Fluid structure Interaction analysis for rupture risk assessment in patients with middle cerebral artery aneurysms Article Swipe
József Nagy
,
Wolfgang Fenz
,
Stefan Thumfart
,
Julia Maier
,
Zoltán Major
,
Harald Stefanits
,
Maria Gollwitzer
,
Johannes Oberndorfer
,
Nico Stroh
,
Michael Giretzlehner
,
Michael Sonnberger
,
Andreas Gruber
,
Philip-Rudolf Rauch
,
Matthias Gmeiner
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-024-85066-9
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-024-85066-9
Accurate rupture risk assessment is essential for optimizing treatment decisions in patients with cerebral aneurysms. While computational fluid dynamics (CFD) has provided critical insights into aneurysmal hemodynamics, most analyses focus on blood flow patterns, neglecting the biomechanical properties of the aneurysm wall. To address this limitation, we applied Fluid-Structure Interaction (FSI) analysis, an integrative approach that simulates the dynamic interplay between hemodynamics and wall mechanics, offering a more comprehensive risk assessment. In this study, we used advanced FSI techniques to investigate the rupture risk of middle cerebral artery bifurcation (MCA) aneurysms, analyzing a cohort of 125 patients treated for a MCA aneurysm at Kepler University Hospital, Linz, Austria. Multivariate analysis identified two significant rupture predictors: High Equivalent Stress Area (HESA; p = 0.049), which quantifies stress distribution relative to the aneurysm surface, and Gaussian curvature (GLN; p = 0.031), which captures geometric complexity. We also introduce the HGD index, a novel composite metric combining HESA, GLN, and Maximum Wall Displacement, designed to enhance predictive accuracy. With a threshold of 0.075, the HGD index exhibited excellent diagnostic performance; in internal validation, 24 of 25 ruptured aneurysms surpassed this threshold, yielding a sensitivity of 0.96. In a 5-fold cross validation the reliability of results was confirmed. Our findings demonstrate that the HGD index provides superior rupture risk stratification compared to conventional single-parameter models, offering a more robust tool for the assessment of complex aneurysmal structures. Further multicenter studies are warranted to refine and validate the HGD index, advancing its potential for clinical application and improving patient outcomes.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41598-024-85066-9
- https://www.nature.com/articles/s41598-024-85066-9.pdf
- OA Status
- gold
- Cited By
- 7
- References
- 46
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406361249
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406361249Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1038/s41598-024-85066-9Digital Object Identifier
- Title
-
Fluid structure Interaction analysis for rupture risk assessment in patients with middle cerebral artery aneurysmsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-14Full publication date if available
- Authors
-
József Nagy, Wolfgang Fenz, Stefan Thumfart, Julia Maier, Zoltán Major, Harald Stefanits, Maria Gollwitzer, Johannes Oberndorfer, Nico Stroh, Michael Giretzlehner, Michael Sonnberger, Andreas Gruber, Philip-Rudolf Rauch, Matthias GmeinerList of authors in order
- Landing page
-
https://doi.org/10.1038/s41598-024-85066-9Publisher landing page
- PDF URL
-
https://www.nature.com/articles/s41598-024-85066-9.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.nature.com/articles/s41598-024-85066-9.pdfDirect OA link when available
- Concepts
-
Middle cerebral artery, Cerebral arteries, Medicine, Aneurysm, Risk assessment, Cardiology, Internal medicine, Computer science, Radiology, Computer security, IschemiaTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 7Per-year citation counts (last 5 years)
- References (count)
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46Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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