Magnetic resonance elastography in normal pressure hydrocephalus—a scoping review
Autor: | Ulla Jensen, Bjarni Johannsson, Christian Bonde Pedersen, Sune Munthe, Frantz Rom Poulsen, Jan Saip Aunan-Diop, Bo Halle, Fredrik Harbo |
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Rok vydání: | 2021 |
Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Web of science Elasticity Imaging Techniques/methods Neurosurgery Signs and symptoms Stiffness Magnetic Resonance Imaging/methods Hydrocephalus Normal Pressure/diagnostic imaging Physical medicine and rehabilitation Normal pressure hydrocephalus Humans Medicine Tissue mechanics Protocol (science) business.industry Viscoelasticity General Medicine Brain/diagnostic imaging medicine.disease Elasticity Magnetic resonance elastography Surgery Neurology (clinical) business |
Zdroj: | Aunan-Diop, J S, Pedersen, C B, Halle, B, Jensen, U, Munthe, S, Harbo, F, Johannsson, B & Poulsen, F R 2022, ' Magnetic resonance elastography in normal pressure hydrocephalus—a scoping review ', Neurosurgical Review, vol. 45, no. 2, pp. 1157-1169 . https://doi.org/10.1007/s10143-021-01669-0 |
ISSN: | 1437-2320 |
DOI: | 10.1007/s10143-021-01669-0 |
Popis: | Background: Magnetic resonance elastography (MRE) of the brain allows quantitative measurement of tissue mechanics. Multiple studies are exploring possible applications in normal pressure hydrocephalus (NPH) in clinical and paraclinical contexts. This is of great interest in neurological surgery due to challenges related to diagnosis and prediction of treatment effects. In this scoping review, we present a topical overview and discuss the current literature, with particular attention to clinical implications and current challenges. Methods: The protocol was based on the PRISMA extension for scoping reviews. After a systematic database search (PubMed, Embase, and Web of Science), the articles were screened for relevance. Thirty articles were subject to detailed screening, and key technical and clinical data items were extracted. The inclusion criteria included the use of MRE on human subjects with NPH. Results: Seven articles were included in the final study. These studies had various objectives including the role of MRE in the assessment of regional elastic changes in NPH, shunt effect, and evaluation of NPH symptoms. MRE revealed patterns of mechanical changes in NPH that differed from other dementias. Regional MRE changes were associated with specific NPH signs and symptoms. Neurosurgical shunting caused partial normalization in tissue scaffold parameters. The studies were highly heterogeneous in technical aspects and design. Conclusion: MRE studies in NPH are still limited by few participants, variable cohorts, inconsistent methodologies, and technical challenges, but the approach shows great potential for future clinical application. |
Databáze: | OpenAIRE |
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