Complete cohort - Case 1 of 83
Case 1
Assigned out-of-fold recommendation
Coil embolization alone
Alternative: Stent-assisted coil embolization
View A is AP; View B is lateral, as confirmed by the data provider.
Case summary
A 46-year-old female presented with migraines and an incidental 6.3mm x 3.9mm x 4.8mm left ophthalmic aneurysm with a wide neck.
Image observation
On the supplied views, a saccular outpouching appears at the ophthalmic segment of the internal carotid artery, with the vessel course appearing patent.
Model-generated clinical rationale
The assigned recommendation of coil embolization alone is supported by the aneurysm's relatively small dimensions. However, the documented wide neck morphology typically challenges coil stability, suggesting that the lack of a stent may be a limiting factor for this approach.
Model uncertainty
The OOF score distribution was diffuse: Coil embolization alone ranked first, but Stent-assisted coil embolization remained a material alternative.
Clinical uncertainty / missing factor
The most significant missing decision factor is the precise neck-to-dome ratio and the exact relationship of the ophthalmic artery origin to the aneurysm neck.
Explicit evidence used
6.3mm x 3.9mm x 4.8mm left ophthalmic aneurysm | wide neck