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Full-Text Articles in Applied Mathematics
Extending Statistical Learning For Aneurysm Rupture Assessment To Finnish And Japanese Populations Using Morphology, Hemodynamics, And Patient Characteristics, Felicitas J. Detmer, Sara Hadad, Bong Jae Chung, Fernando Mut, Martin Slawski, Norman Juchler, Vartan Kurtcuoglu, Sven Hirsch, Philippe Bijlenga, Yuya Uchiyama, Soichiro Fujimura, Makoto Yamamoto, Yuichi Murayama, Hiroyuki Takao, Timo Koivisto, Juhana Frösen, Juan R. Cebral
Extending Statistical Learning For Aneurysm Rupture Assessment To Finnish And Japanese Populations Using Morphology, Hemodynamics, And Patient Characteristics, Felicitas J. Detmer, Sara Hadad, Bong Jae Chung, Fernando Mut, Martin Slawski, Norman Juchler, Vartan Kurtcuoglu, Sven Hirsch, Philippe Bijlenga, Yuya Uchiyama, Soichiro Fujimura, Makoto Yamamoto, Yuichi Murayama, Hiroyuki Takao, Timo Koivisto, Juhana Frösen, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
OBJECTIVE: Incidental aneurysms pose a challenge for physicians, who need to weigh the rupture risk against the risks associated with treatment and its complications. A statistical model could potentially support such treatment decisions. A recently developed aneurysm rupture probability model performed well in the US data used for model training and in data from two European cohorts for external validation. Because Japanese and Finnish patients are known to have a higher aneurysm rupture risk, the authors' goals in the present study were to evaluate this model using data from Japanese and Finnish patients and to compare it with new models …
Associations Of Hemodynamics, Morphology, And Patient Characteristics With Aneurysm Rupture Stratified By Aneurysm Location, Felicitas J. Detmer, Bong Jae Chung, Carlos Jimenez, Farid Hamzei-Sichani, David Kallmes, Christopher Putman, Juan R. Cebral
Associations Of Hemodynamics, Morphology, And Patient Characteristics With Aneurysm Rupture Stratified By Aneurysm Location, Felicitas J. Detmer, Bong Jae Chung, Carlos Jimenez, Farid Hamzei-Sichani, David Kallmes, Christopher Putman, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
Purpose: The mechanisms of cerebral aneurysm rupture are not fully understood. We analyzed the associations of hemodynamics, morphology, and patient age and gender with aneurysm rupture stratifying by location. Methods: Using image-based models, 20 hemodynamic and 17 morphological parameters were compared in 1931 ruptured and unruptured aneurysms with univariate logistic regression. Rupture rates were compared between males and females as well as younger and older patients and bifurcation versus sidewall aneurysms for different aneurysm locations. Subsequently, associations between hemodynamics and morphology and patient as well as aneurysm characteristics were analyzed for aneurysms at five locations. Results: Compared to unruptured aneurysms, …
Development And Internal Validation Of An Aneurysm Rupture Probability Model Based On Patient Characteristics And Aneurysm Location, Morphology, And Hemodynamics, Felicitas J. Detmer, Bong Jae Chung, Fernando Mut, Martin Slawski, Farid Hamzei-Sichani, Christopher Putman, Carlos Jiménez, Juan R. Cebral
Development And Internal Validation Of An Aneurysm Rupture Probability Model Based On Patient Characteristics And Aneurysm Location, Morphology, And Hemodynamics, Felicitas J. Detmer, Bong Jae Chung, Fernando Mut, Martin Slawski, Farid Hamzei-Sichani, Christopher Putman, Carlos Jiménez, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
Purpose: Unruptured cerebral aneurysms pose a dilemma for physicians who need to weigh the risk of a devastating subarachnoid hemorrhage against the risk of surgery or endovascular treatment and their complications when deciding on a treatment strategy. A prediction model could potentially support such treatment decisions. The aim of this study was to develop and internally validate a model for aneurysm rupture based on hemodynamic and geometric parameters, aneurysm location, and patient gender and age. Methods: Cross-sectional data from 1061 patients were used for image-based computational fluid dynamics and shape characterization of 1631 aneurysms for training an aneurysm rupture probability …
Hemodynamic Characteristics Of Stable And Unstable Vertebrobasilar Dolichoectatic And Fusiform Aneurysms, Waleed Brinjikji, Bong Jae Chung, Ding Yong-Hong, John T. Wald, Fernando Mut, Ramanathan Kadirvel, David F. Kallmes, Aymeric Rouchaud, Giuseppe Lanzino, Juan R. Cebral
Hemodynamic Characteristics Of Stable And Unstable Vertebrobasilar Dolichoectatic And Fusiform Aneurysms, Waleed Brinjikji, Bong Jae Chung, Ding Yong-Hong, John T. Wald, Fernando Mut, Ramanathan Kadirvel, David F. Kallmes, Aymeric Rouchaud, Giuseppe Lanzino, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
