A Pilot Study of Quantitative MRI Measurements of Ventricular Volume and Cortical Atrophy for the Differential Diagnosis of Normal Pressure Hydrocephalus
2012

MRI Measurements for Diagnosing Normal Pressure Hydrocephalus

Sample size: 30 publication Evidence: moderate

Author Information

Author(s): Dana W. Moore, Ilhami Kovanlikaya, Linda A. Heier, Ashish Raj, Chaorui Huang, King-Wai Chu, Norman R. Relkin

Primary Institution: Weill Cornell Medical College

Hypothesis

The combination of ventricular volume and cortical thickness can improve the differential diagnosis of normal pressure hydrocephalus (NPH) compared to other conditions.

Conclusion

Quantitative MRI measurements of ventricular volume and cortical thickness can help distinguish NPH from normal controls, Alzheimer's, and Parkinson's disease.

Supporting Evidence

  • NPH patients had significantly larger total intracranial volumes than other subjects.
  • NPH participants had larger ventricular volumes than all other groups.
  • The combination of ventricular volume and cortical thickness better distinguished NPH from other conditions.

Takeaway

Doctors can use special brain scans to tell if someone has a condition called normal pressure hydrocephalus, which can be tricky to diagnose.

Methodology

Participants included 5 with NPH, 5 with Parkinson's disease, 10 with Alzheimer's, and 10 normal controls, with MRI scans used to measure ventricular volume and cortical thickness.

Potential Biases

Subjective interpretation of MRI scans may introduce bias.

Limitations

The study had a small sample size and used images from different MRI platforms.

Participant Demographics

Participants included 5 NPH patients, 5 PD patients, 10 AD patients, and 10 normal controls, matched for age and gender.

Statistical Information

P-Value

0.006

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2012/718150

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