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A Simplified Quantitative Method to Measure Brain Shifts in Patients with Middle Cerebral Artery Stroke
Author(s) -
Paletta Nina,
Maali Laith,
Zahran Abdurrehman,
Sethuraman Sankara,
Figueroa Ramon,
Nichols Fenwick T.,
Bruno Askiel
Publication year - 2017
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon.12482
Subject(s) - medicine , middle cerebral artery , stroke (engine) , measure (data warehouse) , cardiology , ischemia , data mining , mechanical engineering , engineering , computer science
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.