Vaitėnas Gediminas, Mosenko Valerija, Račytė Austėja, Medelis Karolis, Skrebūnas Arminas, Baltrūnas Tomas
Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.
Center of Vascular and Endovascular Surgery, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.
Biomedicines. 2023 Mar 17;11(3):941. doi: 10.3390/biomedicines11030941.
Recently, AAA volume measurement has been proposed as a potentially valuable surveillance method in situations when diameter measurement might fail.
The aim of this systematic review was to analyze the results of previous studies comparing AAA diameter and volume measurements.
A systematic search in PubMed, Cochrane, and EMBASE databases was performed to identify studies investigating the use of diameter and volume measurements in AAA diagnosis and prognosis in English, German, and Russian, published until December 2022. The manuscripts were reviewed by three researchers and scored on the quality of the research using MINORS criteria.
After screening 752 manuscripts, 19 studies ( = 1690) were included. The majority ( = 17) of the manuscripts appeared to favor volume. It is, however, important to highlight the heterogeneity of methodologies and lack of standardized protocol for measuring both volume and diameter in the included studies, which hindered the interpretation of the results.
The clinical relevance of abdominal aortic aneurysm volume measurement is still unclear, although studies show favorable and promising results for volumetric changes in AAA, especially in follow-up after EVAR.
最近，在直径测量可能失败的情况下，腹主动脉瘤（AAA）体积测量已被提议作为一种潜在有价值的监测方法。
本系统评价的目的是分析以往比较AAA直径和体积测量结果的研究结果。
在PubMed、Cochrane和EMBASE数据库中进行系统检索，以识别2022年12月之前发表的用英文、德文和俄文研究AAA诊断和预后中直径和体积测量应用的研究。由三名研究人员对这些手稿进行评审，并使用MINORS标准对研究质量进行评分。
在筛选752篇手稿后，纳入了19项研究（n = 1690）。大多数（n = 17）手稿似乎支持体积测量。然而，重要的是要强调纳入研究中方法的异质性以及缺乏测量体积和直径的标准化方案，这阻碍了结果的解释。
腹主动脉瘤体积测量的临床相关性仍不明确，尽管研究表明AAA体积变化有良好且有前景的结果，尤其是在腔内修复术后的随访中。
