Vein of Galen aneurysmal malformation: does size affect outcome?

Outcome Phase-contrast MR venography Semiautomated segmentation Vein of Galen aneurysmal malformation Volume

Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
12 Apr 2024
Historique:
received: 08 08 2023
accepted: 25 03 2024
medline: 12 4 2024
pubmed: 12 4 2024
entrez: 12 4 2024
Statut: aheadofprint

Résumé

To validate a semiautomated method for segmenting vein of Galen aneurysmal malformations (VGAM) and to assess the relationship between VGAM volume and other angioarchitectural features, cardiological findings, and outcomes. In this retrospective study, we selected all subjects with VGAM admitted to the Gaslini Children's Hospital between 2009 and 2022. Clinical data were retrieved from electronic charts. We compared 3D-Slicer segmented VGAM volumes obtained by two independent observers using phase-contrast MR venography to those obtained with manual measurements performed on T2-weighted images. The relationship between VGAM volumes and clinical and neuroimaging features was then explored. Forty-three subjects with VGAM (22 males, mean age 6.56 days) were included in the study. Manual and semiautomated VGAM volumes were well correlated for both readers (r = 0.86 and 0.82, respectively). Regarding reproducibility, the inter-rater interclass correlation coefficients were 0.885 for the manual method and 0.992 for the semiautomated method (p < 0.001). The standard error for repeated measures was lower for the semiautomated method (0.04 versus 0.40 of manual method). Higher VGAM volume was associated with superior sagittal sinus narrowing, jugular bulb stenosis, and aqueductal stenosis (p < 0.05). A weak correlation was found between VGAM volume and straight sinus dilatation (r = 0.331) and superior sagittal sinus index (r =  - 0.325). No significant associations were found with cardiac findings, post-embolization complications, and outcome (p > 0.05). Semiautomated VGAM volumetry is feasible and reliable with improved reproducibility compared to the manual method. VGAM volume is not a prognostic factor for clinical outcome, but it is related to other venous findings with potential hemodynamic effects.

Identifiants

pubmed: 38607438
doi: 10.1007/s00234-024-03347-6
pii: 10.1007/s00234-024-03347-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Ministero della Salute
ID : Ricerca Corrente sui Disordini Neurologici e Muscolari - Neuroscienze (Linea 4)

Informations de copyright

© 2024. The Author(s).

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Auteurs

Costanza Parodi (C)

Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy.

Margherita Aluffi Valletti (M)

School of Medicine, University of Genoa, Genoa, Italy.

Domenico Tortora (D)

Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy.

Silvia Buratti (S)

Neonatal and Pediatric Intensive Care Unit and Emergency Department, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Marisa Mallamaci (M)

Neonatal and Pediatric Intensive Care Unit and Emergency Department, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Giulia Tuo (G)

Pediatric Cardiology and Cardiac Surgery Unit, Surgery Department, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Angela Pistorio (A)

Biostatistics Unit, Scientific Direction, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Andrea Moscatelli (A)

Neonatal and Pediatric Intensive Care Unit and Emergency Department, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Andrea Rossi (A)

Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy. andrearossi@gaslini.org.
Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy. andrearossi@gaslini.org.

Mariasavina Severino (M)

Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147, Genoa, Italy.

Classifications MeSH