A Systematic Review and Meta-Analysis of 3-Dimensional Morphometric Parameters for Cerebral Aneurysms
Imaging modalities with increased spatial resolution have allowed for more precise quantification of cerebral aneurysm shape in 3-dimensional (3D) space. We conducted a systematic review and meta-analysis to assess the correlation of individual 3D morphometric measures with cerebral aneurysm rupture...
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| Veröffentlicht in: | World neurosurgery 2024-03, Vol.183, p.214-226.e5 |
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| creator | Johnson, Mark D. Palmisciano, Paolo Yamani, Ali S. Hoz, Samer S. Prestigiacomo, Charles J. |
| description | Imaging modalities with increased spatial resolution have allowed for more precise quantification of cerebral aneurysm shape in 3-dimensional (3D) space. We conducted a systematic review and meta-analysis to assess the correlation of individual 3D morphometric measures with cerebral aneurysm rupture status.
Two independent reviewers performed a PRISMA (preferred reporting items of systematic reviews and meta-analysis)-guided literature search to identify articles reporting the association between 3D morphometric measures of intracranial aneurysms and rupture status.
A total of 15,122 articles were identified. After screening, 39 studies were included. We identified 17 3D morphometric measures, with 11 eligible for the meta-analysis. The meta-analysis showed a significant association with rupture status for the following measures: nonsphericity index (standardized mean difference [SMD], 0.66; 95% confidence interval [CI], 0.53–0.79; P < 0.0001; I2 = 55.2%), undulation index (SMD, 0.55; 95% CI, 0.26–0.85; P = 0.0017; I2 = 68.1%), ellipticity index (SMD, 0.53; 95% CI, 0.29–0.77; P = 0.0005; I2 = 70.8%), volume (SMD, 0.18; 95% CI, 0.02–0.35; P = 0.0320; I2 = 82.3%), volume/ostium ratio (SMD, 0.43; 95% CI, 0.16–0.71; P = 0.0075; I2 = 90.4%), elongation (SMD, −0.94; 95% CI, −1.12 to −0.76; P = 0.0005; I2 = 0%), flatness (SMD, −0.87; 95% CI, −1.04 to −0.71; P = 0.0005; I2 = 0%), and sphericity (SMD, −0.62; 95% CI, −1.06 to −0.17; P = 0.0215; I2 = 67.9%). A significant risk of publication bias was estimated for the ellipticity index (P = 0.0360) and volume (P = 0.0030).
Based on the results of a meta-analysis containing 39 studies, the nonsphericity index, undulation index, elongation, flatness, and sphericity demonstrated the most consistent correlation with rupture status.
[Display omitted] |
| doi_str_mv | 10.1016/j.wneu.2023.12.131 |
| format | Article |
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Two independent reviewers performed a PRISMA (preferred reporting items of systematic reviews and meta-analysis)-guided literature search to identify articles reporting the association between 3D morphometric measures of intracranial aneurysms and rupture status.
A total of 15,122 articles were identified. After screening, 39 studies were included. We identified 17 3D morphometric measures, with 11 eligible for the meta-analysis. The meta-analysis showed a significant association with rupture status for the following measures: nonsphericity index (standardized mean difference [SMD], 0.66; 95% confidence interval [CI], 0.53–0.79; P < 0.0001; I2 = 55.2%), undulation index (SMD, 0.55; 95% CI, 0.26–0.85; P = 0.0017; I2 = 68.1%), ellipticity index (SMD, 0.53; 95% CI, 0.29–0.77; P = 0.0005; I2 = 70.8%), volume (SMD, 0.18; 95% CI, 0.02–0.35; P = 0.0320; I2 = 82.3%), volume/ostium ratio (SMD, 0.43; 95% CI, 0.16–0.71; P = 0.0075; I2 = 90.4%), elongation (SMD, −0.94; 95% CI, −1.12 to −0.76; P = 0.0005; I2 = 0%), flatness (SMD, −0.87; 95% CI, −1.04 to −0.71; P = 0.0005; I2 = 0%), and sphericity (SMD, −0.62; 95% CI, −1.06 to −0.17; P = 0.0215; I2 = 67.9%). A significant risk of publication bias was estimated for the ellipticity index (P = 0.0360) and volume (P = 0.0030).
Based on the results of a meta-analysis containing 39 studies, the nonsphericity index, undulation index, elongation, flatness, and sphericity demonstrated the most consistent correlation with rupture status.
