Midline Shift in Chronic Subdural Hematoma : Interrater Reliability of Different Measuring Methods and Implications for Standardized Rating in Embolization Trials.

ABSTRACT:

Objective

Evaluation of chronic subdural hematoma (cSDH) treatment success relies on radiologic measures, in particular hematoma volume, width and midline shift (MLS). Nevertheless, there are no validated standards for MLS measurement in cSDH. Aim of this study was to identify the most reliable measurement location and technique for MLS.

Methods

Admission CT scans of 57 patients with unilateral cSDH were retrospectively analyzed. Axial slices were evaluated by 4 raters with MLS measurement in 4 locations, foramen of Monro (FM), thalamus (Th), mid-septum pellucidum (SP), maximum overall MLS (max) with 2 different techniques: displacement perpendicular to anatomical (ideal) midline (MLS-M), and displacement relative to the tabula interna in relation to the width of the intracr

SUBMITTER: Zanolini U 

PROVIDER: S-EPMC9744697 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature