Multidimensional growth measurements of abdominal aortic aneurysms

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: id:"swepub:oai:DiVA.org:kth-101989" > Multidimensional gr...

1 av 1
Föregående post
Nästa post
Till träfflistan

Martufi, Giampaolo,1980-KTH,Biomekanik,vascuMECH (författare)

Multidimensional growth measurements of abdominal aortic aneurysms

Artikel/kapitelEngelska2013

Förlag, utgivningsår, omfång ...

Elsevier BV,2013
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:kth-101989
https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101989URI
https://doi.org/10.1016/j.jvs.2012.11.070DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127288647URI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

Anmärkningar

QC 20130930
Background: Monitoring the expansion of abdominal aortic aneurysms (AAAs) is critical to avoid aneurysm rupture in surveillance programs, for instance. However, measuring the change of the maximum diameter over time can only provide limited information about AAA expansion. Specifically, regions of fast diameter growth may be missed, axial growth cannot be quantified, and shape changes of potential interest for decisions related to endovascular aneurysm repair cannot be captured. Methods: This study used multiple centerline-based diameter measurements between the renal arteries and the aortic bifurcation to quantify AAA growth in 51 patients from computed tomography angiography (CTA) data. Criteria for inclusion were at least 1 year of patient follow-up and the availability of at least two sufficiently high-resolution CTA scans that allowed an accurate three-dimensional reconstruction. Consequently, 124 CTA scans were systematically analyzed by using A4clinics diagnostic software (VASCOPS GmbH, Graz, Austria), and aneurysm growth was monitored at 100 cross-sections perpendicular to the centerline. Results: Monitoring diameter development over the entire aneurysm revealed the sites of the fastest diameter growth, quantified the axial growth, and showed the evolution of the neck morphology over time. Monitoring the development of an aneurysm's maximum diameter or its volume over time can assess the mean diameter growth (r = 0.69, r = 0.77) but not the maximum diameter growth (r = 0.43, r = 0.34). The diameter growth measured at the site of maximum expansion was similar to 16%/y, almost four times larger than the mean diameter expansion of 4.4%/y. The sites at which the maximum diameter growth was recorded did not coincide with the position of the maximum baseline diameter (rho = 0.12; P = .31). The overall aneurysm sac length increased from 84 to 89 mm during the follow-up (P < .001), which relates to the median longitudinal growth of 3.5%/y. The neck length shortened, on average, by 6.2% per year and was accompanied by a slight increase in neck angulation. Conclusions: Neither maximum diameter nor volume measurements over time are able to measure the fastest diameter growth of the aneurysm sac. Consequently, expansion-related wall weakening might be inappropriately reflected by this type of surveillance data. In contrast, localized spots of fast diameter growth can be detected through multiple centerline-based diameter measurements over the entire aneurysm sac. This information might further reinforce the quality of aneurysm surveillance programs.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Radiologi och bildbehandling hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Radiology, Nuclear Medicine and Medical Imaging hsv//eng
Randomized Controlled-Trial
Early Elective Surgery
Ultrasonographic Surveillance
Endovascular Repair
Expansion Rate
Rupture Risk
Wall Stress
Diameter
Size
Enlargement

Biuppslag (personer, institutioner, konferenser, titlar ...)

Auer, Martin (författare)
Roy, JoyKarolinska Institutet (författare)
Swedenborg, JesperKarolinska Institutet (författare)
Sakalihasan, Natzi (författare)
Panuccio, Giuseppe (författare)
Gasser, T. ChristianKTH,Biomekanik(Swepub:kth)u1dvxi4s (författare)
KTHBiomekanik (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Vascular Surgery: Elsevier BV58:3, s. 748-7550741-52141097-6809

Internetlänk

Hitta via bibliotek

Journal of Vascular Surgery (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

1 av 1
Föregående post
Nästa post
Till träfflistan

Hitta mer i SwePub

Av författaren/redakt...: Martufi, Giampao ...; Auer, Martin; Roy, Joy; Swedenborg, Jesp ...; Sakalihasan, Nat ...; Panuccio, Giusep ...; visa fler...; Gasser, T. Chris ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Radiologi och bi ...

Artiklar i publikationen: Journal of Vascu ...

Av lärosätet: Kungliga Tekniska Högskolan; Karolinska Institutet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se