Background:Postoperative pneumocephalus is associated with a higher risk of recurrence of chronic subdural hematoma(cSDH).However,there is no verified simple way to measure the pneumocephalus volume at the bedside for...Background:Postoperative pneumocephalus is associated with a higher risk of recurrence of chronic subdural hematoma(cSDH).However,there is no verified simple way to measure the pneumocephalus volume at the bedside for daily clinical use.The ABC/2 method was shown to be a simple and reliable technique to estimate volumes of intracranial lesions,such as intracranial hematomas.This study aims to evaluate the accuracy of the ABC/2 formula in estimating volumes of pneumocephalus,as compared to the gold standard with computer-assisted volumetric analysis.Methods:A total of 141 postoperative computed tomographic(CT)brain scans of cSDH patients with burr-hole drainage were analysed.Pneumocephalus volume was measured independently by both the ABC/2 formula and the computer-assisted volumetric measurement.For the computer-assisted measurement,the volume of the air was semiautomatically segmented and calculated by computer software.Linear regression was used to determine the correlation between the ABC/2 method and computer-assisted measurement.Results:The postoperative pneumocephalus volume after bilateral burr-hole drainage was significantly larger than that of unilateral burr-hole drainage(29.34 ml versus 12.21 ml,p<0.001).The estimated volumes by the formula ABC/2 significantly correlated to the volumes as measured by the computer-assisted volumetric technique,with r=0.992(p<0.001).The Pearson correlation coefficient is very close to 1,which signifies a very strong positive correlation,and it is statistically significant.Conclusions:An excellent correlation is observed between the ABC/2 method and the computer-assisted measurement.This study verified that the ABC/2 method is an accurate and simple"bedside"technique to estimate pneumocephalus volume.展开更多
基金the Research startup Fund of the Chinese University of Hong Kongthe'Improvement on Competitiveness in Hiring New Faculties’Funding Scheme.
文摘Background:Postoperative pneumocephalus is associated with a higher risk of recurrence of chronic subdural hematoma(cSDH).However,there is no verified simple way to measure the pneumocephalus volume at the bedside for daily clinical use.The ABC/2 method was shown to be a simple and reliable technique to estimate volumes of intracranial lesions,such as intracranial hematomas.This study aims to evaluate the accuracy of the ABC/2 formula in estimating volumes of pneumocephalus,as compared to the gold standard with computer-assisted volumetric analysis.Methods:A total of 141 postoperative computed tomographic(CT)brain scans of cSDH patients with burr-hole drainage were analysed.Pneumocephalus volume was measured independently by both the ABC/2 formula and the computer-assisted volumetric measurement.For the computer-assisted measurement,the volume of the air was semiautomatically segmented and calculated by computer software.Linear regression was used to determine the correlation between the ABC/2 method and computer-assisted measurement.Results:The postoperative pneumocephalus volume after bilateral burr-hole drainage was significantly larger than that of unilateral burr-hole drainage(29.34 ml versus 12.21 ml,p<0.001).The estimated volumes by the formula ABC/2 significantly correlated to the volumes as measured by the computer-assisted volumetric technique,with r=0.992(p<0.001).The Pearson correlation coefficient is very close to 1,which signifies a very strong positive correlation,and it is statistically significant.Conclusions:An excellent correlation is observed between the ABC/2 method and the computer-assisted measurement.This study verified that the ABC/2 method is an accurate and simple"bedside"technique to estimate pneumocephalus volume.
