1. Increased aneurysm wall permeability colocalized with low wall shear stress in unruptured saccular intracranial aneurysm
- Author
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Peng Liu, Huijun Chen, Qiang Zhang, Ming Lv, Youxiang Li, Yunduo Li, Aihua Liu, Chunmiao Chen, Jiansong Ji, Mingzhu Fu, Haikun Qi, Yajie Wang, Longhui Zhang, Xiaole Wang, Shuiwei Xia, Xian Liu, Peng Fei, Zhensen Chen, Yu Chen, Chunli Kong, Luqiong Jia, Min Xu, Jie Sun, Rui Li, Le He, and Yishi Wang
- Subjects
medicine.medical_specialty ,Hemodynamics ,Aneurysm, Ruptured ,Permeability ,Aneurysm ,Internal medicine ,medicine ,Shear stress ,Humans ,cardiovascular diseases ,Hemodynamic forces ,Neuroradiology ,business.industry ,Intracranial Aneurysm ,medicine.disease ,Magnetic Resonance Imaging ,Neurology ,Permeability (electromagnetism) ,Correlation analysis ,cardiovascular system ,Cardiology ,Stress, Mechanical ,Neurology (clinical) ,business ,Spatial relationship - Abstract
Aneurysm wall permeability has recently emerged as an in vivo marker of aneurysm wall remodeling. We sought to study the spatial relationship between hemodynamic forces derived from 4D-flow MRI and aneurysm wall permeability by DCE-MRI in a region-based analysis of unruptured saccular intracranial aneurysms (IAs). We performed 4D-flow MRI and DCE-MRI on patients with unruptured IAs of ≥ 5 mm to measure hemodynamic parameters, including wall shear stress (WSS), oscillatory shear index (OSI), WSS temporal (WSSGt) and spatial (WSSGs) gradient, and aneurysm wall permeability (Ktrans) in different sectors of aneurysm wall defined by evenly distributed radial lines emitted from the aneurysm center. The spatial association between Ktrans and hemodynamic parameters measured at the sector level was evaluated. Thirty-one patients were scanned. Ktrans not only varied between aneurysms but also demonstrated spatial heterogeneity within an aneurysm. Among all 159 sectors, higher Ktrans was associated with lower WSS, which was seen in both Spearman’s correlation analysis (rho = − 0.18, p = 0.025) and linear regression analysis using generalized estimating equation to account for correlations between multiple sectors of the same aneurysm (regression coefficient = − 0.33, p = 0.006). Aneurysm wall permeability by DCE-MRI was shown to be spatially heterogenous in unruptured saccular IAs and associated with local WSS by 4D-flow MRI.
- Published
- 2021