A Future Blood Test to Detect Cerebral Aneurysms.
Kamil W NowickiAditya M MittalHussam Abou-Al-ShaarEmma K RochlinMichael J LangBradley A GrossRobert M FriedlanderPublished in: Cellular and molecular neurobiology (2023)
Intracranial aneurysms are reported to affect 2-5% of the population. Despite advances in the surgical management of this disease, diagnostic technologies have marginally improved and still rely on expensive or invasive imaging procedures. Currently, there is no blood-based test to detect cerebral aneurysm formation or quantify the risk of rupture. The aim of this review is to summarize current literature on the mechanism of aneurysm formation, specifically studies relating to inflammation, and provide a rationale and commentary on a hypothetical future blood-based test. Efforts should be focused on clinical-translational approaches to create an assay to screen for cerebral aneurysm presence and risk-stratify patients to allow for superior treatment timing and management. Cerebral Aneurysm Blood Test Considerations: There are multiple caveats to development of a putative blood test to detect cerebral aneurysm presence.
Keyphrases
- coronary artery
- subarachnoid hemorrhage
- cerebral ischemia
- end stage renal disease
- systematic review
- high resolution
- abdominal aortic aneurysm
- high throughput
- brain injury
- oxidative stress
- mass spectrometry
- current status
- ejection fraction
- newly diagnosed
- peritoneal dialysis
- blood brain barrier
- clinical trial
- photodynamic therapy
- patient reported outcomes
- quality improvement
- cerebral blood flow
- combination therapy
- patient reported