JRM

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Original Article
Morphometric comparison of ruptured and non-ruptured intracranial aneurysms
Aims: Morphologic features of cerebral aneurysms that may be related to the rupture of a cerebral aneurysm. We used precise measurements and software to create a comprehensive data set and determine the parameters that may affect cerebral aneurysm rupture risk.
Methods: After excluding patients with vasospasm, late admission (later than 72 hours), and previous hemorrhage or treatment history, 95 consecutive patients with 112 cerebral aneurysms were included in the study. Ten morphological parameters of aneurysms were compared between ruptured and non-ruptured aneurysms. These parameters include the size, depth and neck size of the aneurysm, the diameter of the parent artery and their ratio to each other.
Results: There were 87 ruptured and 25 non-ruptured cerebral aneurysms. The mean size, d90, dmax, SR1, SR2, and AR1 parameters of the ruptured cerebral aneurysms were significantly higher than the non-ruptured aneurysms, and SR1 was the strongest parameter for determining aneurysm rupture risk, which is the ratio of the maximum depth of the aneurysm to the average size of the parent vessel. Nevertheless, there was no significant correlation between age, sex, and aneurysm location.
Conclusion: It is observed that the perpendicular (d90) and maximum depth (dmax) of the aneurysm and the ratios of including these elements are greater in ruptured aneurysms. These results suggest that the depth of an aneurysm is probably the most relevant factor to the risk of rupture.


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Volume 1, Issue 3, 2024
Page : 37-41
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