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Morphologic evaluation of ruptured and symptomatic abdominal aortic aneurysm by three-dimensional modeling An Tang, MD, MSc, Claude Kauffmann, PhD, Sophie Tremblay-Paquet, MD, Stéphane Elkouri, MD, Oren Steinmetz, MD, Florence Morin-Roy, MD, Laurie Cloutier-Gill, MD, Gilles Soulez, MD, MSc Journal of Vascular Surgery Volume 59, Issue 4, Pages e3 (April 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions
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Fig 1 Study flowchart. AAA, Abdominal aortic aneurysm; CT, computed tomography; EVAR, endovascular aneurysm repair. Journal of Vascular Surgery , e3DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions
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Fig 2 A, Three-dimensional (3D) volume rendering in 56-year-old male with ruptured abdominal aortic aneurysm (AAA), shows a high bulge location (arrow) close to the rupture site, indicated by segmentation of contrast extravasation (red). B, 3D volume rendering in control 71-year-old male shows a low bulge location (arrow) is concordant with the location of the maximal diameter (Dmax; arrow), indicated by a red circle. Journal of Vascular Surgery , e3DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions
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Fig 3 Receiver operating characteristic (ROC) analysis of two models for distinguishing case and control subjects based on gender and maximal diameter (Dmax) alone (model A) and based on gender, Dmax, bulge location, and mean averaged area (model B). The inclusion of two geometric indices to the traditional model showed a trend toward improvement (P < .001). Journal of Vascular Surgery , e3DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions
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Supplementary Fig (online only)
The one-dimensional indices are represented. Dmax, Maximum diameter; Dneck1, proximal neck diameter; Dneck2, distal neck diameter; Hneck, height of neck; Hsac, height of sac; Lneck, length of neck; Lsac, length of sac. Journal of Vascular Surgery , e3DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions
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