Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach

Background Understanding aneurysm growth rate allows us to predict not only the current rupture risk, but also accumulated rupture risk in the future. However, determining growth rate of unruptured intracranial aneurysms often requires follow-up of patients for a long period of time so that signific...

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المؤلف الرئيسي: Jour, Liang-Der (author)
مؤلفون آخرون: Mawad, Michel E. (author)
التنسيق: article
منشور في: 2009
الوصول للمادة أونلاين:http://hdl.handle.net/10725/11017
https://doi.org/10.1186/1475-925X-8-11
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/1475-925X-8-11
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author Jour, Liang-Der
author2 Mawad, Michel E.
author2_role author
author_facet Jour, Liang-Der
Mawad, Michel E.
author_role author
dc.creator.none.fl_str_mv Jour, Liang-Der
Mawad, Michel E.
dc.date.none.fl_str_mv 2009
2019-07-10T05:18:05Z
2019-07-10T05:18:05Z
2019-07-10
dc.identifier.none.fl_str_mv 1475-925X
http://hdl.handle.net/10725/11017
https://doi.org/10.1186/1475-925X-8-11
Jou, L. D., & Mawad, M. E. (2009). Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach. Biomedical engineering online, 8(1), 11.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/1475-925X-8-11
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv BioMedical Engineering OnLine
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Background Understanding aneurysm growth rate allows us to predict not only the current rupture risk, but also accumulated rupture risk in the future. However, determining growth rate of unruptured intracranial aneurysms often requires follow-up of patients for a long period of time so that significant growth can be observed and measured. We investigate a relationship between growth rate and rupture rate and develop a theoretical model that can predict average behavior of unruptured intracranial aneurysms based on existing clinical data. Methods A mathematical model is developed that links growth rate and rupture rate. This model assumes a stable aneurysm size distribution so the number of aneurysm ruptures is balanced by the growth of aneurysms. Annual growth rates and growth profiles are calculated from a hypothetical size distribution and data from a previous clinical study. Results Our model predicts a growth rate of 0.34–1.63 mm/yr for three different growth models when the rupture rate at 10 mm is 1%. The growth rate is 0.56–0.65 mm/yr if annual rupture rate averaged over all aneurysm sizes is assumed to be 2%. The peak of aneurysm size distribution coincides with a period of slow growth between 5 mm and 8 mm. Conclusion This mathematical model can be used to predict aneurysm growth rate, and the results are consistent with previous clinical studies. Predictions from both hypothetical and clinical cases agree very well. This model explains why some aneurysms may grow into a stable size and remain so without rupture.
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Jou, L. D., & Mawad, M. E. (2009). Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach. Biomedical engineering online, 8(1), 11.
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network_name_str Lebanese American University repository
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spelling Growth rate and rupture rate of unruptured intracranial aneurysms: a population approachJour, Liang-DerMawad, Michel E.Background Understanding aneurysm growth rate allows us to predict not only the current rupture risk, but also accumulated rupture risk in the future. However, determining growth rate of unruptured intracranial aneurysms often requires follow-up of patients for a long period of time so that significant growth can be observed and measured. We investigate a relationship between growth rate and rupture rate and develop a theoretical model that can predict average behavior of unruptured intracranial aneurysms based on existing clinical data. Methods A mathematical model is developed that links growth rate and rupture rate. This model assumes a stable aneurysm size distribution so the number of aneurysm ruptures is balanced by the growth of aneurysms. Annual growth rates and growth profiles are calculated from a hypothetical size distribution and data from a previous clinical study. Results Our model predicts a growth rate of 0.34–1.63 mm/yr for three different growth models when the rupture rate at 10 mm is 1%. The growth rate is 0.56–0.65 mm/yr if annual rupture rate averaged over all aneurysm sizes is assumed to be 2%. The peak of aneurysm size distribution coincides with a period of slow growth between 5 mm and 8 mm. Conclusion This mathematical model can be used to predict aneurysm growth rate, and the results are consistent with previous clinical studies. Predictions from both hypothetical and clinical cases agree very well. This model explains why some aneurysms may grow into a stable size and remain so without rupture.PublishedN/A2019-07-10T05:18:05Z2019-07-10T05:18:05Z20092019-07-10Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1475-925Xhttp://hdl.handle.net/10725/11017https://doi.org/10.1186/1475-925X-8-11Jou, L. D., & Mawad, M. E. (2009). Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach. Biomedical engineering online, 8(1), 11.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://biomedical-engineering-online.biomedcentral.com/articles/10.1186/1475-925X-8-11enBioMedical Engineering OnLineinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/110172021-03-19T10:45:26Z
spellingShingle Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
Jour, Liang-Der
status_str publishedVersion
title Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
title_full Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
title_fullStr Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
title_full_unstemmed Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
title_short Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
title_sort Growth rate and rupture rate of unruptured intracranial aneurysms: a population approach
url http://hdl.handle.net/10725/11017
https://doi.org/10.1186/1475-925X-8-11
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://biomedical-engineering-online.biomedcentral.com/articles/10.1186/1475-925X-8-11