[Display omitted]</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2023.12.131</identifier><identifier>PMID: 38160907</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aneurysm ; Aneurysm, Ruptured - diagnostic imaging ; Cerebral aneurysm ; Geometry ; Humans ; Imaging, Three-Dimensional - methods ; Intracranial aneurysm ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - pathology ; Morphology ; Morphometrics</subject><ispartof>World neurosurgery, 2024-03, Vol.183, p.214-226.e5</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-3cc5e094592f58b16228564a725d2095b2004c08d5b23942116b553f472a0b503</cites><orcidid>0000-0002-5979-2378 ; 0000-0001-6469-3959 ; 0000-0003-0711-3975 ; 0000-0003-4584-5931 ; 0000-0001-6564-3216</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2023.12.131$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38160907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Mark D.</creatorcontrib><creatorcontrib>Palmisciano, Paolo</creatorcontrib><creatorcontrib>Yamani, Ali S.</creatorcontrib><creatorcontrib>Hoz, Samer S.</creatorcontrib><creatorcontrib>Prestigiacomo, Charles J.</creatorcontrib><title>A Systematic Review and Meta-Analysis of 3-Dimensional Morphometric Parameters for Cerebral Aneurysms</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Imaging modalities with increased spatial resolution have allowed for more precise quantification of cerebral aneurysm shape in 3-dimensional (3D) space. We conducted a systematic review and meta-analysis to assess the correlation of individual 3D morphometric measures with cerebral aneurysm rupture status.
Two independent reviewers performed a PRISMA (preferred reporting items of systematic reviews and meta-analysis)-guided literature search to identify articles reporting the association between 3D morphometric measures of intracranial aneurysms and rupture status.
A total of 15,122 articles were identified. After screening, 39 studies were included. We identified 17 3D morphometric measures, with 11 eligible for the meta-analysis. The meta-analysis showed a significant association with rupture status for the following measures: nonsphericity index (standardized mean difference [SMD], 0.66; 95% confidence interval [CI], 0.53–0.79; P < 0.0001; I2 = 55.2%), undulation index (SMD, 0.55; 95% CI, 0.26–0.85; P = 0.0017; I2 = 68.1%), ellipticity index (SMD, 0.53; 95% CI, 0.29–0.77; P = 0.0005; I2 = 70.8%), volume (SMD, 0.18; 95% CI, 0.02–0.35; P = 0.0320; I2 = 82.3%), volume/ostium ratio (SMD, 0.43; 95% CI, 0.16–0.71; P = 0.0075; I2 = 90.4%), elongation (SMD, −0.94; 95% CI, −1.12 to −0.76; P = 0.0005; I2 = 0%), flatness (SMD, −0.87; 95% CI, −1.04 to −0.71; P = 0.0005; I2 = 0%), and sphericity (SMD, −0.62; 95% CI, −1.06 to −0.17; P = 0.0215; I2 = 67.9%). A significant risk of publication bias was estimated for the ellipticity index (P = 0.0360) and volume (P = 0.0030).
Based on the results of a meta-analysis containing 39 studies, the nonsphericity index, undulation index, elongation, flatness, and sphericity demonstrated the most consistent correlation with rupture status.
[Display omitted]</description><subject>Aneurysm</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Cerebral aneurysm</subject><subject>Geometry</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Intracranial aneurysm</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Morphology</subject><subject>Morphometrics</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kElPwzAQhS0EolXpH-CAfOSS4CXOInGJyiq1ArGcLceZCFdJXOyUqv8eVy09Mpd5st578nwIXVISU0LTm2W86WEdM8J4TFlMOT1BY5pneZRnaXF61IKM0NT7JQnDaZJn_ByNeE5TUpBsjKDE71s_QKcGo_Eb_BjYYNXXeAGDispetVtvPLYN5tGd6aD3xoZHvLBu9WU7GFyIvSqnggTncWMdnoGDygVTGX7otr7zF-isUa2H6WFP0OfD_cfsKZq_PD7PynmkOcmGiGstgBSJKFgj8oqmjOUiTVTGRM1IISpGSKJJXgfFi4RRmlZC8CbJmCKVIHyCrve9K2e_1-AH2RmvoW1VD3btJSvC1UWgIIKV7a3aWe8dNHLlTKfcVlIid4TlUu4Iyx1hSZkMhEPo6tC_rjqoj5E_nsFwuzdAuDKwdNJrA72G2jjQg6yt-a__F9AQizo</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Johnson, Mark D.</creator><creator>Palmisciano, Paolo</creator><creator>Yamani, Ali S.</creator><creator>Hoz, Samer S.</creator><creator>Prestigiacomo, Charles J.