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01-06-2021 | Ruptured Aneurysm | Original Article

Fusion of subarachnoid hemorrhage data and computed tomography angiography data is helpful to identify the rupture source in patients with multiple intracranial aneurysms

Authors: Anhui Yao, Liyun Jia, Jun Li, Benhan Wang, Jiashu Zhang, Zhe Xue, Kai Zhao, Yue Zhao, Na You, Jun Zhang, Bainan Xu

Published in: Neurosurgical Review | Issue 3/2021

Abstract

Determining the rupture source is imperative in patient with aneurysmal subarachnoid hemorrhage (SAH). About one third of SAH cases with multiple intracranial aneurysms cannot be certain of the rupture source according to the hemorrhage pattern. This study aims to identify of the rupture source in patients with multiple intracranial aneurysms by fusing SAH data and computed tomography angiography (CTA) data. This retrospective study included 52 aneurysmal SAH patients with multiple intracranial aneurysms. In the 52 patients, 36 had definitive hemorrhage patterns on computed tomography imaging. And the other 16 patients had non-definitive hemorrhage patterns, which were bewildered for us to determine the ruptured aneurysms. Fusion of SAH data and CTA data was performed to demonstrate the spatial relationship between the SAH with each aneurysm by using the 3D Slicer software. For the patients with definitive bleed patterns, all of the suspected ruptured aneurysms were confirmed to be accurate according to the surgical records. Interestingly, the suspected rupture sources were correct in 14 of 16 patients with non-definitive hemorrhage patterns. For all 52 patients with multiple intracranial aneurysms, the ruptured aneurysms were identified in 50 cases (96.2%). In conclusion, fusion of SAH data and CTA data can precisely demonstrate the spatial relationship between the SAH with each aneurysm, which is helpful to determine the ruptured aneurysm in patients with multiple intracranial aneurysms.

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Title: Fusion of subarachnoid hemorrhage data and computed tomography angiography data is helpful to identify the rupture source in patients with multiple intracranial aneurysms
Authors: Anhui Yao
Liyun Jia
Jun Li
Benhan Wang
Jiashu Zhang
Zhe Xue
Kai Zhao
Yue Zhao
Na You
Jun Zhang
Bainan Xu
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keywords: Ruptured Aneurysm
Intracranial Aneurysm
Subarachnoid Hemorrhage
Computed Tomography
Computed Tomography
Aneurysm
Aneurysm
Subarachnoid Hemorrhage
CT Angiography
Published in: Neurosurgical Review / Issue 3/2021
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-019-01221-1

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Fusion of subarachnoid hemorrhage data and computed tomography angiography data is helpful to identify the rupture source in patients with multiple intracranial aneurysms

Abstract

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Abstract

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