Clinical value of hematoma volume estimated by 3D-Slicer in predicting symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage
10.3760/cma.j.cn115354-20211005-00642
- VernacularTitle:3D-Slicer血肿量预测aSAH后sCVS的临床价值研究
- Author:
Rongjia LU
1
;
Shaofu ZHOU
;
Peng YI
Author Information
1. 福建中医药大学附属龙岩人民医院神经外科，龙岩 364000
- Keywords:
3D-Slicer;
Aneurysmal subarachnoid hemorrhage;
Symptomatic cerebral vasospasm;
Fisher grading scale;
Modified Fisher grading scale
- From:
Chinese Journal of Neuromedicine
2022;21(1):41-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value of hematoma volume estimated by 3D-Slicer in predicting symptomatic cerebral vasospasm (sCVS) after aneurysmal subarachnoid hemorrhage (aSAH).Methods:CT images on admission of 84 aSAH patients, admitted to our hospital from January 2018 to June 2021, were collected. The hematoma volume of these patients was measured by 3D-Slicer (3D-Slicer hematoma volume). Patients were divided into sCVS group and non-sCVS group according to the occurrence of postoperative sCVS. The differences of 3D-Slicer hematoma volume, Fisher grading scale and modified Fisher grading scale between the two groups were compared by statistical methods, and the independent risk factors for sCVS after aSAH were screened. The differences of 3D-Slicer hematoma volume among patients with different Fisher grading scale or modified Fisher grading scale were compared.Results:There was no significant difference in Fisher grading scale and modified Fisher grading scale between sCVS group and non-SCVS group ( P>0.05), but the 3D-Slicer hematoma volume in sCVS group was significantly larger than that in non-SCVS group ( P<0.05). 3D-Slicer hematoma volume ( OR=1.061, 95%CI: 1.004-1.120, P=0.034) was independent risk factors for sCVS after aSAH. The comparison of 3D-Slicer hematoma volume among patients with different Fisher grading scale or modified Fisher grading scale showed statistical difference ( P<0.05). Conclusion:As compared with Fisher grading scale and modified Fisher grading scale, the hematoma volume measured by 3D-Slicer has more advantage in predicting sCVS after aSAH.
