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Research ArticleNeurointervention
Open Access

Quantifying the Large-Scale Hemodynamics of Intracranial Aneurysms

G. Byrne, F. Mut and J. Cebral
American Journal of Neuroradiology February 2014, 35 (2) 333-338; DOI: https://doi.org/10.3174/ajnr.A3678
G. Byrne
aFrom the Center for Computational Fluid Dynamics, College of Science, George Mason University, Fairfax, Virginia.
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F. Mut
aFrom the Center for Computational Fluid Dynamics, College of Science, George Mason University, Fairfax, Virginia.
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J. Cebral
aFrom the Center for Computational Fluid Dynamics, College of Science, George Mason University, Fairfax, Virginia.
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    Fig 1.

    Qualitative assessments of spatial flow complexity were made by visually inspecting streamline plots. Top left: This flow formed a single vortex and was classified as simple. Bottom left: This flow formed multiple vortices and was classified as complex. Center column: Streamline trajectories around the vortex core lines help to distinguish the individual vortices. Right column: Core lines are also known as vortex skeletons because they provide simplified representations of the large-scale flow structure.

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    Fig 2.

    The temporal coefficients accounting for 99% of the total energy are plotted for stable (top) and unstable (bottom) flows. Vortex core lines (yellow) and neighboring streamline trajectories (red) are used to visualize the spatial structure of the flow at 2 instants during the cardiac cycle. The stable flow retains its spatial structure during the cardiac cycle. Very little energy is transferred between the temporal coefficients resulting in an entropy of S = 0.0713. The unstable flow undergoes large fluctuations and changes its spatial structure. Large amounts of energy are transferred between the temporal coefficients resulting in an entropy of S = 0.674.

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    Fig 3.

    ROC curves summarizing the ability of our flow variables to correctly identify spatially simple (left) and temporally stable (right) hemodynamic flows in our aneurysm data base. The ROC curves were generated by comparing the quantitative classification against qualitative classification.

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    Fig 4.

    ROC curves summarizing the ability of our flow variables to discriminate between ruptured and unruptured aneurysms. The average core line length 〈L〉 measured the flow complexity and the entropy S measured flow stability. A logistic regression was used to combine these 2 variables into a third variable that was tested for enhanced predictive power.

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    Table 1:

    Summary and performance statistics of the variables used to quantify spatial flow complexity and temporal flow stability

    CategoryMean Core Line LengthCategoryMean Entropy
    Simple0.4564Stable0.1224
    Complex3.2094Unstable0.2458
    P value<2.12 × 10−22P value<8.4 × 10−19
    AUC0.905AUC0.86
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    Table 2:

    Summary and performance statistics of the variables used to quantify spatial flow complexity and temporal flow stability in ruptured and unruptured aneurysms

    CategoryMean Core Line LengthMean EntropyCombined
    Unruptured1.45510.181–
    Ruptured3.4070.2275–
    P value<7.6 × 10−8<0.0002–
    AUC0.720.6480.716
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American Journal of Neuroradiology: 35 (2)
American Journal of Neuroradiology
Vol. 35, Issue 2
1 Feb 2014
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Cite this article
G. Byrne, F. Mut, J. Cebral
Quantifying the Large-Scale Hemodynamics of Intracranial Aneurysms
American Journal of Neuroradiology Feb 2014, 35 (2) 333-338; DOI: 10.3174/ajnr.A3678

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Quantifying the Large-Scale Hemodynamics of Intracranial Aneurysms
G. Byrne, F. Mut, J. Cebral
American Journal of Neuroradiology Feb 2014, 35 (2) 333-338; DOI: 10.3174/ajnr.A3678
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  • Aneurysmal Growth in Type-B Aortic Dissection: Assessing the Impact of Patient-Specific Inlet Conditions on Key Haemodynamic Indices
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  • Identification of Vortex Cores in Cerebral Aneurysms on 4D Flow MRI
  • Novel Models for Identification of the Ruptured Aneurysm in Patients with Subarachnoid Hemorrhage with Multiple Aneurysms
  • Hemodynamic characteristics of stable and unstable vertebrobasilar dolichoectatic and fusiform aneurysms
  • Hemodynamic Characteristics of Ruptured and Unruptured Multiple Aneurysms at Mirror and Ipsilateral Locations
  • Angioarchitectures and Hemodynamic Characteristics of Posterior Communicating Artery Aneurysms and Their Association with Rupture Status
  • Hemodynamic differences between unstable and stable unruptured aneurysms independent of size and location: a pilot study
  • Differences in Hemodynamics and Rupture Rate of Aneurysms at the Bifurcation of the Basilar and Internal Carotid Arteries
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  • Toward Improving Fidelity of Computational Fluid Dynamics Simulations: Boundary Conditions Matter
  • Generalized versus Patient-Specific Inflow Boundary Conditions in Computational Fluid Dynamics Simulations of Cerebral Aneurysmal Hemodynamics
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