World neurosurgery最新文献_第5页

The Ventriculoperitoneal Shunt Complication Rate in Baghdad Medical City from 2019 to 2022. 2019 至 2022 年巴格达医疗城的脑室腹腔分流术并发症发生率。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.069

Ali Tarik Abdul Wahid, Ahmed Dheyaa Al-Obaidi, Hashim Talib Hashim, Mustafa Najah Al-Obaidi, Yousif Ali Madlul, Nabeel Al-Fatlawi, Assalah Othman, Nael W Shaheen, Yasser F Almealawy, Omar Saab, Nooraldin Merza, Hasan Al-Obaidi

{"title":"The Ventriculoperitoneal Shunt Complication Rate in Baghdad Medical City from 2019 to 2022.","authors":"Ali Tarik Abdul Wahid, Ahmed Dheyaa Al-Obaidi, Hashim Talib Hashim, Mustafa Najah Al-Obaidi, Yousif Ali Madlul, Nabeel Al-Fatlawi, Assalah Othman, Nael W Shaheen, Yasser F Almealawy, Omar Saab, Nooraldin Merza, Hasan Al-Obaidi","doi":"10.1016/j.wneu.2024.10.069","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.069","url":null,"abstract":"Background and aims: Due to the substantial lack of data from Iraq on ventriculoperitoneal shunt (VPS) complications, this study aims to examine the various types of complications after VPS surgery in Baghdad Medical City.Methods: The retrospective cohort study analyzed VP shunt procedures at Baghdad Medical City from 2019 to 2022. The overall complication rate, including infection and shunt malfunction, was determined from patient records. Data were analyzed using descriptive statistics and Kaplan-Meier survival analysis. Ethical approval was obtained from the IRB, with consent waived due to the study's retrospective nature. The findings highlight the need for improved management to reduce complication rates in VP shunt procedures.Results: The study involved 113 participants with an average age of 2.62 years (±3.4). The most common indications for VPS placement are congenital hydrocephalus (40%) and post-infectious hydrocephalus (30%). The most common complications of post-VPS surgery are VP obstruction (54%) and post-surgical infections (44%). There were no significant differences in the incidence of post-operative complications across different age groups.Conclusion: Our study showed the significant complication rate associated with VPS surgeries for hydrocephalus, particularly VPS infections and obstruction. There were no significant age-related differences in VPS complication rates across age groups.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Literature Review: Historical Review of Traumatic Brain Injury Caused by Fishing Speargun & a New Suicide Case. 文献综述：钓鱼矛枪造成创伤性脑损伤的历史回顾和一个新的自杀案例。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.094

Mary Solou, Nikolaos Siasos, John Lakoumentas, Konstantinos A Bakopoulos

{"title":"Literature Review: Historical Review of Traumatic Brain Injury Caused by Fishing Speargun & a New Suicide Case.","authors":"Mary Solou, Nikolaos Siasos, John Lakoumentas, Konstantinos A Bakopoulos","doi":"10.1016/j.wneu.2024.10.094","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.094","url":null,"abstract":"Background: Traumatic brain injury (TBI) is a severe neurosurgical emergency and a significant public health concern. Fishing spearguns TBIs are included in nonmissile injuries and have been implicated in only few cases of TBI in the past 68 years, mainly of accidental etiology.Objective: To introduce a novel case report of a TBI in a 38-year-old man shot himself with a speargun in a suicide attempt and to present a thorough review of related case reports along with the management strategies, prognosis, and outcomes.Methods: We conducted a literature review of case reports in accordance with the PRISMA guidelines, including incidents of TBI by speargun published in Pubmed, Scopus, and Web of Science until January 2024.Results: A total of 22 publications, reporting 26 cases of speargun-related TBIs formulated the 27 investigated cases including the current patient which were used in this descriptive and inferential statistical analysis. Predominantly affecting males (88.89%) with a median age of 29 years, these injuries were primarily due to accidents (65.38%), with a noticeable shift towards suicide. Outcome variability ranged from intact recovery (48.15%) in majority of cases to a range of unfavorable outcomes. Significant factors impacting outcomes included initial GCS score <8, major initial CT head findings, and major complications. Survival analysis indicated early manifestation of unfavorable outcomes.Conclusions: In summary, the diverse presentation, management, outcomes and identified influencing factors highlight the complexity of managing speargun-related injuries, and the need for personalized approaches and further research to enhance care protocols.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Complete Facet Resection and Cervical Pedicle Screw Placement Enhances Both Gross Total Resection and Motion Preservation for the Cervical Spinal Dumbbell Tumor. 彻底的面骨切除和颈椎椎弓根螺钉置入可提高颈椎哑铃型肿瘤的总切除率和运动保护率。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.007