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5979-2378</orcidid><orcidid>https://orcid.org/0000-0001-6469-3959</orcidid><orcidid>https://orcid.org/0000-0003-0711-3975</orcidid><orcidid>https://orcid.org/0000-0003-4584-5931</orcidid><orcidid>https://orcid.org/0000-0001-6564-3216</orcidid></search><sort><creationdate>202403</creationdate><title>A Systematic Review and Meta-Analysis of 3-Dimensional Morphometric Parameters for Cerebral Aneurysms</title><author>Johnson, Mark D. ; Palmisciano, Paolo ; Yamani, Ali S. ; Hoz, Samer S. ; Prestigiacomo, Charles J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-3cc5e094592f58b16228564a725d2095b2004c08d5b23942116b553f472a0b503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aneurysm</topic><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Cerebral aneurysm</topic><topic>Geometry</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Intracranial aneurysm</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Morphology</topic><topic>Morphometrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Mark D.</creatorcontrib><creatorcontrib>Palmisciano, Paolo</creatorcontrib><creatorcontrib>Yamani, Ali S.</creatorcontrib><creatorcontrib>Hoz, Samer S.</creatorcontrib><creatorcontrib>Prestigiacomo, Charles J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Mark D.</au><au>Palmisciano, Paolo</au><au>Yamani, Ali S.</au><au>Hoz, Samer S.</au><au>Prestigiacomo, Charles J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Systematic Review and Meta-Analysis of 3-Dimensional Morphometric Parameters for Cerebral Aneurysms</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2024-03</date><risdate>2024</risdate><volume>183</volume><spage>214</spage><epage>226.e5</epage><pages>214-226.e5</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>Imaging modalities with increased spatial resolution have allowed for more precise quantification of cerebral aneurysm shape in 3-dimensional (3D) space. We conducted a systematic review and meta-analysis to assess the correlation of individual 3D morphometric measures with cerebral aneurysm rupture status.
Two independent reviewers performed a PRISMA (preferred reporting items of systematic reviews and meta-analysis)-guided literature search to identify articles reporting the association between 3D morphometric measures of intracranial aneurysms and rupture status.
A total of 15,122 articles were identified. After screening, 39 studies were included. We identified 17 3D morphometric measures, with 11 eligible for the meta-analysis. The meta-analysis showed a significant association with rupture status for the following measures: nonsphericity index (standardized mean difference [SMD], 0.66; 95% confidence interval [CI], 0.53–0.79; P < 0.0001; I2 = 55.2%), undulation index (SMD, 0.55; 95% CI, 0.26–0.85; P = 0.0017; I2 = 68.1%), ellipticity index (SMD, 0.53; 95% CI, 0.29–0.77; P = 0.0005; I2 = 70.8%), volume (SMD, 0.18; 95% CI, 0.02–0.35; P = 0.0320; I2 = 82.3%), volume/ostium ratio (SMD, 0.43; 95% CI, 0.16–0.71; P = 0.0075; I2 = 90.4%), elongation (SMD, −0.94; 95% CI, −1.12 to −0.76; P = 0.0005; I2 = 0%), flatness (SMD, −0.87; 95% CI, −1.04 to −0.71; P = 0.0005; I2 = 0%), and sphericity (SMD, −0.62; 95% CI, −1.06 to −0.17; P = 0.0215; I2 = 67.9%). A significant risk of publication bias was estimated for the ellipticity index (P = 0.0360) and volume (P = 0.0030).
Based on the results of a meta-analysis containing 39 studies, the nonsphericity index, undulation index, elongation, flatness, and sphericity demonstrated the most consistent correlation with rupture status.
[Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38160907</pmid><doi>10.1016/j.wneu.2023.12.131</doi><orcidid>https://orcid.org/0000-0002-5979-2378</orcidid><orcidid>https://orcid.org/0000-0001-6469-3959</orcidid><orcidid>https://orcid.org/0000-0003-0711-3975</orcidid><orcidid>https://orcid.org/0000-0003-4584-5931</orcidid><orcidid>https://orcid.org/0000-0001-6564-3216</orcidid></addata></record> |
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| subjects | Aneurysm Aneurysm, Ruptured - diagnostic imaging Cerebral aneurysm Geometry Humans Imaging, Three-Dimensional - methods Intracranial aneurysm Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - pathology Morphology Morphometrics |
| title | A Systematic Review and Meta-Analysis of 3-Dimensional Morphometric Parameters for Cerebral Aneurysms |
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