Radiological Evaluation Criteria for Chronic Subdural Hematomas : Review of the Literature.


Journal

Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 19 08 2021
accepted: 05 01 2022
pubmed: 15 2 2022
medline: 15 12 2022
entrez: 14 2 2022
Statut: ppublish

Résumé

The methodology of measuring chronic subdural hematoma (cSDH) extent and its effect on intracranial structures is relevant for patient classification and outcome measurements and affects the external validity of cSDH studies. With embolization of the middle meningeal artery (MMA) as a possible treatment of cSDHs, the topic has gained substantial interest. We sought to summarize the heterogeneity of radiologic measurements, specifically in the evaluation of cSDHs based on literature review. In this review, we identified and described the most common radiological methodologies for measurements of cSDH thickness, cSDH volume and of midline shift. There are numerous published methods on how to evaluate cSDH thickness, cSDH volume and midline shift but no common standard. The definition of measurement methods and reporting standards for MMA embolization in cSDH patients and their validation needs to be addressed.

Sections du résumé

BACKGROUND BACKGROUND
The methodology of measuring chronic subdural hematoma (cSDH) extent and its effect on intracranial structures is relevant for patient classification and outcome measurements and affects the external validity of cSDH studies. With embolization of the middle meningeal artery (MMA) as a possible treatment of cSDHs, the topic has gained substantial interest. We sought to summarize the heterogeneity of radiologic measurements, specifically in the evaluation of cSDHs based on literature review.
METHODS METHODS
In this review, we identified and described the most common radiological methodologies for measurements of cSDH thickness, cSDH volume and of midline shift.
CONCLUSION CONCLUSIONS
There are numerous published methods on how to evaluate cSDH thickness, cSDH volume and midline shift but no common standard. The definition of measurement methods and reporting standards for MMA embolization in cSDH patients and their validation needs to be addressed.

Identifiants

pubmed: 35157088
doi: 10.1007/s00062-022-01138-1
pii: 10.1007/s00062-022-01138-1
pmc: PMC9744701
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

923-929

Informations de copyright

© 2022. The Author(s).

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Auteurs

Matthias Bechstein (M)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany. m.bechstein@uke.de.

Rosalie McDonough (R)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Department of Radiology, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.

Jens Fiehler (J)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Umberto Zanolini (U)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Hamid Rai (H)

Department of Neurosurgery, University at Buffalo, Buffalo, NY, USA.

Adnan Siddiqui (A)

Department of Neurosurgery, University at Buffalo, Buffalo, NY, USA.

Eimad Shotar (E)

Neuroradiology Department, Pitié-Salpêtrière Hospital, Paris, France.

Aymeric Rouchaud (A)

Neuroradiology Department, Dupuytren, University Hospital of Limoges, Limoges Cedex, France.

Mayank Goyal (M)

Department of Radiology, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.

Susanne Gellissen (S)

Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

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Classifications MeSH