Quantitative evaluation of cranial MRI findings in idiopathic intracranial hypertension

Fatma Kökcü

Makale detayları

Quantitative evaluation of cranial MRI findings in idiopathic intracranial hypertension

Yazarlar:

Fatma Kökcü

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.859-864

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358374

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: Idiopathic intracranial hypertension IIH is a syndrome characterized by intracranial pressure. The purpose of this study was to evaluate the accuracy of diagnosis by giving the quantitative values of imaging findings of IIH on cranial MRI. Methods: This study included 37 patients who were diagnosed with IIH and 22 healthy controls were included by using a match-to-pair technique regarding their sex and age. Optic nerve sheath diameter ONSD and optic nerve diameter OND, transverse diameter of Meckel cave MCD, superior sagittal sinus area SSSA, right and left transverse sinus area RTSA, LTSA, transverse diameter of right lateral ventricle frontal horn LVFHD, vertical length and A-P diameter of sella cavity, vertical length of pituitary gland VLPG were measured. ROC analysis was performed for the cut off values. Results: There was statistically significant difference between patient group and control group in terms of ONSD, MCD, SSSA, RTSA, LTSA sella cavity A-P diameter, VLPG vertical length of sella and hypoplasia of dural venous sinus. On the other hand, there was no statistically significant difference between the patient and the control groups regarding LVFHD, OND. ONSD showed an AUC of 0.996 with a cutoff value of 6.4 mm , it was found to be highest reliable marker in the differential diagnosis of IIH patients from the controls. Conclusion: We believe that this study can an important contribution to the diagnosis IIH and follow-up period after its treatment by measuring ONSD, MCD, Sella A-P and VLPG, vertical length of sella and SSSA.

 Aims: Idiopathic intracranial hypertension IIH is a syndrome characterized by intracranial pressure. The purpose of this study was to evaluate the accuracy of diagnosis by giving the quantitative values of imaging findings of IIH on cranial MRI. Methods: This study included 37 patients who were diagnosed with IIH and 22 healthy controls were included by using a match-to-pair technique regarding their sex and age. Optic nerve sheath diameter ONSD and optic nerve diameter OND, transverse diameter of Meckel cave MCD, superior sagittal sinus area SSSA, right and left transverse sinus area RTSA, LTSA, transverse diameter of right lateral ventricle frontal horn LVFHD, vertical length and A-P diameter of sella cavity, vertical length of pituitary gland VLPG were measured. ROC analysis was performed for the cut off values. Results: There was statistically significant difference between patient group and control group in terms of ONSD, MCD, SSSA, RTSA, LTSA sella cavity A-P diameter, VLPG vertical length of sella and hypoplasia of dural venous sinus. On the other hand, there was no statistically significant difference between the patient and the control groups regarding LVFHD, OND. ONSD showed an AUC of 0.996 with a cutoff value of 6.4 mm , it was found to be highest reliable marker in the differential diagnosis of IIH patients from the controls. Conclusion: We believe that this study can an important contribution to the diagnosis IIH and follow-up period after its treatment by measuring ONSD, MCD, Sella A-P and VLPG, vertical length of sella and SSSA.

 Aims: Idiopathic intracranial hypertension IIH is a syndrome characterized by intracranial pressure. The purpose of this study was to evaluate the accuracy of diagnosis by giving the quantitative values of imaging findings of IIH on cranial MRI. Methods: This study included 37 patients who were diagnosed with IIH and 22 healthy controls were included by using a match-to-pair technique regarding their sex and age. Optic nerve sheath diameter ONSD and optic nerve diameter OND, transverse diameter of Meckel cave MCD, superior sagittal sinus area SSSA, right and left transverse sinus area RTSA, LTSA, transverse diameter of right lateral ventricle frontal horn LVFHD, vertical length and A-P diameter of sella cavity, vertical length of pituitary gland VLPG were measured. ROC analysis was performed for the cut off values. Results: There was statistically significant difference between patient group and control group in terms of ONSD, MCD, SSSA, RTSA, LTSA sella cavity A-P diameter, VLPG vertical length of sella and hypoplasia of dural venous sinus. On the other hand, there was no statistically significant difference between the patient and the control groups regarding LVFHD, OND. ONSD showed an AUC of 0.996 with a cutoff value of 6.4 mm , it was found to be highest reliable marker in the differential diagnosis of IIH patients from the controls. Conclusion: We believe that this study can an important contribution to the diagnosis IIH and follow-up period after its treatment by measuring ONSD, MCD, Sella A-P and VLPG, vertical length of sella and SSSA.

 Amaç: İdyopatik intrakranyal hipertansiyon İİH intrakranyal basınç artışı ile karakterize bir sendromdur. Bu çalışma ile İİH da kranyal MRG bulgularının kantitatif değerlerini vererek tanı doğruluğunu artırmak amaçlanmıştır. Yöntemler: Bu çalışmaya İİH tanısı alan 37 hasta ile yaş, cinsiyet eşleştirme tekniği kullanılarak seçilmiş 22 kontrol katılımcı dahil edildi. Çalışmada optik sinir kılıfı çapı OSKÇ, optik sinir çapı OSÇ, meckel kovuğu çapı MKÇ, süperior sagital sinüs kesitsel alanı SSSA, sağ ve sol transvers sinüs alanı TSA, sağ lateral ventrikül frontal hornu transvers çapı LVFHÇ, sella kavitesinin A-P çapı ve vertikal yüksekliği, hipofizin vertikal uzunluğu HVUölçüldü. Cut off değerleri için ROC analizi uygulandı. Bulgular: Hasta ve kontrol grubu arasında OSKÇ, MKÇ, SSSA, TSA, sella A-P çapı, HVU, ve dural sinüs hipoplazisi yönünden istatistiksel anlamlı farklılık mevcuttu. LVFHÇ, OSÇ değerleri arasında ise istatisiksel anlamlı farklılık yoktu. OSKÇ 0.996 AUC değeri ve 6.4 cut off değeri ile İİH hastalarının kontrollerden ayırıcı tanısında en güvenilir belirteç olarak saptandı. Sonuç: Bu çalışmada OSKÇ, MKÇ, Sella A-P çapı ve HVU, sella vertikal uzunluğu ve SSSAyı ölçerek İİH tanısına ve tedavi sonrası takip sürecine önemli katkı sağlayabileceğini düşünüyoruz.

Makale detayları

Quantitative evaluation of cranial MRI findings in idiopathic intracranial hypertension

Yazarlar:

Fatma Kökcü

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.859-864

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358374

pISSN:

2636-8579

Idiopathic intracranial hypertension

magnetic resonance imaging

quantitative evaluationİdyopatik İntrakranyal Hipertansiyon

Manyetik Rezonans Görüntüleme

kantitatif değerlendirme

Sayı

Makale detayları

Quantitative evaluation of cranial MRI findings in idiopathic intracranial hypertension

Yazarlar: Fatma Kökcü

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Radyoloji ve Organ Görüntüleme

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.859-864

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358374

pISSN: 2636-8579

Idiopathic intracranial hypertension

magnetic resonance imaging

quantitative evaluationİdyopatik İntrakranyal Hipertansiyon

Manyetik Rezonans Görüntüleme

kantitatif değerlendirme

Sayı

Yazarlar:

Fatma Kökcü

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.859-864

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358374

pISSN:

2636-8579