动脉瘤破裂预测的临床量表

IF 2.1 Q3 CLINICAL NEUROLOGY Stroke (Hoboken, N.J.) Pub Date : 2023-08-24 DOI:10.1161/svin.123.000625
S. Sanchez, Jacob M. Miller, E. Samaniego
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引用次数: 1

摘要

偶然发现的未破裂颅内动脉瘤的发生率随着神经影像学的广泛应用而增加。脑动脉瘤破裂风险的确定具有挑战性。已经开发了几种预测动脉瘤破裂的临床量表。最常见的量表是相位、ELAPSS和UIATS。由于固有的缺陷,这些量表没有在临床实践中常规使用。在这篇综述中,我们分析了生成这些量表的风险因素以及这些量表在临床研究中的表现。我们还讨论了预测动脉瘤破裂的新的潜在生物标志物和工具。
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Clinical Scales in Aneurysm Rupture Prediction
The rate of incidentally discovered unruptured intracranial aneurysms has increased with the broad availability of neuroimaging. The determination of the risk of rupture of brain aneurysms is challenging. Several clinical scales for aneurysm rupture prediction have been developed. The most common scales are PHASES, ELAPSS, and UIATS. These scales are not routinely used in clinical practice due to inherent shortcomings. In this review, we analyze the risk factors used in generating these scales and the performance of these scales in clinical studies. We also discuss new potential biomarkers and tools to predict aneurysm rupture.
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