Abdominal aortic aneurysms volume growth patterns with three-dimensional ultrasound.

IF 1.5 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Angiology Pub Date : 2023-12-01 Epub Date: 2023-10-23 DOI:10.23736/S0392-9590.23.05103-9

Ulver S Lorenzen, Qasam M Ghulam, Laurence Rouet, Nikolaj Eldrup, Timothy Resch, Jonas P Eiberg

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引用次数: 0

Abstract

Background: Three-dimensional ultrasound (3D-US) and computed tomography (CT) have proven abdominal aortic aneurysm (AAA) volume a more sensitive measure of growth than diameter. This proof-of-concept study aimed to investigate the clinical applicability of two-dimensional ultrasound and 3D-US for AAA diameter and volume growth pattern evaluation.

Methods: AAA patients with at least three follow-ups within a minimum of 24 months were included prospectively and consecutively from the COpenhagen Aneurysms CoHort (COACH). Individual diameter and volume growth rates were categorized as rapid, slow, or no growth (>6.0, 3.8-6.0, and ≤3.7 mm/year for diameter. >17.4, 8.8-17.3, and ≤8.7 mL/year for volume). Similarly, diameter and volume growth patterns were categorized as as linear, exponential, staccato, and indeterminate growth, based from individual regressions.

Results: Thirty patients were included, of which 19 (63%) had no diameter growth, 10 (33%) had slow growth, and one (3%) had rapid growth. Regarding volume, 11 (37%) patients had no growth, 12 (40%) had slow growth, and seven (23%) had rapid growth. Growth patterns according to diameter showed that 18 (60%) patients had linear growth, none had staccato or exponential growth. Twelve (40%) were indeterminate. Volume growth patterns found 19 (63%) patients with linear growth, 3 (10%) with staccato, and none with exponential growth. Eight (27%) were indeterminate.

Conclusions: Analysis of AAA volume growth patterns is a practical and safe modality that seems more sensitive at detecting growth patterns than AAA diameter. Volume also detects more AAA growth than diameter.

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腹主动脉瘤体积增长模式的三维超声检查。

背景：三维超声（3D-US）和计算机断层扫描（CT）已证明腹主动脉瘤（AAA）体积是比直径更敏感的生长指标。这项概念验证研究旨在研究二维超声和3D-US在AAA直径和体积生长模式评估中的临床适用性。方法：前瞻性和连续性纳入COpenhagen动脉瘤CoHort（COACH）在至少24个月内至少有三次随访的AAA患者。个体直径和体积增长率分为快速、缓慢或无增长（直径>6.0、3.8-6.0和≤3.7毫米/年。体积>17.4、8.8-17.3和≤8.7毫升/年）。同样，根据个体回归，直径和体积的生长模式分为线性、指数、间断和不确定生长。结果：纳入30例患者，其中19例（63%）无直径生长，10例（33%）生长缓慢，1例（3%）生长迅速。关于体积，11名（37%）患者没有生长，12名（40%）患者生长缓慢，7名（23%）患者生长迅速。根据直径的生长模式显示，18名（60%）患者具有线性生长，没有一名患者具有间断或指数生长。12人（40%）不确定。体积增长模式发现19名（63%）患者呈线性增长，3名（10%）患者呈断奏，没有一名患者呈指数增长。8人（27%）不确定。结论：AAA体积生长模式分析是一种实用且安全的方法，在检测生长模式方面似乎比AAA直径更敏感。体积也检测到更多的AAA增长，而不是直径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Angiology 医学-外周血管病

CiteScore

2.80

自引率

28.60%

发文量

审稿时长

6-12 weeks

期刊介绍： International Angiology publishes scientific papers on angiology. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors (ICMJE).