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| Name | Class |
|---|---|
| Jinhua Central Hospital | OTHER |
| Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University | OTHER |
| First Affiliated Hospital of Wenzhou Medical University | OTHER |
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In recent years, researches on the natural history and risk factors of intracranial unruptured aneurysms have become a hot topic at home and abroad. However, risk factors for aneurysm rupture is still unclear yet. The investigators' preliminary study focused on constructing a rupture risk prediction system for intracranial unruptured aneurysm in the investigators' single center. The investigators' result showed that three significant factors (sex, abnormal serum tumor necrosis factor (TNF)-α and coincidence of thin-walled regions (TWR) and normalized wall shear stress (NWSS)) stood out by using logistic regression to explore the rupture risk factors of intracranial unruptured aneurysms, which could help guide the clinical treatment of intracranial unruptured aneurysms. This study is to evaluate and improve the rupture predict model of intracranial unruptured aneurysm in multi-neurosurgical centers.
In recent years, researches on the natural history and risk factors of intracranial unruptured aneurysms have become a hot topic at home and abroad. However, risk factors for aneurysm rupture is still unclear yet. The investigators' preliminary study focused on constructing a rupture risk prediction system for intracranial unruptured aneurysm in the investigators' single center. Four aspects for unruptured aneurysms were collected: (1) Patients' basic demographic characteristics; (2) Reconstruction of intracranial unruptured aneurysm wall with 7-Tesla MRI, and explore the technical parameters of 7-Tesla high-resolution black blood MRI scanning intracranial aneurysm wall (0.5 mm isotropic resolution), as well as assessing the relationship between aneurysm wall enhancement (AWE), thin-walled regions (TWR), and hemodynamic parameters and their relationship to aneurysm development; (3) Using hydrodynamics to explore the hemodynamic parameters of intracranial unruptured aneurysms, explore new hydrodynamic parameters and screen rupture-related risk factors; (4) The use of single-cell RNA sequencing technology to explore the infiltration of immune cells in the aneurysm wall tissue of intracranial unruptured aneurysms. Based on the above research results, three significant factors (sex, abnormal serum TNF-α and coincidence of TWR and normalized wall shear stress (NWSS)) stood out by using logistic regression to explore the rupture risk factors of intracranial unruptured aneurysms, which could help guide the clinical treatment of intracranial unruptured aneurysms. This study is to evaluate and improve the rupture predict model of intracranial unruptured aneurysm in multi-neurosurgical centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unruptured Intracranial Aneurysm |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unruptured intracranial aneurysms | Other | Extensive clinical, biological and imaging data of unruptured intracranial aneurysm patients will be recorded during a 5 years follow-up. |
| Measure | Description | Time Frame |
|---|---|---|
| Predictive value of coincidence of TWR and NWSS for unruptured aneurysm rupture | at 5 years, the value of the factor (coincidence of TWR and NWSS) to predict aneurysm rupture risk will be analyzed | at 5 year |
| Predictive value of serum TNF-α for unruptured aneurysm rupture | at 5 years, the value of the factor (serum TNF-α) to predict aneurysm rupture risk will be analyzed | at 5 year |
| Predictive value of sex for unruptured aneurysm rupture | at 5 years, the value of the factor (sex) to predict aneurysm rupture risk will be analyzed | at 5 year |
| Measure | Description | Time Frame |
|---|---|---|
| Predictive value of coincidence of TWR and NWSS for unruptured aneurysm growth | at 5 years, the value of the factor (coincidence of TWR and NWSS) to predict aneurysm growth risk will be analyzed | at 5 year |
| Predictive value of serum TNF-α for unruptured aneurysm growth |
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Inclusion Criteria:
Exclusion Criteria:
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The enrolled patients are who have unruptured asymptomatic aneurysm with a clinical, a biological and an imaging follow-up, without any relative treatment.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gao Chen | Contact | +86 0571 87784813 | d-chengao@zju.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Second Affiliated Hospital, School of Medicine, Zhejiang University | Hangzhou | Zhejiang | 310029 | China |
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| ID | Term |
|---|---|
| D002532 | Intracranial Aneurysm |
| ID | Term |
|---|---|
| D020765 | Intracranial Arterial Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| The Central Hospital of Lishui City | OTHER |
| Ningbo Medical Center Lihuili Hospital | OTHER_GOV |
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at 5 years, the value of the factor (serum TNF-α) to predict aneurysm growth risk will be analyzed |
| at 5 year |
| Predictive value of sex for unruptured aneurysm growth | at 5 years, the value of the factor (sex) to predict aneurysm growth risk will be analyzed | at 5 year |
| D009422 | Nervous System Diseases |
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |