Intracranial Aneurysms
Conditions
Brief summary
To evaluate the patient-level early diagnostic performance of high-penetration super-resolution transcranial ultrasound for identifying intracranial metallic targets, and to further assess clip-level detection, localization, agreement, and its complementary value to routine postoperative imaging.This study does not alter routine clinical treatment. All participants will undergo standardized high-penetration super-resolution transcranial ultrasound within 3 hours after surgery. Postoperative CT is mandatory for all participants; CTA or other routine postoperative imaging will be obtained only when clinically indicated.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-85 years; 2. Positive group: patients undergoing intracranial aneurysm clipping with implanted metallic clips; negative control group: postoperative craniotomy patients without implanted clips; 3. Ability to complete transcranial ultrasound within 3 hours after surgery; 4. Availability of postoperative CT; 5. Written informed consent from the participant or legally authorized representative.
Exclusion criteria
1. Inability to complete standardized transcranial ultrasound; 2. Missing postoperative CT; 3. Inability to establish the composite reference standard; 4. Presence of non-study-related metallic materials that may substantially interfere with target identification; 5. Withdrawal of consent; 6. Investigator judgment that continued participation is inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient-level sensitivity for identifying the presence or absence of intracranial metallic targets | Within 24 hours after surgery upon completion of composite reference standard adjudication |
| Patient-level specificity for identifying the presence or absence of intracranial metallic targets | Within 24 hours after surgery upon completion of composite reference standard adjudication |
Contacts
PLA General Hospital