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Abstract #1345

Aneurysm Wall Permeability in Assessing Non-Saccular Intracranial Aneurysms Rupture Risk Based on DCE-MRI

Yan Li1, Ziming Xu1, Linggen Dong2, Yajie Wang1, Peng Liu2, Ming Lv2, and Huijun Chen1
1Center for Biomedical Imaging Research, Tsinghua University, Beijing, China, 2Department of Neurosurgery, Beijing Tiantan Hospital, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China

Synopsis

Keywords: Blood Vessels, Permeability

Motivation: Evaluating intracranial aneurysm (IA) risk holds significant clinical importance. Recent studies have proposed wall permeability (Ktrans) as a significant risk predictor, but its validity in non-saccular aneurysms remains unclear.

Goal(s): Our study aims to predict non-saccular IA rupture by Ktrans from DCE-MRI.

Approach: Ktrans was derived from the extended Kety/Tofts model. We analyzed correlation between Ktrans and IA size, the Population, Hypertension, Age, Size, Earlier Subarachnoid Hemorrhage, and Site (PHASES) score and other clinical factors.

Results: Ktrans significantly related to IA size and PHASES score, but there was no correlation between Ktrans and intramural hematoma (IMH) and wall enhancement index (WEI).

Impact: By analyzing correlation between aneurysm wall permeability (Ktrans) and other risk factors of non-saccular aneurysms rupture, we found that Ktrans might be a risk indicator for rupture of non-saccular IAs.

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Keywords