Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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An Efficient Method for Aneurysm Volume Quantification Applicable in Any Shape and Modalities

  • Chung, Jaewoo (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Ko, Jung Ho (Department of Neurosurgery, Dankook University College of Medicine)
  • Received : 2020.08.31
  • Accepted : 2020.12.14
  • Published : 2021.07.01
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Abstract

Objective : Aneurysm volume quantification (AVQ) using the equation of ellipsoid volume is widely used although it is inaccurate. Furthermore, AVQ with 3-dimensional (3D) rendered data has limitations in general use. A novel universal method for AVQ is introduced for any diagnostic modality and application to any shape of aneurysms. Methods : Relevant AVQ studies published from January 1997 to June 2019 were identified to determine common methods of AVQ. The basic idea is to eliminate the normal artery volume from 3D model with the aneurysm. After Digital Imaging and Communications in Medicine (DICOM) data is converted and exported to stereolithography (STL) file format, the 3D STL model is modified to remove the aneurysm and the volume difference between the 3D model with/without the aneurysm is defined as the aneurysm volume. Fifty randomly selected aneurysms from DICOM database were used to validate the different AVQ methods. Results : We reviewed and categorized AVQ methods in 121 studies. Approximately 60% used the ellipsoid method, while 24% used the 3D model. For 50 randomly selected aneurysms, volumes were measured using 3D Slicer, RadiAnt, and ellipsoid method. Using 3D Slicer as the reference, the ratios of mean difference to mean volume obtained by RadiAnt and ellipsoid method were -1.21±7.46% and 4.04±30.54%, respectively. The deviations between RadiAnt and 3D Slicer were small despite of aneurysm shapes, but those of ellipsoid method and 3D Slicer were large. Conclusion : In spite of inaccuracy, ellipsoid method is still mostly used. We propose a novel universal method for AVQ that is valid, low cost, and easy to use.

Keywords

Acknowledgement

We would like to express my sincere thanks to Dr. Sang Kwon Chung, Professor Emeritus of Department of Mathematics Education, Seoul National University, for his invaluable comments and suggestions on dealing with the mathematical interpretation of CFD simulations.

