a new method of estimating intracranial elastance

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ID: 178076
2014
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Abstract
Objective: Current methods of calculating Intracranial Elastance Index (IEI) depend from CSF pulse-wave, whose shape may deeply change during ICP rising. The main aim of this study was to evaluate the reliability and specificity of a novel method to calculate IEI (method C), based on the integral of the CSF pulse-wave area. Method: Twenty ventricular infusion-tests of patients with idiopathic NPH were re-evaluated. We have compared method C with the most widely used methods to calculate IEI: a modified Szewczykowski method (diastolic ICP against CSF pulse-wave amplitude-method A) and a modified Czosnyka method (diastolic ICP against the fundamental harmonic-method B). R-squared (R2) was calculated for each test. Means were compared through ANOVA and t-test. Results: Mean R2 values for methods A, B and C were 0.91 ± 0.06, 0.9 ± 0.06 and 0.96 ± 0.03, respectively. Mean R2 values obtained through method A vs C and through method B vs C were significantly different (p = .006 and p = .001, respectively), while values obtained through method A vs B were not (p = 1). Analysis of ICP tracks demonstrated that 9 patients showed no different shape of the ICP wave during the infusion test, while the remaining 11 did. The mean R2 values obtained through method A vs C and through method B vs C were significantly different (p < .001 for both) for patients showing a different shape of the ICP wave during the infusion test. Conclusions: Method C seems to be the most reliable method to calculate IEI, as it is independent from CSF pulse wave modifications.
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Authors ;Carmelo Anile, MD;Pasquale De Bonis, PhD;Annunziato Mangiola, MD;Stefano Mannino, PhD;Pietro Santini
Journal advances in materials science and engineering
Year 2014
DOI
10.1016/j.inat.2014.03.002
URL
http://www.sciencedirect.com/science/article/pii/S221475191400019X
Keywords
diseases of the nervous system

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