Background and purpose Vertebrobasilar dolichoectatic and fusiform aneurysms (VBDAs) are known to have a poor natural history, with high rates of growth, rupture, and stroke. The purpose of this study was to identify hemodynamic characteristics that differ between VBDAs associated with growth, rupture, and stroke. Materials and methods VBDAs with CT angiography or MR angiography followed longitudinally without treatment were studied. Unstable aneurysms were defined as those that grew or ruptured during follow-up. Aneurysms associated with stroke were defined as those associated with posterior circulation infarct at follow-up. Baseline data, including demographics, comorbidities, and aneurysm morphology and size were collected. …
Development Of A Statistical Model For Discrimination Of Rupture Status In Posterior Communicating Artery Aneurysms, Felicitas J. Detmer, Bong Jae Chung, Fernando Mut, Michael Pritz, Martin Slawski, Farid Hamzei-Sichani, David Kallmes, Christopher Putman, Carlos Jimenez, Juan R. Cebral
Development Of A Statistical Model For Discrimination Of Rupture Status In Posterior Communicating Artery Aneurysms, Felicitas J. Detmer, Bong Jae Chung, Fernando Mut, Michael Pritz, Martin Slawski, Farid Hamzei-Sichani, David Kallmes, Christopher Putman, Carlos Jimenez, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
Background: Intracranial aneurysms at the posterior communicating artery (PCOM) are known to have high rupture rates compared to other locations. We developed and internally validated a statistical model discriminating between ruptured and unruptured PCOM aneurysms based on hemodynamic and geometric parameters, angio-architectures, and patient age with the objective of its future use for aneurysm risk assessment. Methods: A total of 289 PCOM aneurysms in 272 patients modeled with image-based computational fluid dynamics (CFD) were used to construct statistical models using logistic group lasso regression. These models were evaluated with respect to discrimination power and goodness of fit using tenfold nested …
Understanding Angiography-Based Aneurysm Flow Fields Through Comparison With Computational Fluid Dynamics, Juan R. Cebral, F. Mut, Bong Jae Chung, L. Spelle, J. Moret, F. Van Nijnatten, D. Ruijters
Understanding Angiography-Based Aneurysm Flow Fields Through Comparison With Computational Fluid Dynamics, Juan R. Cebral, F. Mut, Bong Jae Chung, L. Spelle, J. Moret, F. Van Nijnatten, D. Ruijters
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
BACKGROUND AND PURPOSE: Hemodynamics is thought to be an important factor for aneurysm progression and rupture. Our aim was to evaluate whether flow fields reconstructed from dynamic angiography data can be used to realistically represent the main flow structures in intracranial aneurysms. MATERIALS AND METHODS: DSA-based flow reconstructions, obtained during interventional treatment, were compared qualitatively with flow fields obtained from patient-specific computational fluid dynamics models and quantitatively with projections of the computational fluid dynamics fields (by computing a directional similarity of the vector fields) in 15 cerebral aneurysms. RESULTS: The average similarity between the DSA and the projected computational fluid …
Regional Mapping Of Flow And Wall Characteristics Of Intracranial Aneurysms, Juan R. Cebral, Xinjie Duan, Piyusha S. Gade, Bong Jae Chung, Fernando Mut, Khaled Aziz, Anne M. Robertson
Regional Mapping Of Flow And Wall Characteristics Of Intracranial Aneurysms, Juan R. Cebral, Xinjie Duan, Piyusha S. Gade, Bong Jae Chung, Fernando Mut, Khaled Aziz, Anne M. Robertson
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
The evolution of intracranial aneurysms (IAs) is thought to be driven by progressive wall degradation in response to abnormal hemodynamics. Previous studies focused on the relationship between global hemodynamics and wall properties. However, hemodynamics, wall structure and mechanical properties of cerebral aneurysms can be non-uniform across the aneurysm wall. Therefore, the aim of this work is to introduce a methodology for mapping local hemodynamics to local wall structure in resected aneurysm specimens. This methodology combines image-based computational fluid dynamics, tissue resection, micro-CT imaging of resected specimens mounted on 3D-printed aneurysm models, alignment to 3D vascular models, multi-photon microscopy of the …
Hemodynamic Analysis Of Fast And Slow Aneurysm Occlusions By Flow Diversion In Rabbits, Bong Jae Chung, Fernando Mut, Ramanathan Kadirvel, Ravi Lingineni, David F. Kallmes, Juan R. Cebral
Hemodynamic Analysis Of Fast And Slow Aneurysm Occlusions By Flow Diversion In Rabbits, Bong Jae Chung, Fernando Mut, Ramanathan Kadirvel, Ravi Lingineni, David F. Kallmes, Juan R. Cebral
Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works
Purpose: To assess hemodynamic differences between aneurysms that occlude rapidly and those occluding in delayed fashion after flow diversion in rabbits. Methods: Thirty-six elastase-induced aneurysms in rabbits were treated with flow diverting devices. Aneurysm occlusion was assessed angiographically immediately before they were sacrificed at 1 (n=6), 2 (n=4), 4 (n=8) or 8 weeks (n=18) after treatment. The aneurysms were classified into a fast occlusion group if they were completely or near completely occluded at 4 weeks or earlier and a slow occlusion group if they remained incompletely occluded at 8 weeks. The immediate post-treatment flow conditions in aneurysms of each …