The role of computational fluid dynamics in the management of unruptured intracranial aneurysms: a clinicians' view

Objective: The importance of hemodynamics in the etiopathogenesis of intracranial aneurysms (IAs) is widely accepted./nComputational fluid dynamics (CFD) is being used increasingly for hemodynamic predictions. However, alogn with the/ncontinuing development and validation of these tools, it is imper...

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Detalles Bibliográficos
Autores: Singh, Pankai K., Marzo, Alberto, Coley, Stuart C., Berti, Guntram, Bijlenga, Philippe, Lawford, Patricia V., Villa-Uriol, Maria-Cruz, Rufenacht, Daniel A., McCormack, Keith M., Frangi Caregnato, Alejandro, Patel, Umang J., Hose, D. Rodney
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/16071
Acceso en línea:http://hdl.handle.net/10230/16071
http://dx.doi.org/10.1155/2009/760364
Access Level:acceso abierto
Palabra clave:Aneurismes cerebrals -- Etiologia
Medicina -- Investigació -- Informàtica
Hemodinàmica
Computational fluid dynamics
etiopathogenesis
hemodynamic prediction
Intracranial aneurysms
ESMINT
@neurIST project
@neuFuse
Descripción
Sumario:Objective: The importance of hemodynamics in the etiopathogenesis of intracranial aneurysms (IAs) is widely accepted./nComputational fluid dynamics (CFD) is being used increasingly for hemodynamic predictions. However, alogn with the/ncontinuing development and validation of these tools, it is imperative to collect the opinion of the clinicians. Methods: A workshop/non CFD was conducted during the European Society of Minimally Invasive Neurological Therapy (ESMINT) Teaching Course,/nLisbon, Portugal. 36 delegates, mostly clinicians, performed supervised CFD analysis for an IA, using the @neuFuse software/ndeveloped within the European project @neurIST. Feedback on the workshop was collected and analyzed. The performance/nwas assessed on a scale of 1 to 4 and, compared with experts’ performance. Results: Current dilemmas in the management of/nunruptured IAs remained the most important motivating factor to attend the workshop and majority of participants showed/ninterest in participating in a multicentric trial. The participants achieved an average score of 2.52 (range 0–4) which was 63% (range 0–100%) of an expert user. Conclusions: Although participants showed a manifest interest in CFD, there was a clear lack of/nawareness concerning the role of hemodynamics in the etiopathogenesis of IAs and the use of CFD in this context. More efforts/ntherefore are required to enhance understanding of the clinicians in the subject.