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Introduction and historical background 29 Technical accuracy, 2. Place in clinical pathway, 3. Diagnostic accuracy, 4. Impact on patient outcome, 5. Cost-effectiveness). We believe that there is room for improvement however, because: • not all steps are as yet fully addressed in the currently available literature; • many studies do not comply with the Standards for Reporting of Diagnostic Accuracy(STARD) published in 2003;491,492 • going through all the steps takes time, and technical developments in imaging are evolving rapidly.493 These suggested improvements and other recommendations will be discussed in Chapter 9: Discussion. References 1 Holmes, T. Aneurysms of the internal carotid artery in the cavernous sinus. Trans Pathol Soc London 12, 61, (1860). 2 Taylor, T. N. et al. Lifetime cost of stroke in the United States. Stroke 27, 1459-1466, (1996). 3 le Roux, A. A. & Wallace, M. C. Outcome and cost of aneurysmal subarachnoid hemorrhage. Neurosurg Clin N Am 21, 235-246, (2010). 4 Dodel, R. et al. Cost of illness in subarachnoid hemorrhage: a German longitudinal study. Stroke 41, 2918- 2923, (2010). 5 van Gijn, J., Kerr, R. S. & Rinkel, G. J. Subarachnoid haemorrhage. Lancet 369, 306-318, (2007). 6 Vlak, M. H., Algra, A., Brandenburg, R. & Rinkel, G. J. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol 10, 626-636, (2011). 7 Fiehler, J. Unruptured brain aneurysms: when to screen and when to treat?. Rofo 184, 97-104, (2012). 8 Rinkel, G. J. Intracranial aneurysm screening: indications and advice for practice. Lancet Neurol 4, 122-128, (2005). 9 Rinkel, G. J., Djibuti, M., Algra, A. & van Gijn, J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke 29, 251-256, (1998). 10 Wiebers, D. O. et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362, 103-110, (2003). 11 Wiebers, D. O. Unruptured intracranial aneurysms--risk of rupture and risks of surgical intervention. International Study of Unruptured Intracranial Aneurysms Investigators. N Engl J Med 339, 1725-1733, (1998). 12 Ishibashi, T. et al. Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke 40, 313- 316, (2009). 13 Juvela, S. Natural history of unruptured intracranial aneurysms: risks for aneurysm formation, growth, and rupture. Acta Neurochir Suppl 82, 27-30, (2002). 14 Tsutsumi, K., Ueki, K., Morita, A. & Kirino, T. Risk of rupture from incidental cerebral aneurysms. J Neurosurg 93, 550-553, (2000). 15 de Rooij, N. K., Linn, F. H., van der Plas, J. A., Algra, A. & Rinkel, G. J. Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry 78, 1365-1372, (2007). 16 Bederson, J. B. et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 40, 994-1025, (2009). 17 Risselada, R. et al. Incidence, treatment, and case-fatality of non-traumatic subarachnoid haemorrhage in the Netherlands. Clin Neurol Neurosurg 113, 483-487, (2011). 18 Juvela, S., Hillbom, M., Numminen, H. & Koskinen, P. Cigarette smoking and alcohol consumption as risk factors for aneurysmal subarachnoid hemorrhage. Stroke 24, 639-646, (1993). 19 Qureshi, A. I. et al. Risk factors for subarachnoid hemorrhage. Neurosurgery 49, 607-612; discussion 612-603, (2001). 20 Teunissen, L. L., Rinkel, G. J., Algra, A. & van Gijn, J. Risk factors for subarachnoid hemorrhage: a systematic review. Stroke 27, 544-549, (1996). 21 van der Schaaf, I. C., Ruigrok, Y. M., Rinkel, G. J., Algra, A. & van Gijn, J. Study design and outcome measures in studies on aneurysmal subarachnoid hemorrhage. Stroke 33, 2043-2046, (2002).


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