Sungsoo Bae, Dae-Jean Jo, Sun Woo Jang, Danbi Park, Sang Hyub Lee, Jinuk Kim, Chongman Kim, Jin Hoon Park

{"title":"A Complete Facet Resection and Cervical Pedicle Screw Placement Enhances Both Gross Total Resection and Motion Preservation for the Cervical Spinal Dumbbell Tumor.","authors":"Sungsoo Bae, Dae-Jean Jo, Sun Woo Jang, Danbi Park, Sang Hyub Lee, Jinuk Kim, Chongman Kim, Jin Hoon Park","doi":"10.1016/j.wneu.2024.10.007","DOIUrl":"10.1016/j.wneu.2024.10.007","url":null,"abstract":"Objective: To describe single-index-level fusion surgery using a cervical pedicle screw (CPS) after the complete facet resection of spinal dumbbell tumors and to compare it with partial facet resection without fusion.Methods: We retrospectively reviewed patients who underwent surgery for dumbbell-shaped cervical spine tumors. They were categorized into the fused group (complete facet resection with fusion using CPS) and the unfused group (partial facet resection without fusion). We compared demographics, tumor characteristics, resection rates (gross total, subtotal, or partial), and regrowth rates between the groups. Complete facet resection was performed for maximal tumor removal. In the fused group, single-index-level fusion was achieved using CPS. Despite tumor-associated erosion of the index vertebra's pedicle and/or lateral mass, the CPS was directly inserted into the vertebral body through an imaginary virtual pedicle without a lateral mass or pedicle purchase.Results: A total of 34 patients underwent surgery for dumbbell-shaped cervical tumors; half were classified into each group. There were no significant differences in demographic or tumor characteristics, including Asazuma classification, or histological diagnosis (P > 0.05). However, the gross total resection rate was significantly higher in the fused group (16/17, 94.1% vs. 9/17, 52.9%; P value = 0.011). Tumor recurrence was observed in 3 (17.6%) patients in the unfused group; no recurrence (0%) occurred in the fused group.Conclusions: Complete facet resection with fusion using CPS significantly increased the gross total tumor removal rate, compared with partial resection without fusion. Therefore, CPS improved fusion surgery for maximal motion preservation, resulting in single-level fusion surgery.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic Insights into the Enigma of Family Intracranial Aneurysms. 家族性颅内动脉瘤之谜的遗传学启示。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.090

Alimasi Abulizi, Riqing Su, Pengfei Wu, Xiaojiang Cheng, Maimaitili Aisha, Zengliang Wang

引用次数: 0

Cost analysis of oncological outpatient neurosurgery under general anesthesia with Hospital-at-Home based postoperative care. 在全身麻醉下进行肿瘤门诊神经外科手术与基于医院的术后护理的成本分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.093

Cristina A Peláez-Sanchez, Marcos Pajarón-Guerrero, Angelina Rodriguez-Caballero, Juan Carlos Dueñas, Ana B Piriz, Rubén Martín-Láez, Isabel Sampedro, Carlos Velásquez

