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Computational Intelligence and Neuroscience
Volume 2009, Article ID 760364, 12 pages
http://dx.doi.org/10.1155/2009/760364
Research Article

The Role of Computational Fluid Dynamics in the Management of Unruptured Intracranial Aneurysms: A Clinicians' View

1Departments of Medical Physics and Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK
2Academic Unit of Medical Physics, School of Medicine and Biomedical Sciences, University of Sheffield, Sheffield, UK
3Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK
4NEC Laboratories Europe, NEC Europe Ltd., 53757 St. Augustin, Germany
5Clinic of Neurosurgery, Department of Clinical Neurosciences, Geneva University Hospital, 1211 Geneva, Switzerland
6Biomedicine Communication Technologies Department, Center for Computational Imaging & Simulation Technologies, Pompeu Fabra University, Barcelona, Spain
7Department of Neuroradiology, Institute of Radiology, University Hospital Basel, Petersgraben, Basel, Switzerland
8Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK

Received 11 February 2009; Revised 24 April 2009; Accepted 9 June 2009

Academic Editor: Francois Vialatte

Copyright © 2009 Pankaj K. Singh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. The importance of hemodynamics in the etiopathogenesis of intracranial aneurysms (IAs) is widely accepted. Computational fluid dynamics (CFD) is being used increasingly for hemodynamic predictions. However, alogn with the continuing development and validation of these tools, it is imperative to collect the opinion of the clinicians. Methods. A workshop on CFD was conducted during the European Society of Minimally Invasive Neurological Therapy (ESMINT) Teaching Course, Lisbon, Portugal. 36 delegates, mostly clinicians, performed supervised CFD analysis for an IA, using the @neuFuse software developed within the European project @neurIST. Feedback on the workshop was collected and analyzed. The performance was assessed on a scale of 1 to 4 and, compared with experts' performance. Results. Current dilemmas in the management of unruptured IAs remained the most important motivating factor to attend the workshop and majority of participants showed interest in participating in a multicentric trial. The participants achieved an average score of 2.52 (range 0–4) which was 63% (range 0–100%) of an expert user. Conclusions. Although participants showed a manifest interest in CFD, there was a clear lack of awareness concerning the role of hemodynamics in the etiopathogenesis of IAs and the use of CFD in this context. More efforts therefore are required to enhance understanding of the clinicians in the subject.