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BMC Medical Imaging
Published in: BMC Medical Imaging 1/2019

Open Access 01-12-2019 | Ultrasound | Research article

Ultrasound measurements versus invasive intracranial pressure measurement method in patients with brain injury: a retrospective study

Authors: Jing Zhou, Jing Li, Tiantian Ye, Yanrong Zeng

Published in: BMC Medical Imaging | Issue 1/2019

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Abstract

Background

The invasive method for intracranial pressure measurement is ‘gold standard’ but not always feasible because the intraventricular catheter/ intraparenchymal micro transducer used in the measurement of intracranial pressure measurement may cause complications. Imaging modalities with clinical examination protocol have a lack of specificity and accuracy. The objective of the study was to compare the accuracy of diagnostic parameters of ultrasound measurements in patients with brain injury underwent invasive intracranial pressure measurement method.

Methods

Data of invasive intracranial pressure measurement method and ultrasound measurements of 185 patients with brain injury who required admission diagnosis were included in the analysis. Pearson correlation was tested for diagnostic parameters. Logistical regression analysis was performed for diagnostic parameters of death patients to evaluate independent parameter of mortality.

Results

Straight sinus flow velocities, middle cerebral artery flow velocities, and optic nerve sheath diameter were correlated with intracranial pressure (p < 0.0001 for all). Arterial blood pressure (p = 0.127) and middle cerebral artery pulsatility index (p = 0.06) were not correlated with intracranial pressure. A total of 47 patients died during the study period. Intracranial pressure (p = 0.015) and optic nerve sheath diameter (p = 0.035) were found to be independent predictor of mortality.

Conclusions

Ultrasound measurement especially optic nerve sheath diameter can be successfully used instead of invasive intracranial pressure measurement method in patients with brain injury.

Level of evidence

III.
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Metadata
Title
Ultrasound measurements versus invasive intracranial pressure measurement method in patients with brain injury: a retrospective study
Authors
Jing Zhou
Jing Li
Tiantian Ye
Yanrong Zeng
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2019
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-019-0354-0

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