title: Computerized occlusion rating: a superior predictor of aneurysm rebleeding for ruptured embolized aneurysms.
abstract: OBJECTIVE
  The initial angiographic occlusion rate is the strongest predictor of later rebleeding in previously ruptured coil-embolized cerebral aneurysms. Angiographic estimations of aneurysmal occlusion rates are, however, subjective in nature and confounded by methodologic problems. COR has been developed, and its superiority has been experimentally established to overcome subjective bias. The purpose of this study was to assess the clinical value of COR as a more objective predictor of aneurysm rebleeding when compared with SOR as described in the Raymond Classification.
  
  
  METHODS
  We applied COR in a consecutive series of 249 patients. Two DSA projections were selected independently by 2 blinded investigators. In cases of disagreement on the selected projections, a consensus decision was obtained. SOR were determined by 2 independent observers according to the Raymond classification. COR was measured by 2 blinded investigators. Interobserver variations were determined for SOR and COR. COR results were compared with SOR results and stratified as 100%, 99.9%-90%, 89.9%-70%, and <70% occlusion. SOR and COR were evaluated as predictors for aneurysm rebleeding.
  
  
  RESULTS
  Seven aneurysms rebled (2.8%; follow-up, 59 ± 35 months). In 20.9% of all cases, DSA selection was performed by consensus evaluations. Interobserver variations were statistically significant for SOR (P = .0030) but not for COR (P = .3517). Compared with COR, SOR overestimated the degree of aneurysmal occlusion in 81.9% of all cases. Only COR predicted rebleeding (P = .0162).
  
  
  CONCLUSIONS
  Unacceptable interobserver variations were shown for the standard SOR estimations. COR substantially reduced the impact of subjective bias. COR may, therefore, serve as an easily applicable more objective predictor of aneurysm rerupture. The remaining bias of COR, caused by 2D image analysis, may be overcome by use of direct 3D measurements.
authors.affiliation: Department of Neurosurgery, Department of Systematic Anatomy, Medical, University of Vienna, Vienna, Austria. camillo.sherif@meduniwien.ac.at
authors.forename: C
authors.initials: C
authors.lastname: Sherif
authors.forename: A
authors.initials: A
authors.lastname: Gruber
authors.forename: E
authors.initials: E
authors.lastname: Schuster
authors.forename: E
authors.initials: E
authors.lastname: Lahnsteiner
authors.forename: D
authors.initials: D
authors.lastname: Gibson
authors.forename: H
authors.initials: H
authors.lastname: Milavec
authors.forename: B
authors.initials: B
authors.lastname: Feichter
authors.forename: M
authors.initials: M
authors.lastname: Wiesender
authors.forename: C
authors.initials: C
authors.lastname: Dorfer
authors.forename: M
authors.initials: M
authors.lastname: Krawagna
authors.forename: A
authors.initials: A
authors.lastname: Di Ieva
authors.forename: G
authors.initials: G
authors.lastname: Bavinszki
authors.forename: E
authors.initials: E
authors.lastname: Knosp
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D012008:Recurrence