{"title":"Cost analysis of oncological outpatient neurosurgery under general anesthesia with Hospital-at-Home based postoperative care.","authors":"Cristina A Peláez-Sanchez, Marcos Pajarón-Guerrero, Angelina Rodriguez-Caballero, Juan Carlos Dueñas, Ana B Piriz, Rubén Martín-Láez, Isabel Sampedro, Carlos Velásquez","doi":"10.1016/j.wneu.2024.10.093","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.093","url":null,"abstract":"Objective: This study evaluates the efficiency and cost-effectiveness of an oncological outpatient neurosurgery (OON) protocol using Enhanced Recovery After Surgery (ERAS) principles in a European healthcare setting. Additionally, it assesses the impact of incorporating Hospital at Home (HaH) for perioperative follow-up on program efficiency and costs.Methods: We analyzed a case cohort of patients who underwent OON with HaH-based postoperative follow-up for tumor removal or biopsy at a tertiary care center since 2019. A control cohort treated under standard inpatient care was also examined. Costs associated with surgery and postoperative care were meticulously calculated for both groups.Results: The case (n=17) and control (n=38) cohorts had comparable demographics and clinical profiles. Surgical costs, including operating room, anesthesia, and surgeon fees, were similar across groups. However, post-operative monitoring was significantly shorter for the outpatient cohort, leading to reduced observation costs (p<0.001). While the duration of follow-up care was similar, outpatient follow-up via HaH was more cost-effective, reducing overall surgery costs by approximately €2958 per patient (p<0.001) compared to inpatient care. No significant differences were observed in costs related to treatment, radiology, or lab tests between groups.Conclusions: Outpatient neurosurgery with HaH follow-up offers substantial cost savings without compromising care quality in a public health setting. Inpatient care's higher costs are largely due to bed utilization, while the integration of HaH does not add significant costs, making it a viable alternative for postoperative management.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Do Craniometric Measurements and Skull Morphology Influence Subthalamic Nucleus target coordinations in Deep Brain Stimulation surgery for Parkinson's Disease? 颅骨测量和头骨形态如何影响帕金森病深部脑刺激手术中的眼下核靶点协调？

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.095

Tuan Anh Pham, Cuong Minh Luong, Phuong Duy Dao, Nghia Thanh Vo, Tai Ngoc Tran, Thuy Anh Diem Nguyen

引用次数: 0

Burnout in neurosurgery in the post-pandemic era. 后流行病时代神经外科的职业倦怠。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.098

Daniel Schneider, Akash Mishra, Miriam Shao, Sheng-Fu Larry Lo, Daniel M Sciubba

{"title":"Burnout in neurosurgery in the post-pandemic era.","authors":"Daniel Schneider, Akash Mishra, Miriam Shao, Sheng-Fu Larry Lo, Daniel M Sciubba","doi":"10.1016/j.wneu.2024.10.098","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.098","url":null,"abstract":"Objective: Burnout syndrome impacts one of two neurosurgeons and negatively impacts both the individual and institution. The impact of burnout on neurosurgeons may have increased due to the SARS-COV-2 pandemic. Characteristics of burnout may differ among neurosurgeons and non-neurosurgeon physicians, and this may better target wellness initiatives designed to alleviate burnout.Methods: Validated burnout inventories (Maslach Burnout Inventory; MBI) were provided to physicians, including neurosurgeons, at a single, large academic institution. Rates of burnout and specific characteristics of burnout were compared. Free-response answers describing specific characteristics of burnout were also collected for neurosurgeons.Results: A total of 294 physicians responded to the survey, including 40 neurosurgeons. The rate of burnout between neurosurgeons and non-neurosurgeons did not differ (39% vs 34%; p=0.631), but there were notable differences in the characteristics of burnout. Neurosurgery respondents were more likely to report depersonalization (p<0.001), and an additional 42.5% of neurosurgeon respondents reported a \"period of hardship,\" which may lead to subsequent burnout. Neurosurgeons also more frequently reported higher feelings of personal accomplishment (p<0.001). Targeted wellness interventions specific to neurosurgeons may alleviate and prevent burnout.Conclusions: We show that although the rate of burnout does not differ for neurosurgeons, the characteristics of burnout may. This may represent the key to providing specialty-specific targeted interventions to alleviate burnout. Further, there is a significant proportion of neurosurgeons at risk for subsequent burnout for which additional importance must be placed to prevent progression to burnout.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Top-100 Highest Cited Articles on posterior communicating artery aneurysms: A bibliometric analysis. 关于后交通动脉瘤的百篇最高引用率文章：文献计量分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.083