References

  1. Abi-Aad KR, Aoun RJN, Rahme RJ, Ward JD, Kniss J, Kwasny MJ, et al. : New generation hydrogel endovascular aneurysm treatment trial (HEAT): a study protocol for a multicenter randomized controlled trial. Neuroradiology 60 : 1075-1084, 2018 https://doi.org/10.1007/s00234-018-2074-5
  2. Bescos JO, Slob MJ, Slump CH, Sluzewski M, van Rooij WJ : Volume measurement of intracranial aneurysms from 3D rotational angiography: improvement of accuracy by gradient edge detection. AJNR Am J Neuroradiol 26 : 2569-2572, 2005
  3. Bland JM, Altman DG : Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1 : 307-310, 1986 https://doi.org/10.1016/S0140-6736(86)90837-8
  4. Can A, Ho AL, Emmer BJ, Dammers R, Dirven CM, Du R : Association between vascular anatomy and posterior communicating artery aneurysms. World Neurosurg 84 : 1251-1255, 2015 https://doi.org/10.1016/j.wneu.2015.05.078
  5. Chan SH, Wong KS, Woo YM, Chan KY, Leung KM : Volume measurement of the intracranial aneurysm: a discussion and comparison of the alternatives to manual segmentation. J Cerebrovasc Endovasc Neurosurg 16 : 358-363, 2014 https://doi.org/10.7461/jcen.2014.16.4.358
  6. Costalat V, Maldonado IL, Strauss O, Bonafe A : Toward accurate volumetry of brain aneurysms: combination of an algorithm for automatic thresholding with a 3D eraser tool. J Neurosci Methods 198 : 294-300, 2011 https://doi.org/10.1016/j.jneumeth.2011.04.008
  7. Dhar S, Tremmel M, Mocco J, Kim M, Yamamoto J, Siddiqui AH, et al. : Morphology parameters for intracranial aneurysm rupture risk assessment. Neurosurgery 63 : 185-196; discussion 196-197, 2008 https://doi.org/10.1227/01.NEU.0000316847.64140.81
  8. Escobar-de la Garma VH, Zenteno M, Padilla-Vazquez F, San-Juan D, Ceron-Morales A : Comparative analysis of aneurysm volume by different methods based on angiography and computed tomography angiography. Neurosurg Rev 41 : 1013-1019, 2018 https://doi.org/10.1007/s10143-018-0943-3
  9. Fanning NF, O'Dwyer HM, Bowden JA, Brennan PR, Thornton J : Accuracy of voxel-based and algebraic formula-based methods in quantifying cerebral aneurysm volume by 3D-rotational digital subtraction angiography. An in-vitro and in-vivo study. Interv Neuroradiol 11 : 35-40, 2005
  10. Fedorov A, Beichel R, Kalpathy-Cramer J, Finet J, Fillion-Robin JC, Pujol S, et al. : 3D slicer as an image computing platform for the quantitative imaging network. Magn Reson Imaging 30 : 1323-1341, 2012 https://doi.org/10.1016/j.mri.2012.05.001
  11. Ferroli P, Tringali G, Acerbi F, Schiariti M, Broggi M, Aquino D, et al. : Advanced 3-dimensional planning in neurosurgery. Neurosurgery 72 Suppl 1 : 54-62, 2013
  12. Han Q, Zhao X, Wang C, Chen B, Wang X, Zhang Z, et al. : Individualized reconstruction for severe periprosthetic fractures around the tumor prosthesis of knee under assistance of 3D printing technology: a case report. Medicine (Baltimore) 97 : e12726, 2018 https://doi.org/10.1097/MD.0000000000012726
  13. Ho AL, Mouminah A, Du R : Posterior cerebral artery angle and the rupture of basilar tip aneurysms. PLoS One 9 : e110946, 2014 https://doi.org/10.1371/journal.pone.0110946
  14. Jiang H, Shen J, Weng YX, Pan JW, Yu JB, Wan ZA, et al. : Morphology parameters for mirror posterior communicating artery aneurysm rupture risk assessment. Neurol Med Chir (Tokyo) 55 : 498-504, 2015 https://doi.org/10.2176/nmc.oa.2014-0390
  15. Jiang H, Weng YX, Zhu Y, Shen J, Pan JW, Zhan RY : Patient and aneurysm characteristics associated with rupture risk of multiple intracranial aneurysms in the anterior circulation system. Acta Neurochir (Wien) 158 : 1367-1375, 2016 https://doi.org/10.1007/s00701-016-2826-0
  16. Kawanabe Y, Sadato A, Taki W, Hashimoto N : Endovascular occlusion of intracranial aneurysms with Guglielmi detachable coils: correlation between coil packing density and coil compaction. Acta Neurochir (Wien) 143 : 451-455, 2001 https://doi.org/10.1007/s007010170073
  17. Leng B, Zheng Y, Ren J, Xu Q, Tian Y, Xu F : Endovascular treatment of intracranial aneurysms with detachable coils: correlation between aneurysm volume, packing, and angiographic recurrence. J Neurointerv Surg 6 : 595-599, 2014 https://doi.org/10.1136/neurintsurg-2013-010920
  18. Lin N, Ho A, Charoenvimolphan N, Frerichs KU, Day AL, Du R : Analysis of morphological parameters to differentiate rupture status in anterior communicating artery aneurysms. PLoS One 8 : e79635, 2013 https://doi.org/10.1371/journal.pone.0079635
