Prospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Jun 28, 2023; 15(6): 201-215
Published online Jun 28, 2023. doi: 10.4329/wjr.v15.i6.201
Interobserver reliability of computed tomography angiography in the assessment of ruptured intracranial aneurysm and impact on patient management
Ali H Elmokadem, Basma Abdelmonaem Elged, Ahmed Abdel Razek, Lamiaa Galal El-Serougy, Mohamed Ali Kasem, Mohamed Ali EL-Adalany
Ali H Elmokadem, Basma Abdelmonaem Elged, Ahmed Abdel Razek, Lamiaa Galal El-Serougy, Mohamed Ali EL-Adalany, Department of Radiology, Mansoura University, Mansoura 35516, Egypt
Mohamed Ali Kasem, Department of Neurosurgery, Mansoura University, Mansoura 35516, Egypt
Author contributions: Abdel Razek A and El-Serougy LG proposed the study concept and design; Elged BA searched Database; Kasem MA performed surgical procedures; Elmokadem AH performed DSA; Elged BA, EL-Adalany MA, and El-Serougy LG contributed to analysis and interpretation of data; Elged BA and Elmokadem AH contributed to drafting of the manuscript; Elmokadem AH and Abdel Razek A contributed to Revision of the manuscript; EL-Adalany MA and El-Serougy LG supported technical, or material.
Institutional review board statement: The study was approved by Mansoura university institutional review board (IRB).
Informed consent statement: Patients were not required to give a written consent for the study as the analysis used anonymous data.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this published 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: Ali H Elmokadem, MD, PhD, Associate Professor, Department of Radiology, Mansoura University, Elgomhoria St, Mansoura 35516, Egypt. mokademr83@gmail.com
Received: December 23, 2022
Peer-review started: December 23, 2022
First decision: March 28, 2023
Revised: April 17, 2023
Accepted: May 31, 2023
Article in press: May 31, 2023
Published online: June 28, 2023
Processing time: 186 Days and 10.5 Hours
Core Tip

Core Tip: This study evaluated the interobserver reliability of computed tomography angiography (CTA) in the assessment of ruptured intracranial aneurysm features among 146 patients. Our results showed good to an excellent inter-observer agreement in imaging features related to the aneurysm, aneurysm characters, measurements, and perianeurysmal information. Imaging data extracted from non-contrast computed tomography and CTA guided the multidisciplinary neurovascular team to better treatment approach selection.