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Types of Aortic Aneurysm

Renal Artery Aneurysm

Growing Right Renal Artery Aneurysm - Endovascular Today

There are many ways to ask if someone has an aneurysm. If the person has prior history of a particular type of aneurysm, say, aortic aneurysm, and the physician suspects that the patient suffers from another one, then specialized imaging instruments that are location-specific can be used. Examples are TRANSESOPHAGEAL ECHOCARDIOGRAPHY or TRANSTHORACIC ECHOCARDIOGRAPHY, they are used to look for abnormalities in the chest and the abdomen. The original data elements provided to us by DUKE and ACC, from which we created the examples in the CV-imaging TAUG, whether a patient has an aneurysm is asked in a pre-specified fashion. The questions would look like the following:

Does the patient have Aortic aneurysm? Aortic arch aneurysm? Thoracic aortic aneurysm? Suprarenal abdominal aneurysm? etc.

In this instance the specific anatomical location pre-specified in the question is where the test is performed.

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Indicates the presence of an aneurysm in the thoracic aorta.

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Row 4:

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Shows that the aneurysm led to the dissection of the thoracic aorta. 

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Shows the confirmed aortic dissection of the thoracic aorta from the previous assessment then undergoes anatomic classification. In this case, the patient's dissection is classified as Standford Class A, indicating that this aortic dissection involves the ascending aorta regardless of the site of origin [ref]

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Indicate the absence of aneurysms in both the suprarenal and infrarenal abdominal aorta.


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STUDYID

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DOMAIN

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USUBJID

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CVGRPID

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CVTESTCD

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CVTEST

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CVORRES

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CVSTRESC

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CVLOC

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CVMETHOD

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VISITNUM

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VISIT

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CVDTC

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However, often Often times when patients complain about chest discomforts and pain, it the occurrence of aneurysm(s) are suspected. It is difficult to pinpoint the exact location of an the aneurysm hence . Hence MRI and CT scan are the most frequently used tools to detect aneurysmthe presence and location of aneurysms. In this scenario, the test location is locations are often broadly defined as the subject's chest, abdominal cavity or the whole - body. The specific location(s) where aneurysms are found are actually locational qualifiers for the resultsidentified/found should be mapped to result location, not test.

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Rows 1-2:

Show subject ABC-123 has a single aortic aneurysm from a chest MRI CT scan.

Row 3:

Shows the said aneurysm is 7.5cm in length (diameter), which is measured from the aortic arch to the abdominal aorta.Aortic Arch to Descending Aorta
Rows 4-5:Show subject ABC-456 is found to have aneurysms in two locations from a whole-body MRI Scan: RENAL ARTERY and THORACIC AORTA.


 

Dataset2


Row

STUDYID

DOMAIN

USUBJID

CVSEQ

CVGRPID

CVTEST

CVORRES

 CVORRESU
CVLOC

CVTSTLOC

CVMETHOD

VISITNUM

VISIT

CVDTC

 

CVRESLOC1CVRESLOC2
CVRLOCTX

CVRLODTL

 1  ABC CV  ABC-123 11Aneurysm Indicator Y
 

CHEST
MRI
CT SCAN1BASELINE 2020-04-27
 

AORTA
  


 2  ABC CV  ABC-123 21Number of Aneurysms 1
 

CHEST
MRI
CT SCAN1BASELINE 2020-04-27
 

AORTA
 


 3  ABC CV  ABC-123 31Aneurysm Length/Diameter 7.5 CMCHEST
MRI
CT SCAN1BASELINE 2020-04-27
 

AORTA
Aortic Arch to
Abdominal Aorta
Descending Aorta
4  ABC CV  ABC-45612Aneurysm IndicatorY
BODYMRI1BASELINE2020-04-27
RENAL ARTERYTHORACIC AORTA
5  ABC CV  ABC-45622Number of Aneurysms2
BODYMRI1BASELINE2020-04-27
RENAL ARTERYTHORACIC AORTA




From the CV-imaging project we also encountered use-cases where we need sub-loc LOC variables to help to further specify the free-text, detailed, more granular locations where a test is performed. Those These values are indeed clinically relevant location information that should NOT be pre-coordinated into the TEST itself, but are also inappropriate for LOC.

So we need a variable that provides additional, more specific and granular information about a proximate location or a range of location(s). 


 

This example shows the minor axis cross-sectional diameter measurements of the left and right ventricle of the heart, at end ventricular diastole.

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Row 1:

Shows the cross-sectional diameter of the left ventricle at end ventricular diastole, measured along the minor axis and specifically at the location of the high papillary muscle. The further anatomical details more granular, free-text anatomical description at which the measurement is set and performed is represented by the CVLOCTX CVTLODTL NSV.

Row 2:

Shows the cross-sectional diameter of the right ventricle at end ventricular diastole, measured along the minor axis and specifically at just below the tricuspid valve. The further anatomical details more granular, free-text anatomical description at which the measurement is set and performed is represented by the CVLOCTX CVTLODTL NSV.



Dataset2


Row

STUDYID

DOMAIN

USUBJID

CVSEQ

CVTESTCD

CVTEST

CVORRES

 CVORRESU

CVLOCCVTSTLOC

CVMETHOD

VISITNUM

VISIT

CVDTC


 

CVTLODTL

CVLOCTX

1 ABC CV ABC-123 1MNDIAEVDMinor Axis Cross-sec Diameter, EVD 3.7 CMHEART, LEFT VENTRICLETTE1BASELINE  

High At high papillary muscle level
 2 ABC CV ABC-123 2MNDIAEVDMinor Axis Cross-sec Diameter, EVD 3.2 CmHEART, RIGHT VENTRICLETTE1BASELINE  

Below the tricuspid valve

 

 

 

 

 

 

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