一种测量大脑中动脉卒中患者脑移位的简化定量方法。
A Simplified Quantitative Method to Measure Brain Shifts in Patients with Middle Cerebral Artery Stroke.
作者信息
Paletta Nina, Maali Laith, Zahran Abdurrehman, Sethuraman Sankara, Figueroa Ramon, Nichols Fenwick T, Bruno Askiel
机构信息
School of Medicine, Medical College of Georgia, Augusta University, Augusta, GA.
Department of Neurology, University of Kansas, Lawrence, KS.
出版信息
J Neuroimaging. 2018 Jan;28(1):61-63. doi: 10.1111/jon.12482. Epub 2017 Nov 10.
BACKGROUND AND PURPOSE
A standardized and validated method to measure brain shifts in malignant middle cerebral artery (MCA) stroke with decompressive hemicraniectomy (DHC) could facilitate clinical decision making, prognostication, and comparison of results between studies.
METHODS
We tested for reliability simplified methods to measure transcalvarial herniation, midline brain shift, and the contralateral cerebral ventricular atrium in malignant MCA stroke after DHC. Multiple raters measured brain shifts on post-DHC computed tomography (CT) scans with aligned and unaligned slice orientations in 25 patients. We compared the simplified measurements to previously reported more meticulous measurements.
RESULTS
The simplified measurements correlate well with the more meticulous measurements on both aligned and unaligned CTs (intraclass correlation coefficients .72-.89).
CONCLUSIONS
These simplified and expedient methods of measuring brain shifts in malignant MCA stroke after DHC correlate well with the more meticulous methods.
背景与目的
一种标准化且经过验证的方法，用于测量恶性大脑中动脉（MCA）卒中行减压性颅骨切除术（DHC）后的脑移位，有助于临床决策、预后评估以及不同研究结果之间的比较。
方法
我们测试了用于测量DHC后恶性MCA卒中经颅骨疝出、中线脑移位以及对侧脑室心房的简化方法的可靠性。多名评估者在25例患者DHC后的计算机断层扫描（CT）上测量脑移位，扫描层面有对齐和未对齐两种情况。我们将简化测量结果与先前报道的更精细测量结果进行比较。
结果
简化测量结果与对齐和未对齐CT上的更精细测量结果相关性良好（组内相关系数为0.72 - 0.89）。
结论
这些用于测量DHC后恶性MCA卒中脑移位的简化且便捷的方法与更精细的方法相关性良好。
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