Ruptured aneurysm imaging follow up (per-protocol analysis)
DSA at 6 months (range 3–9 months) | I | II | IIIa | IIIb | Total | Interobserver assessment* | ||||||
(Kappa score†) | ||||||||||||
Modified Raymond Roy DSA | 5 | 1 | 0 | 0 | 6 | 1.0 (perfect agreement) | ||||||
I | II | III | ||||||||||
Raymond Roy DSA | 5 | 1 | 0 | 6 | 1.0 (perfect agreement) | |||||||
Yes | No | |||||||||||
Adequate occlusion or not | 6 | 0 | 6 | 1.0 (perfect agreement) | ||||||||
A1 | A2 | A3 | B1 | B2 | B3 | C1 | C2 | C3 | D | |||
OKM | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 5 | 6 | 1.0 (perfect agreement) |
MRA at 6 months (range 3–9 months) | I | II | IIIa | IIIb | Total | |
Modified Raymond Roy MRA | 14 | 1 | 2 | 0 | 17 | 1.0 (perfect agreement) |
I | II | III | ||||
Raymond Roy MRA | 14 | 1 | 2 | 17 | 1.0 (perfect agreement) | |
Yes | No | |||||
Adequate occlusion or not | 15 | 2 | 17 | 1.0 (perfect agreement) |
CTA at 6 months (range 3–9 months) | I | II | IIIa | IIIb | Total | |
Modified Raymond Roy CTA | 1 | 0 | 0 | 0 | 1 | N/A |
I | II | III | ||||
Raymond Roy CTA | 1 | 0 | 0 | 1 | N/A | |
Yes | No | |||||
Adequate occlusion or not | 1 | 0 | 1 | N/A |
All imaging at 6 months (range 3–9 months) | I | II | IIIa | IIIb | Total | |
Modified Raymond Roy | 16 | 2 | 2 | 0 | 20 | N/A |
I | II | III | ||||
Raymond Roy | 16 | 2 | 2 | 20 | N/A | |
Yes | No | |||||
Adequate occlusion or not | 18 | 2 | 20 | N/A |
*Two readings, one core laboratory and other by a local reader, were compared. For all discrepant readings, the core laboratory assessment was used. The data show that estimates of occlusion rates were accurate when performed locally for MRA and DSA.
†Interreader reliability used weighted (or unweighted for 2×2) Cohen’s kappa. N/A: not applicable for ‘All imaging’ as data contain some DSA and MRA cases for same patient; insufficient data for CTA.
CTA, computed tomography angiography; DSA, digital subtraction angiography; MRA, magnetic resonance angiography; N/A, not applicable; OKM, O’Kelly Marotta grading.