Journal article
Comprehensive morphomechanical analysis of brain aneurysms
Acta neurochirurgica, Vol.165(2), pp.461-470
02/2023
DOI: 10.1007/s00701-022-05476-4
PMID: 36595056
Abstract
Brain aneurysms comprise different compartments that undergo unique biological processes. A detailed multimodal analysis incorporating 3D aneurysm wall enhancement (AWE), computational fluid dynamics (CFD), and finite element analysis (FEA) data can provide insights into the aneurysm wall biology.
Unruptured aneurysms were prospectively imaged with 7 T high-resolution MRI (HR-MRI). 3D AWE color maps of the entire aneurysm wall were generated and co-registered with contour plots of morphomechanical parameters derived from CFD and FEA. A multimodal analysis of the entire aneurysm was performed using 3D circumferential AWE (3D-CAWE), wall tension (WT), time-averaged wall shear stress (TAWSS), wall shear stress gradient (WSSG), and oscillatory shear index (OSI). A detailed compartmental analysis of each aneurysm's dome, bleb, and neck was also performed.
Twenty-six aneurysms were analyzed. 3D-CAWE + aneurysms had higher WT (p = 0.03) and higher TAWSS (p = 0.045) than 3D-CAWE- aneurysms. WT, TAWSS, and WSSG were lower in areas of focal AWE in the aneurysm dome compared to the neck (p = 0.009, p = 0.049, and p = 0.040, respectively), whereas OSI was higher in areas of focal AWE compared to the neck (p = 0.020). When compared to areas of no AWE of the aneurysm sac (AWE = 0.92 vs. 0.49, p = 0.001), blebs exhibited lower WT (1.6 vs. 2.45, p = 0.010), lower TAWSS (2.6 vs. 6.34), lower OSI (0.0007 vs. 0.0010), and lower WSSG (2900 vs. 5306). Fusiform aneurysms had a higher 3D-CAWE and WT than saccular aneurysms (p = 0.046 and p = 0.003, respectively).
Areas of focal high AWE in the sac and blebs are associated with low wall tension, low wall shear stress, and low flow conditions (TAWSS and WSSG). Conversely, the neck had average AWE, high wall tension, high wall shear stress, and high flow conditions. The aneurysm dome and the aneurysm neck have different morphomechanical environments, with increased mechanical load at the neck.
Details
- Title: Subtitle
- Comprehensive morphomechanical analysis of brain aneurysms
- Creators
- Ashrita Raghuram - University of IowaAdam Galloy - Roy J Carver Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USAMarco Nino - Roy J Carver Department of Biomedical Engineering, University of Iowa, Iowa City, IA, USASebastian Sanchez - University of IowaDavid Hasan - Duke UniversitySuresh Raghavan - University of IowaEdgar A Samaniego - Current Institution, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52246, USA. edgarsama@gmail.com
- Resource Type
- Journal article
- Publication Details
- Acta neurochirurgica, Vol.165(2), pp.461-470
- DOI
- 10.1007/s00701-022-05476-4
- PMID
- 36595056
- ISSN
- 0942-0940
- eISSN
- 0942-0940
- Grant note
- 1S10RR028821-01 / NIH HHS
- Language
- English
- Electronic publication date
- 01/03/2023
- Date published
- 02/2023
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984354393502771
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