaluationin a single-center series[J]. Neurointerv Surg,2022,14(2):164-168. doi: 10.1136/neurintsurg-2021-017379
[8]	Isoda R,Kanaoka Y,Watanabe T. Total debranching plus antegrade thoracic endovascular aortic repair without side clamping in a patient with arch aneurysm and ascending aorta calcification[J]. Ann Vasc Dis,2021,14(2):181-184.
[9]	Hayakawa M, Katada K, Anno H, et al. CT angiography with electrocardiographically gated reconstruction for visualizing pulsation of intracranial aneurysms: Identification of aneurysmal protuberancepresumably associated with wallthinning[J] AJNR Am J Neuroradiol, 2005, 26（6）: 1366−1369.
[10]	马英剑. 3D-CTA 与 3D-DSA 对颅内动脉瘤破裂出血早期诊断价值分析[J]. 中国实用神经疾病杂志,2020,23(9):808-811.
[11]	顾艳,胡春洪,徐伦,等. 心电监控四维CT血管成像检测颅内未破裂动脉瘤搏动点及其意义[J]. 中华放射学杂志,2017,51(6):401−406.
[12]	Saiga A,Koizumi J,Osumi K,et al. Celiac artery dissection and retroperitoneal hemorrhage in median arcuate ligament syndrome treated with a stent and transcatheter arterial embolization: Preprocedural 4-Dimensional computed tomography angiography assessment[J]. Vasc Endovascular Surg,2022,56(1):75-79. doi: 10.1177/15385744211028738
[13]	Cui Y,Xing H,Zhou J,et al. Aneurysm morphological prediction of intracranial aneurysm rupture in elderly patients using four-dimensional CT angiography[J]. Clin Neurol Neurosurg,2021,208(2):106877.
[14]	Cancelliere N M,Najafi M,Brina O,et al. 4D-CT angiography versus 3D-rotational angiography as the imaging modality for computational fluid dynamics of cerebral aneurysms[J]. Neurointerv Surg,2020,12(6):26-30.
[15]	Zhang J,Li X,Zhao B,et al. Irregular pulsation of intracranial unruptured aneurysm detected by four-dimensional CT angiography is associated with increased estimated rupture risk and conventional risk factors[J]. Neurointerv Surg,2021,13(9):854-858. doi: 10.1136/neurintsurg-2020-016811
[16]	Li X,Zhao B,Zhang J,et al. Irregular pulsation of aneurysmal wall is associated with symptomatic and ruptured intracranial aneurysms[J]. Neurointerv Surg,2023,15(1):91-96. doi: 10.1136/neurintsurg-2021-018381
[17]	Dhar S,Tremmel M,Mocco J,et al. Morphology parameters for intracranial aneurysm rupture risk assessment[J]. Neurosurgery,2008,63(2):185-196. doi: 10.1227/01.NEU.0000316847.64140.81
[18]	Meng H,Feng Y,Woodward S H,et al. Mathematical model of the rupture mechanism of intracranial saccular aneurysms through daughter aneurysm formation and growth[J]. Neurol Res,2005,27(5):459-465. doi: 10.1179/016164105X25171
[19]	Cebral J R,Sheridan M,Putman C M. Hemodynamics and bleb formation in intracranial aneurysms[J]. AJNR Am J Neuroradiol,2010,31(2):304-310. doi: 10.3174/ajnr.A1819
[20]	Investigators U,Morita A,Kirino T,et al. The natural course of unruptured cerebral aneurysms in a Japanese cohort[J]. New England Journal of Medicine,2012,366(26):2474-2482. doi: 10.1056/NEJMoa1113260

Relative Articles(20)

