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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background and Purpose Previous studies have assessed the relationship between cerebral vessel tortuosity and intracranial aneurysm (IA) based on two-dimensional brain image analysis. We evaluated the relationship between cerebral vessel tortuosity and IA according to the hemodynamic location using three-dimensional (3D) analysis and studied the effect of tortuosity on the recurrence of treated IA. Methods We collected clinical and imaging data from patients with IA and disease-free controls. IAs were categorized into outer curvature and bifurcation types. Computerized analysis of the images provided information on the length of the arterial segment and tortuosity of the cerebral arteries in 3D space. Results Data from 95 patients with IA and 95 controls were analyzed. Regarding parent vessel tortuosity index (TI; P<0.01), average TI (P<0.01), basilar artery (BA; P=0.02), left posterior cerebral artery (P=0.03), both vertebral arteries (VAs; P<0.01), and right internal carotid artery (P<0.01), there was a significant difference only in the outer curvature type compared with the control group. The outer curvature type was analyzed, and the occurrence of an IA was associated with increased TI of the parent vessel, average, BA, right middle cerebral artery, and both VAs in the logistic regression analysis. However, in all aneurysm cases, recanalization of the treated aneurysm was inversely associated with increased TI of the parent vessels. Conclusions TIs of intracranial arteries are associated with the occurrence of IA, especially in the outer curvature type. IAs with a high TI in the parent vessel showed good outcomes with endovascular treatment.
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참고문헌 (32)
참고문헌 신청
Ciurică S / 2019 / Arterial tortuosity / Hypertension 73:951~960
Hughes AD / 2006 / Quantification of topological changes in retinal vascular architecture in essential and malignant hypertension / J Hypertens 24:889~894
Dolan JM / 2013 / High wall shear stress and spatial gradients in vascular pathology : a review / Ann Biomed Eng 41:1411~1427
Southerland AM / 2013 / Shared associations of nonatherosclerotic, large-vessel, cerebrovascular arteriopathies:considering intracranial aneurysms, cervical artery dissection, moyamoya disease and fibromuscular dysplasia / Curr Opin Neurol 26:13~28
Lather HD / 2017 / Prevalence of intracranial aneurysm in women with fibromuscular dysplasia : a report from the US Registry for Fibromuscular Dysplasia / JAMA Neurol 74:1081~1087
Hughes AD / 2006 / Quantification of topological changes in retinal vascular architecture in essential and malignant hypertension / J Hypertens 24:889~894
Dolan JM / 2013 / High wall shear stress and spatial gradients in vascular pathology : a review / Ann Biomed Eng 41:1411~1427
Southerland AM / 2013 / Shared associations of nonatherosclerotic, large-vessel, cerebrovascular arteriopathies:considering intracranial aneurysms, cervical artery dissection, moyamoya disease and fibromuscular dysplasia / Curr Opin Neurol 26:13~28
Lather HD / 2017 / Prevalence of intracranial aneurysm in women with fibromuscular dysplasia : a report from the US Registry for Fibromuscular Dysplasia / JAMA Neurol 74:1081~1087
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