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
    • COVID-19 Content and Resources
  • 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
    • COVID-19 Content and Resources
  • 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 ArticleAdult Brain

Higher Incidence of Unruptured Intracranial Aneurysms among Black and Hispanic Women on Screening MRA in Large Urban Populations

K. Javed, S. Ahmad, J. Qin, W. Mowrey, D. Kadaba, G. Liriano, A. Fortunel, R. Holland, D. Khatri, N. Haranhalli and D. Altschul
American Journal of Neuroradiology May 2023, 44 (5) 574-579; DOI: https://doi.org/10.3174/ajnr.A7856
K. Javed
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for K. Javed
S. Ahmad
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for S. Ahmad
J. Qin
bEpidemiology & Population Health (J.Q., W.M.), Montefiore Medical Center, Bronx, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
W. Mowrey
bEpidemiology & Population Health (J.Q., W.M.), Montefiore Medical Center, Bronx, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
D. Kadaba
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
G. Liriano
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G. Liriano
A. Fortunel
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R. Holland
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
D. Khatri
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
N. Haranhalli
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for N. Haranhalli
D. Altschul
aFrom the Departments of Neurological Surgery (K.J., S.A., D.K., G.L., A.F., R.H., D.K., N.H., D.A.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D. Altschul
  • 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

BACKGROUND AND PURPOSE: Intracranial aneurysms have a reported prevalence of 1%–2% in the general population. Currently, only patients with a strong family history or autosomal dominant polycystic kidney disease are screened for intracranial aneurysms using MRA. The purpose of this study was to determine whether there are other specific patient populations at risk that should be offered screening for intracranial aneurysms.

MATERIALS AND METHODS: This is a retrospective case-control study of adult patients who underwent a screening MRA of their brain at our comprehensive stroke center from 2011 to 2020. Patients with a history of a known brain aneurysm were excluded. Data were extracted on patient demographics and medical comorbidities. Bivariate analyses were performed, followed by multivariable logistic regression, to identify factors associated with a positive MRA screen for incidental aneurysms.

RESULTS: Of 24,397 patients eligible for this study, 2084 screened positive for a possible intracranial aneurysm. On bivariate analysis, significant differences were present in the following categories: age, sex, race and ethnicity, chronic constipation, and hyperlipidemia. On logistic regression analysis, older age (+10 years: OR = 10.01; 95% CI, 10.01–10.02; P = .001), female sex (OR = 1.37; 95% CI, 1.24–1.51; P = .001), non-Hispanic Black (OR = 1.19; 95% CI, 1.02–1.40; P = .031), and Hispanic ethnicity (OR = 1.35; 95% CI, 1.16–1.58; P = .001) versus non-Hispanic White remained significant when adjusted for other factors.

CONCLUSIONS: Targeted screening for high-risk elderly women of Black or Hispanic descent will yield higher positive findings for brain aneurysms, which may mitigate the risk of rupture. Whether this is a cost-effective approach has yet to be determined.

ABBREVIATIONS:

ADPCKD
autosomal dominant polycystic kidney disease
ICD
International Classification of Diseases
  • © 2023 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

In this issue

American Journal of Neuroradiology: 44 (5)
American Journal of Neuroradiology
Vol. 44, Issue 5
1 May 2023
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
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.
Higher Incidence of Unruptured Intracranial Aneurysms among Black and Hispanic Women on Screening MRA in Large Urban Populations
(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
Higher Incidence of Unruptured Intracranial Aneurysms among Black and Hispanic Women on Screening MRA in Large Urban Populations
K. Javed, S. Ahmad, J. Qin, W. Mowrey, D. Kadaba, G. Liriano, A. Fortunel, R. Holland, D. Khatri, N. Haranhalli, D. Altschul
American Journal of Neuroradiology May 2023, 44 (5) 574-579; DOI: 10.3174/ajnr.A7856

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Higher Incidence of Unruptured Intracranial Aneurysms among Black and Hispanic Women on Screening MRA in Large Urban Populations
K. Javed, S. Ahmad, J. Qin, W. Mowrey, D. Kadaba, G. Liriano, A. Fortunel, R. Holland, D. Khatri, N. Haranhalli, D. Altschul
American Journal of Neuroradiology May 2023, 44 (5) 574-579; DOI: 10.3174/ajnr.A7856
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike 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 (1)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Prevalence of Intracranial Aneurysms with Emphasis on Ethnicity and Race
    G. Ben-Arie
    American Journal of Neuroradiology 2023 44 5

More in this TOC Section

  • Evaluation of Motion-Corrected Multishot Echo-Planar Imaging as an Alternative to Gradient Recalled-Echo for Blood-Sensitive Imaging
  • Automated Segmentation of Intracranial Thrombus on NCCT and CTA in Patients with Acute Ischemic Stroke Using a Coarse-to-Fine Deep Learning Model
  • NCCT Markers of Intracerebral Hemorrhage Expansion Using Revised Criteria: An External Validation of Their Predictive Accuracy
Show more ADULT BRAIN

Similar Articles

Advertisement

News and Updates

  • Lucien Levy Best Research Article Award
  • Thanks to our 2022 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

© 2023 by the American Society of Neuroradiology | Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire