Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Other Publications
    • ajnr

User menu

  • Subscribe
  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

  • Subscribe
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Publication Preview--Ahead of Print
    • Past Issue Archive
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • For Authors
  • About Us
    • About AJNR
    • Editors
    • American Society of Neuroradiology
  • Submit a Manuscript
  • Podcasts
    • Subscribe on iTunes
    • Subscribe on Stitcher
  • More
    • Subscribers
    • Permissions
    • Advertisers
    • Alerts
    • Feedback
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds
Research ArticlePRACTICE PERSPECTIVES

Optimizing Small, Low-Risk, Unruptured Intracranial Aneurysm Treatment Using Game Theory

A.T. Boltyenkov, J.J. Wang, A. Malhotra, J.M. Katz, A.R. Dehdashti, T.G. White, G. Martinez, A. Pandya and P.C. Sanelli
American Journal of Neuroradiology January 2022, DOI: https://doi.org/10.3174/ajnr.A7392
A.T. Boltyenkov
aFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York
bSiemens Medical Solutions USA (A.T.B., G.M.), Malvern, Pennsylvania
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A.T. Boltyenkov
J.J. Wang
aFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.J. Wang
A. Malhotra
cDepartment of Radiology and Biomedical Imaging (A.M.), Yale School of Medicine, New Haven, Connecticut
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Malhotra
J.M. Katz
dDepartments of Radiology (J.M.K., P.C.S.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.M. Katz
A.R. Dehdashti
eNeurology (A.R.D., T.G.W.), Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
fDepartment of Neurosurgery (A.R.D., T.G.W.), Hofstra Northwell School of Medicine, Manhasset, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A.R. Dehdashti
T.G. White
eNeurology (A.R.D., T.G.W.), Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
fDepartment of Neurosurgery (A.R.D., T.G.W.), Hofstra Northwell School of Medicine, Manhasset, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for T.G. White
G. Martinez
aFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York
bSiemens Medical Solutions USA (A.T.B., G.M.), Malvern, Pennsylvania
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G. Martinez
A. Pandya
gDepartment of Health Policy and Management (A.P.), Harvard T.H. Chan School of Public Health, Boston, Massachusetts
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Pandya
P.C. Sanelli
aFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York
dDepartments of Radiology (J.M.K., P.C.S.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for P.C. Sanelli
  • Article
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Abstract

SUMMARY: The incidental diagnosis of unruptured intracranial aneurysms has been increasing in the past several decades. A significant proportion represent small, low-risk, unruptured intracranial aneurysms for which there is equipoise on whether to offer treatment or conservative management. Given this uncertainty, patients may not always be comfortable with their physicians’ recommendations. Herein, we use game theory to study the interactions between physicians and patients to determine how conflict and cooperation affect the management of small, low-risk, unruptured intracranial aneurysms. We constructed a game theory model of the interaction between physicians and patients with respect to decision-making for a small, low-risk, unruptured intracranial aneurysm in an asymptomatic patient when there is perceived equipoise between whether to treat or manage conservatively. Assuming that both the physician and patient are rational and eliciting individual patient preferences is not practical, the physician should play the game based on an ex ante probability of meeting a patient with a certain type of preference. This recommendation means that the expectations of the physician regarding the patient’s preferences should guide the decision to offer treatment or conservative management as a first option for a small, asymptomatic, low-risk, unruptured intracranial aneurysm for which there is clinical equipoise.

ABBREVIATIONS:

CM
conservative management
p
probability
T
treatment
UIA
unruptured intracranial aneurysm

Footnotes

  • Disclosure forms provided by the authors are available with the full text and PDF of this article at www.ajnr.org.

  • © 2022 by American Journal of Neuroradiology
View Full Text

Log in using your username and password

Forgot your user name or password?
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Optimizing Small, Low-Risk, Unruptured Intracranial Aneurysm Treatment Using Game Theory
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Optimizing Small, Low-Risk, Unruptured Intracranial Aneurysm Treatment Using Game Theory
A.T. Boltyenkov, J.J. Wang, A. Malhotra, J.M. Katz, A.R. Dehdashti, T.G. White, G. Martinez, A. Pandya, P.C. Sanelli
American Journal of Neuroradiology Jan 2022, DOI: 10.3174/ajnr.A7392

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Optimizing Small, Low-Risk, Unruptured Intracranial Aneurysm Treatment Using Game Theory
A.T. Boltyenkov, J.J. Wang, A. Malhotra, J.M. Katz, A.R. Dehdashti, T.G. White, G. Martinez, A. Pandya, P.C. Sanelli
American Journal of Neuroradiology Jan 2022, DOI: 10.3174/ajnr.A7392
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • Results
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Qualifying Certainty in Radiology Reports through Deep Learning–Based Natural Language Processing
  • Am I Ready to Be an Independent Neuroradiologist? Objective Trends in Neuroradiology Fellows' Performance during the Fellowship Year
  • Displaying Multiphase CT Angiography Using a Time-Variant Color Map: Practical Considerations and Potential Applications in Patients with Acute Stroke
Show more PRACTICE PERSPECTIVES

Similar Articles

Advertisement

News and Updates

  • Lucien Levy Best Research Article Award
  • Thanks to our 2021 Distinguished Reviewers
  • Press Releases

Resources

  • Evidence-Based Medicine Level Guide
  • How to Participate in a Tweet Chat
  • AJNR Podcast Archive
  • Ideas for Publicizing Your Research
  • Librarian Resources
  • Terms and Conditions

Opportunities

  • Share Your Art in Perspectives
  • Get Peer Review Credit from Publons
  • Moderate a Tweet Chat

American Society of Neuroradiology

  • Neurographics
  • ASNR Annual Meeting
  • Fellowship Portal
  • Position Statements

© 2022 by the American Society of Neuroradiology | Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire