Le XY, Zhang JR, Feng JB, Li CM. Optimizing clinical decision-making for ruptured intracranial aneurysms: Current applications and future directions of computed tomography angiography. World J Radiol 2024; 16(11): 700-702 [PMID: 39635308 DOI: 10.4329/wjr.v16.i11.700]
Corresponding Author of This Article
Chuan-Ming Li, MD, Professor, Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, No. 1 Jiankang Road, Yuzhong District, Chongqing 400014, China. lichuanming@hospital.cqmu.edu.cn
Research Domain of This Article
Neuroimaging
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Nov 28, 2024; 16(11): 700-702 Published online Nov 28, 2024. doi: 10.4329/wjr.v16.i11.700
Optimizing clinical decision-making for ruptured intracranial aneurysms: Current applications and future directions of computed tomography angiography
Xing-Yan Le, Jin-Rui Zhang, Jun-Bang Feng, Chuan-Ming Li
Xing-Yan Le, Jin-Rui Zhang, Jun-Bang Feng, Chuan-Ming Li, Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China
Co-first authors: Xing-Yan Le and Jin-Rui Zhang.
Co-corresponding authors: Jun-Bang Feng and Chuan-Ming Li.
Author contributions: Le XY and Zhang JR proposed the letter, drafted the initial version of the manuscript and contributed equally to this letter; Feng JB and Li CM were responsible for the letter design, literature search, manuscript revision and language proofreading; All the authors read and approved the final manuscript. Given their significant contributions to this letter, Feng JB and Li CM were designated as co-corresponding authors, overseeing the manuscript submission process and ensuring effective communication throughout the peer-review process.
Supported by Natural Science Foundation Project of Chongqing, No. CSTB2024NSCQ-MSX1265.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chuan-Ming Li, MD, Professor, Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, No. 1 Jiankang Road, Yuzhong District, Chongqing 400014, China. lichuanming@hospital.cqmu.edu.cn
Received: September 4, 2024 Revised: November 8, 2024 Accepted: November 14, 2024 Published online: November 28, 2024 Processing time: 84 Days and 0.3 Hours
Abstract
Ruptured intracranial aneurysms (RIAs) are a leading cause of subarachnoid haemorrhage (SAH) and are associated with a poor prognosis and high mortality rate. Computed tomography angiography (CTA) is the preferred imaging modality for the diagnosis of RIAs, as it is considered to be a fast, economical, and less invasive method. In this letter, regarding an original study presented by Elmokadem et al, we present our insights and discuss how CTA can better assist in clinical decision-making for patients with RIAs complicated by SAH.
Core Tip: For ruptured intracranial aneurysm (RIA) patients, computed tomography angiography (CTA) is crucial for clinical decision-making because of its convenience, low invasiveness, and reliability. However, there are still some problems with the current study, such as incomplete RIA parameters, a small number of patients, and a lack of external validation. In future research, more digital subtraction angiography and CTA-paired samples should be included; additionally, more comprehensive arterial aneurysm parameters should be included, and multiple artificial intelligence methods should be used to establish models to aid in the detection of RIAs and clinical decision-making.
