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The Unruptured Intracranial Aneurysm Treatment Score as a Predictor of Aneurysm Growth or Rupture

Molenberg, R., Aalbers, M. W., Mazuri, A., Luijckx, G. J., Metzemaekers, J. D. M., Groen, R. J. M., Uyttenboogaart, M. & van Dijk, J. M. C., 3-Dec-2020, In : European Journal of Neurology. 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

Background and purpose: The Unruptured Intracranial Aneurysm Treatment Score (UIATS) was built to harmonize the treatment decision making on unruptured intracranial aneurysms. Therefore, it may also function as a predictor of aneurysm progression. In this study, we aimed to assess the validity of the UIATS model to identify aneurysms at risk of growth or rupture during follow-up.

Methods: We calculated the UIATS for a consecutive series of conservatively treated unruptured intracranial aneurysms, included in our prospectively kept neurovascular database. Computed tomography angiography and/or magnetic resonance angiography imaging at baseline and during follow-up was analyzed to detect aneurysm growth. We defined rupture as a cerebrospinal fluid or computed tomography-proven subarachnoid hemorrhage. We calculated the area under the receiver operator curve, sensitivity, and specificity, to determine the performance of the UIATS model.

Results: We included 214 consecutive patients with 277 unruptured intracranial aneurysms. Aneurysms were followed for a median period of 1.3 years (range 0.3-11.7 years). During follow-up, 17 aneurysms enlarged (6.1%), and two aneurysms ruptured (0.7%). The UIATS model showed a sensitivity of 80% and a specificity of 44%. The area under the receiver operator curve was 0.62 (95% confidence interval 0.46-0.79).

Conclusions: Our observational study involving consecutive patients with an unruptured intracranial aneurysm showed poor performance of the UIATS model to predict aneurysm growth or rupture during follow-up.

Original languageEnglish
Number of pages7
JournalEuropean Journal of Neurology
Early online date11-Nov-2020
Publication statusPublished - 3-Dec-2020

    Keywords

  • growth, intracranial aneurysm, predictors, subarachnoid hemorrhage, UIATS, PREVALENCE, MANAGEMENT, RISK, SEX, AGE

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