Tension-based abdominal aortic aneurysm rupture risk assessment
improves its accuracy and reduces the time of analysis

J 2024

Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis

VITASEK, Radek; Luboš KUBÍČEK; David SCHWARZ; Robert STAFFA; Stanislav POLZER et al.

Základní údaje

Originální název

Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis

Autoři

VITASEK, Radek; Luboš KUBÍČEK; David SCHWARZ; Robert STAFFA a Stanislav POLZER

Vydání

JOURNAL OF BIOMECHANICS, London, ELSEVIER SCI LTD, 2024, 0021-9290

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.400

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/24:00137418

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Abdominal aortic aneurysms; Rupture risk assessment; Finite element analysis; Wall tension

Štítky

14110121, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 10. 2024 09:37, Mgr. Tereza Miškechová

Anotace

V originále

The biomechanical rupture risk assessment (BRRA) of abdominal aortic aneurysms (AAA) has higher sensitivity than maximal diameter criterion (DSEX) but its estimation is time-consuming and relies on an uncertain estimation of wall thickness. The aim of this study is to test tension-based criterion in the BRRA of AAA which removes the necessity of wall thickness measurement and should be faster. For that, we retrospectively analyzed 99 patients with intact AAA (25 females). Nineteen of them experienced a rupture later. BRRA was performed with wall tension PRRIT as a primary criterion. The ability of criterion to separate intact and ruptured AAAs at 1,3,6,9 and 12 months was estimated. Next, the receiver operating characteristics and the percentage of true negative cases for a different time to an outcome were estimated. Finally, the computational time was recorded. The results were compared to stress-based criterion PRRI and D-SEX which served as a reference. All three criterions were able to discriminate between intact and ruptured AAAs up to 9 months (p < 0.05) while none of them could do for a 12 month prediction. PRRIT exhibited a significantly higher percentage of true negatives for 12 and 9 month predictions (45 % and 20 % respectively) and similar to other criteria for other prediction times. The mean computational time for estimating PRRIT was 19 h per patient compared to 67 h for PRRI. The tension- based BRRA of AAA leads to better outcomes for a 9 and 12 month prediction while the computational time drops by more than 70 % compared to PRRI.

Citovat

VITASEK, Radek; Luboš KUBÍČEK; David SCHWARZ; Robert STAFFA a Stanislav POLZER. Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis. JOURNAL OF BIOMECHANICS. London: ELSEVIER SCI LTD, 2024, roč. 176, November 2024, s. 1-8. ISSN 0021-9290. Dostupné z: https://doi.org/10.1016/j.jbiomech.2024.112328.

@article{2446198,
   author = {Vitasek, Radek and Kubíček, Luboš and Schwarz, David and Staffa, Robert and Polzer, Stanislav},
   article_location = {London},
   article_number = {November 2024},
   doi = {https://doi.org/10.1016/j.jbiomech.2024.112328},
   keywords = {Abdominal aortic aneurysms; Rupture risk assessment; Finite element analysis; Wall tension},
   language = {eng},
   issn = {0021-9290},
   journal = {JOURNAL OF BIOMECHANICS},
   title = {Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis},
   url = {https://www.sciencedirect.com/science/article/pii/S0021929024004068?via%3Dihub},
   volume = {176},
   year = {2024}
}

TY  - JOUR
ID  - 2446198
AU  - Vitasek, Radek - Kubíček, Luboš - Schwarz, David - Staffa, Robert - Polzer, Stanislav
PY  - 2024
TI  - Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis
JF  - JOURNAL OF BIOMECHANICS
VL  - 176
IS  - November 2024
SP  - 1-8
EP  - 1-8
PB  - ELSEVIER SCI LTD
SN  - 00219290
KW  - Abdominal aortic aneurysms
KW  - Rupture risk assessment
KW  - Finite element analysis
KW  - Wall tension
UR  - https://www.sciencedirect.com/science/article/pii/S0021929024004068?via%3Dihub
N2  - The biomechanical rupture risk assessment (BRRA) of abdominal aortic aneurysms (AAA) has higher sensitivity than maximal diameter criterion (DSEX) but its estimation is time-consuming and relies on an uncertain estimation of wall thickness. The aim of this study is to test tension-based criterion in the BRRA of AAA which removes the necessity of wall thickness measurement and should be faster. For that, we retrospectively analyzed 99 patients with intact AAA (25 females). Nineteen of them experienced a rupture later. BRRA was performed with wall tension PRRIT as a primary criterion. The ability of criterion to separate intact and ruptured AAAs at 1,3,6,9 and 12 months was estimated. Next, the receiver operating characteristics and the percentage of true negative cases for a different time to an outcome were estimated. Finally, the computational time was recorded. The results were compared to stress-based criterion PRRI and D-SEX which served as a reference. All three criterions were able to discriminate between intact and ruptured AAAs up to 9 months (p < 0.05) while none of them could do for a 12 month prediction. PRRIT exhibited a significantly higher percentage of true negatives for 12 and 9 month predictions (45 % and 20 % respectively) and similar to other criteria for other prediction times. The mean computational time for estimating PRRIT was 19 h per patient compared to 67 h for PRRI. The tension- based BRRA of AAA leads to better outcomes for a 9 and 12 month prediction while the computational time drops by more than 70 % compared to PRRI.
ER  -

VITASEK, Radek; Luboš KUBÍČEK; David SCHWARZ; Robert STAFFA a Stanislav POLZER. Tension-based abdominal aortic aneurysm rupture risk assessment improves its accuracy and reduces the time of analysis. \textit{JOURNAL OF BIOMECHANICS}. London: ELSEVIER SCI LTD, 2024, roč.~176, November 2024, s.~1-8. ISSN~0021-9290. Dostupné z: https://doi.org/10.1016/j.jbiomech.2024.112328.

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