  19. Lin N, Ho A, Gross BA, Pieper S, Frerichs KU, Day AL, et al. : Differences in simple morphological variables in ruptured and unruptured middle cerebral artery aneurysms. J Neurosurg 117 : 913-919, 2012 https://doi.org/10.3171/2012.7.JNS111766
  20. Munkvold BKR, Bo HK, Jakola AS, Reinertsen I, Berntsen EM, Unsgard G, et al. : Tumor volume assessment in low-grade gliomas: a comparison of preoperative magnetic resonance imaging to coregistered intraoperative 3-dimensional ultrasound recordings. Neurosurgery 83 : 288-296, 2018 https://doi.org/10.1093/neuros/nyx392
  21. Murayama Y, Vinuela F, Ishii A, Nien YL, Yuki I, Duckwiler G, et al. : Initial clinical experience with matrix detachable coils for the treatment of intracranial aneurysms. J Neurosurg 105 : 192-199, 2006 https://doi.org/10.3171/jns.2006.105.2.192
  22. Otani T, Nakamura M, Fujinaka T, Hirata M, Kuroda J, Shibano K, et al. : Computational fluid dynamics of blood flow in coil-embolized aneurysms: effect of packing density on flow stagnation in an idealized geometry. Med Biol Eng Comput 51 : 901-910, 2013 https://doi.org/10.1007/s11517-013-1062-5
  23. Piotin M, Daghman B, Mounayer C, Spelle L, Moret J : Ellipsoid approximation versus 3D rotational angiography in the volumetric assessment of intracranial aneurysms. AJNR Am J Neuroradiol 27 : 839-842, 2006
  24. Reul J, Spetzger U, Weis J, Sure U, Gilsbach JM, Thron A : Endovascular occlusion of experimental aneurysms with detachable coils: influence of packing density and perioperative anticoagulation. Neurosurgery 41 : 1160-1165; discussion 1165-1168, 1997 https://doi.org/10.1097/00006123-199711000-00028
  25. Sadato A, Hayakawa M, Adachi K, Nakahara I, Hirose Y : Large residual volume, not low packing density, is the most influential risk factor for recanalization after coil embolization of cerebral aneurysms. PLoS One 11 : e0155062, 2016 https://doi.org/10.1371/journal.pone.0155062
  26. Sadato A, Hayakawa M, Tanaka T, Hirose Y : Comparison of cerebral aneurysm volumes as determined by digitally measured 3D rotational angiography and approximation from three diameters. Interv Neuroradiol 17 : 154-158, 2011 https://doi.org/10.1177/159101991101700203
  27. Satoh K, Matsubara S, Hondoh H, Nagahiro S : Intracranial aneurysm embolization using interlocking detachable coils. Correlation between volume embolization rate and coil compaction. Interv Neuroradiol 3 Suppl 2 : 125-128, 1997
  28. Sluzewski M, van Rooij WJ, Slob MJ, Bescos JO, Slump CH, Wijnalda D : Relation between aneurysm volume, packing, and compaction in 145 cerebral aneurysms treated with coils. Radiology 231 : 653-658, 2004 https://doi.org/10.1148/radiol.2313030460
  29. Sokolowski JD, Ilyas A, Buell TJ, Taylor DG, Chen CJ, Ding D, et al. : SMART coils for intracranial aneurysm embolization: follow-up outcomes. J Clin Neurosci 59 : 93-97, 2019 https://doi.org/10.1016/j.jocn.2018.10.132
  30. Stapleton CJ, Torok CM, Rabinov JD, Walcott BP, Mascitelli JR, Leslie-Mazwi TM, et al. : Validation of the modified Raymond-Roy classification for intracranial aneurysms treated with coil embolization. J Neurointerv Surg 8 : 927-933, 2016 https://doi.org/10.1136/neurintsurg-2015-012035
  31. Strik HM, Borchert H, Fels C, Knauth M, Rienhoff O, Bahr M, et al. : Three-dimensional reconstruction and volumetry of intracranial haemorrhage and its mass effect. Neuroradiology 47 : 417-424, 2005 https://doi.org/10.1007/s00234-005-1373-9
  32. Takao H, Ishibashi T, Saguchi T, Arakawa H, Ebara M, Irie K, et al. : Validation and initial application of a semiautomatic aneurysm measurement software: a tool for assessing volumetric packing attenuation. AJNR Am J Neuroradiol 35 : 721-726, 2014 https://doi.org/10.3174/ajnr.A3777
  33. Wakhloo AK, Gounis MJ, Sandhu JS, Akkawi N, Schenck AE, Linfante I : Complex-shaped platinum coils for brain aneurysms: higher packing density, improved biomechanical stability, and midterm angiographic outcome. AJNR Am J Neuroradiol 28 : 1395-1400, 2007 https://doi.org/10.3174/ajnr.A0542
  34. Zhao R, Shen J, Huang QH, Nie JH, Xu Y, Hong B, et al. : Endovascular treatment of ruptured tiny, wide-necked posterior communicating artery aneurysms using a modified stent-assisted coiling technique. J Clin Neurosci 20 : 1377-1381, 2013 https://doi.org/10.1016/j.jocn.2012.12.012