Mohammed Bassam Nawaiseh, Rund Radi Haddadin, Qais Bassam Nawaiseh, Mohammad Aladawi, Saif Aldeen AlRyalat, Mohammad Husam AlMajali, Mai Hakooz, Fawaz Al-Mufti

{"title":"Top-100 Highest Cited Articles on posterior communicating artery aneurysms: A bibliometric analysis.","authors":"Mohammed Bassam Nawaiseh, Rund Radi Haddadin, Qais Bassam Nawaiseh, Mohammad Aladawi, Saif Aldeen AlRyalat, Mohammad Husam AlMajali, Mai Hakooz, Fawaz Al-Mufti","doi":"10.1016/j.wneu.2024.10.083","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.083","url":null,"abstract":"Objective: The aim of this study is to evaluate the 100 most highly cited articles assessing posterior communicating artery aneurysms (PComAA).Methods: In May 2024, a comprehensive search was conducted in the Scopus database using the keyword \"posterior communicating artery aneurysm\". The top 100 most impactful articles were ranked by citation count and analyzed for relevant factors. Citations per year (CY) was calculated to minimize the risk of bias. Google Scholar (GS) and Web of Science (WOS) citations were also included.Results: The top 100 articles were published between 1978 and 2022, with a total of 2935 citations in Scopus, 3988 in GS and 2508 in WOS. The mean number of citations was 29.4 (range 12-158) on scopus, 40.7 (range 10-216) on GS and 26.9 (range 9-120) on WOS. The most contributing country was the United States, while the leading institution was the Second Military Medical University in China. The most productive journal was World Neurosurgery, producing 15 articles. The most prolific author was Liu J.-M with 10 published articles. The funding body with the most funded publication was the National Natural Science Foundation of China. Subcategory analysis revealed that the majority of articles focused on treatment options and post-surgical outcomes, oculomotor nerve palsy, and clinical features.Conclusion: This study offers a detailed overview of the most cited articles on PComAAs. It demonstrates key contributions made by different countries, institutions, journals, and authors, providing a valuable framework for understanding the evidence supporting the management of these aneurysms.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Artificial Intelligence in Prediction of Ki-67 Index in Meningiomas: A Systematic Review and Meta-Analysis. 人工智能在脑膜瘤 Ki-67 指数预测中的应用：系统回顾与元分析

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.089

Bardia Hajikarimloo, Salem M Tos, Mohammadamin Sabbagh Alvani, Mohammad Ali Rafiei, Diba Akbarzadeh, Mohammad ShahirEftekhar, Mohammadhosein Akhlaghpasand, Mohammad Amin Habibi