Relative Articles

[1]	Yiming XU, Jianfeng ZHONG, Bin LI, Xinyan ZHOU, Hongli ZHU, Jing LIANG, Chengde LIAO. Value of Head and Neck 4D-CTA Combined with SDF-1a/CXCR4 Signaling Pathway in Assessing the Risk of Ruptured Intracranial Posterior Communicating Aneurysms. Journal of Kunming Medical University, 2024, 45(3): 59-64. doi: 10.12259/j.issn.2095-610X.S20240309
[2]	Sixue PAN, Jiangchuan WU, Guangxiong HE, Junyi XIANG, Jiliang XIA, Chaoyu BAO. Morphological Study of Adult Infrapatellar Fat Pad Thickness Measured by MRI. Journal of Kunming Medical University, 2023, 44(3): 92-96. doi: 10.12259/j.issn.2095-610X.S20230315
[3]	Sixue PAN, Guangxiong HE, Jiliang XIA, Shuai CHEN, Junyi XIANG, Chaoyu BAO. Morphological Study of Meniscus Thickness Measurement in Normal Adults Based on MRI. Journal of Kunming Medical University, 2022, 43(12): 99-104. doi: 10.12259/j.issn.2095-610X.S20221219
[4]	Yuhao DING, Jianren WANG, Tao XIE, Liqing LIN, Zexi LIN, Weiwei ZHU, Xi’an FU, Jun PU. Risk Factors Analysis and Assessment of Ruptured Posterior Communicating Artery Aneurysm. Journal of Kunming Medical University, 2022, 43(12): 47-52. doi: 10.12259/j.issn.2095-610X.S20221210
[5]	Tao LIU, Xiao-feng ZHU, Jun MA, Shi-peng LI, Xin GENG, Jing-hui LI, Hua-lin YU, Peng BAI. Clinical Features and Morphological Risk Factors of Ruptured and Hemorrhage of Posterior Communicating Artery Aneurysm. Journal of Kunming Medical University, 2021, 42(12): 67-73. doi: 10.12259/j.issn.2095-610X.S20211222
[6]	Yang Bin , Du Wei , Duan Wen Shuai . . Journal of Kunming Medical University, 2020, 41(09): 114-119.
[7]	Huang Yao , Bai Peng . . Journal of Kunming Medical University, 2019, 40(05): 80-85.
[8]	Chen Yu Tong , Yao Li Qing , Xu Chun Yan , Xiao Yi Fei , Ou Ji Bing , Sun Ya Lu . Effect of Shock Wave on NMJ and Muscle Morphology in Rabbits. Journal of Kunming Medical University, 2018, 39(01): 63-68.
[9]	Deng Ju Qing , Yu Lu , Liu Jie , Liao Li Qiong , Fan Fang Shu , Sun Jie , Xu Yun. Pathological Morphology of 76 Cases of DCD Liver Transplantation. Journal of Kunming Medical University, 2017, 38(10): 40-44.
[10]	Zhu Xiang Qing , Nie Sheng Jie , Li Lan Jiang , Zhu Tong , Wu Jian . Research Progress in Sex Identification Using Morphological Features of the Foramen Magnum. Journal of Kunming Medical University, 2017, 38(11): 131-135.
[11]	Liu Bo Hu , Pu Jun , Gao Hong , Chang Qian , Li Jun Yan , Cen Jian Chang . . Journal of Kunming Medical University, 2017, 38(02): 43-48.
[12]	Li Ming , Yu Hua Lin , Bai Peng . The Clinical Analysis of Microsurgical Treatment for Anterior Communicating Artery Aneurysm Via Pterional Approach. Journal of Kunming Medical University, 2016, 37(11): 116-120.
[13]	Luo Jian Yuan . . Journal of Kunming Medical University,
[14]	Li Dong Bo . . Journal of Kunming Medical University,
[15]	Tang Xiang Hui . . Journal of Kunming Medical University,
[16]	Yang Yong Hua . . Journal of Kunming Medical University,
[17]	Shi Hong Qiong . . Journal of Kunming Medical University,
[18]	Lu Xin . . Journal of Kunming Medical University,
[19]	Ma Kai Yu . . Journal of Kunming Medical University,
[20]	Lu Hua . . Journal of Kunming Medical University,