التفاصيل البيبلوغرافية
| العنوان: |
Diagnostic reliability of the Berlin classification for complex MCA aneurysms—usability in a series of only giant aneurysms. |
| المؤلفون: |
Wessels, Lars, Fekonja, Lucius Samo, Achberger, Johannes, Dengler, Julius, Czabanka, Marcus, Hecht, Nils, Schneider, Ulf, Tkatschenko, Dimitri, Schebesch, Karl-Michael, Schmidt, Nils Ole, Mielke, Dorothee, Hosch, Henning, Ganslandt, Oliver, Gräwe, Alexander, Hong, Bujung, Walter, Jan, Güresir, Erdem, Bijlenga, Philippe, Haemmerli, Julien, Maldaner, Nicolai |
| المصدر: |
Acta Neurochirurgica; Nov2020, Vol. 162 Issue 11, p2753-2758, 6p |
| مصطلحات موضوعية: |
ANEURYSMS, INTER-observer reliability, INDEPENDENT sets, CLASSIFICATION |
| مصطلحات جغرافية: |
BERLIN (Germany) |
| مستخلص: |
Background and objective: The main challenge of bypass surgery of complex MCA aneurysms is not the selection of the bypass type but the initial decision-making of how to exclude the affected vessel segment from circulation. To this end, we have previously proposed a classification for complex MCA aneurysms based on the preoperative angiography. The current study aimed to validate this new classification and assess its diagnostic reliability using the giant aneurysm registry as an independent data set. Methods: We reviewed the pretreatment neuroimaging of 51 patients with giant (> 2.5 cm) MCA aneurysms from 18 centers, prospectively entered into the international giant aneurysm registry. We classified the aneurysms according to our previously proposed Berlin classification for complex MCA aneurysms. To test for interrater diagnostic reliability, the data set was reviewed by four independent observers. Results: We were able to classify all 51 aneurysms according to the Berlin classification for complex MCA aneurysms. Eight percent of the aneurysm were classified as type 1a, 14% as type 1b, 14% as type 2a, 24% as type 2b, 33% as type 2c, and 8% as type 3. The interrater reliability was moderate with Fleiss's Kappa of 0.419. Conclusion: The recently published Berlin classification for complex MCA aneurysms showed diagnostic reliability, independent of the observer when applied to the MCA aneurysms of the international giant aneurysm registry. [ABSTRACT FROM AUTHOR] |
|
Copyright of Acta Neurochirurgica is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
