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August 8, 2026Journal of Thoracic Imaging

Predictive Value of Imaging Indicators for Disease Progression in Acute Stanford Type B Aortic Intramural Hematoma Without Ulcer-like Lesions

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Authors

YXYan XuHXHui XuNZNan Zhang

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Overview

Retrospective analysis identifies predictors of disease progression in aortic intramural hematoma, suggesting risk stratification can improve patient outcomes.

Key Points

  • To explore clinical outcomes of acute Stanford type B intramural hematoma without ulcer-like lesions and identify predictors of disease progression.
  • Retrospective analysis of 110 patients with acute TBIMH without ulcer-like lesions
  • Categorization into progression and nonprogression groups based on 1-year CTA
  • Multivariate analysis to determine predictors of disease progression and Kaplan-Meier curves for survival outcomes.
  • 19.1% of patients demonstrated disease progression at follow-up
  • Maximum aortic diameter (OR=7.6, P=0.003) and maximum CT value of the hematoma (OR=1.04, P=0.025) independently predict progression
  • Combined MAD and CTmax increased AUC to 0.75, improving sensitivity (81.0%) and specificity (66.3%).

Cite This Study

Xu et al. (2026) studied this question.

synapsesocial.com/papers/6a76db12f12abadc79815fc0https://doi.org/10.1097/rti.0000000000000901
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