{"title":"Application of Artificial Intelligence in Prediction of Ki-67 Index in Meningiomas: A Systematic Review and Meta-Analysis.","authors":"Bardia Hajikarimloo, Salem M Tos, Mohammadamin Sabbagh Alvani, Mohammad Ali Rafiei, Diba Akbarzadeh, Mohammad ShahirEftekhar, Mohammadhosein Akhlaghpasand, Mohammad Amin Habibi","doi":"10.1016/j.wneu.2024.10.089","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.089","url":null,"abstract":"Background: The Ki-67 index is a histopathological marker that has been reported to be a crucial factor in the biological behavior and prognosis of meningiomas. Several studies have developed artificial intelligence (AI) models to predict the Ki-67 based on radiomics. In this study, we aimed to perform a systematic review and meta-analysis of AI models that predicted the Ki-67 index in meningioma.Methods: Literature records were retrieved on April 27th, 2024, using the relevant key terms without filters in PubMed, Embase, Scopus, and Web of Science. Records were screened according to the eligibility criteria, and the data from included studies were extracted. The quality assessment was performed using the QUADAS-2 tool. The meta-analysis, sensitivity analysis, and meta-regression were conducted using R software.Results: Our study included six studies. The mean Ki-67 ranged from 2.7 ± 2.97 to 4.8 ± 40.3. Of six studies, five utilized an ML method. The most used AI method was the least absolute shrinkage and selection operator (LASSO). The AUC and ACC ranged from 0.83 to 0.99 and 0.81 to 0.95, respectively. AI models demonstrated a pooled sensitivity of 87.5% (95% CI: 75.2%, 94.2%), a specificity of 86.9% (95% CI: 75.8%, 93.4%), and a diagnostic odds ratio (DOR) of 40.02 (95% CI: 13.5, 156.4). The summary receiver operating characteristic SROC curve indicated an AUC of 0.931 for the prediction of Ki-67 index status in intracranial meningiomas.Conclusion: AI models have demonstrated promising performance for predicting the Ki-67 index in meningiomas and can optimize the treatment strategy.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic Accuracy of 4D-MRA for the Detection and Localization of Spinal Dural Arteriovenous Fistulas: a systematic review and meta-analysis. 4D-MRA 对脊髓硬脑膜动静脉瘘的检测和定位的诊断准确性：系统回顾和荟萃分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2024-10-29 DOI: 10.1016/j.wneu.2024.10.087

Vincent Raymaekers, Ana Rodríguez-Hernández, Sjoert A H Pegge, Tomas Menovsky, Frederick J A Meijer, Jeroen Hd Boogaarts

{"title":"Diagnostic Accuracy of 4D-MRA for the Detection and Localization of Spinal Dural Arteriovenous Fistulas: a systematic review and meta-analysis.","authors":"Vincent Raymaekers, Ana Rodríguez-Hernández, Sjoert A H Pegge, Tomas Menovsky, Frederick J A Meijer, Jeroen Hd Boogaarts","doi":"10.1016/j.wneu.2024.10.087","DOIUrl":"https://doi.org/10.1016/j.wneu.2024.10.087","url":null,"abstract":"Background and purpose: The gold standard for the diagnosis and detailed evaluation of spinal dural arteriovenous fistula (SDAVF) is a digital subtraction angiography (DSA). However, this procedure is time-consuming and effortful. A time-resolved contrast enhanced MR angiography sequence (4D-MRA) can be used to increase the diagnostic accuracy of spinal MRI for the detection and localization of a SDAVF. The goal of this study is to assess the diagnostic accuracy of 4D-MRA for the detection and localization of a SDAVF in comparison to DSA, based on a systematic review of the literature.Methods: We performed a systematic review and meta-analysis on the diagnostic accuracy of 4D-MRA compared to DSA. Literature was reviewed from the PubMed, Cochrane and EMBASE databases.Results: In comparison with DSA, the pooled sensitivity of MRA was 98,2% (95% CI 91,5-99,6%), with a pooled specificity of 88,2% (95%CI 57,5-97,6%) for the diagnosis of SDAVFs. The side and level of the SDAVFs was correct in 91% (95% CI: 86-94%) and 76% (95% CI: 71-80%), respectively.Conclusion: Current literature indicates that 4D-MRA has a high sensitivity and specificity for the detection and localization of a SDAVF. It can serve to guide DSA to shorten the procedural time, reduce the risk of complications and decrease patient discomfort.","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0