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New method for quantification of severity of isolated scaphocephaly linked to intracranial volume
PURPOSE: The aim is to implement Utrecht Cranial Shape Quantificator (UCSQ) for quantification of severity of scaphocephaly and compare UCSQ with the most used quantification method, cranial index (CI). Additionally, severity is linked to intracranial volume (ICV). METHODS: Sinusoid curves of 21 pre...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009791/ https://www.ncbi.nlm.nih.gov/pubmed/33070215 http://dx.doi.org/10.1007/s00381-020-04932-9 |
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author | Kronig, Otto D. M. Kronig, Sophia A. J. Van Adrichem, Léon N. A. |
author_facet | Kronig, Otto D. M. Kronig, Sophia A. J. Van Adrichem, Léon N. A. |
author_sort | Kronig, Otto D. M. |
collection | PubMed |
description | PURPOSE: The aim is to implement Utrecht Cranial Shape Quantificator (UCSQ) for quantification of severity of scaphocephaly and compare UCSQ with the most used quantification method, cranial index (CI). Additionally, severity is linked to intracranial volume (ICV). METHODS: Sinusoid curves of 21 pre-operative children (age < 2 years) with isolated scaphocephaly were created. Variables of UCSQ (width of skull and maximum occiput and forehead) were combined to determine severity. CI was calculated. Three raters performed visual scoring for clinical severity (rating of 6 items; total score of 12 represents most severe form). Pearson’s correlation test was used for correlation between UCSQ and visual score and between both CIs. ICV was calculated using OsiriX. ICV was compared to normative values and correlated to severity. RESULTS: Mean UCSQ was 22.00 (2.00–42.00). Mean traditional CI was 66.01 (57.36–78.58), and mean visual score was 9.1 (7–12). Correlations between both traditional CI and CI of UCSQ and overall visual scores were moderate and high (r = − 0.59; p = 0.005 vs. r = − 0.81; p < 0.000). Mean ICV was 910 mL (671–1303), and ICV varied from decreased to increased compared to normative values. Negligible correlation was found between ICV and UCSQ (r = 0.26; p > 0.05) and between ICV and CI and visual score (r = − 0.30; p > 0.05 and r = 0.17; p > 0.05, respectively). CONCLUSION: Our current advice is to use traditional CI in clinical practice; it is easy to use and minimally invasive. However, UCSQ is more precise and objective and captures whole skull shape. Therefore, UCSQ is preferable for research. Additionally, more severe scaphocephaly does not result in more deviant skull volumes. |
format | Online Article Text |
id | pubmed-8009791 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-80097912021-04-16 New method for quantification of severity of isolated scaphocephaly linked to intracranial volume Kronig, Otto D. M. Kronig, Sophia A. J. Van Adrichem, Léon N. A. Childs Nerv Syst Original Article PURPOSE: The aim is to implement Utrecht Cranial Shape Quantificator (UCSQ) for quantification of severity of scaphocephaly and compare UCSQ with the most used quantification method, cranial index (CI). Additionally, severity is linked to intracranial volume (ICV). METHODS: Sinusoid curves of 21 pre-operative children (age < 2 years) with isolated scaphocephaly were created. Variables of UCSQ (width of skull and maximum occiput and forehead) were combined to determine severity. CI was calculated. Three raters performed visual scoring for clinical severity (rating of 6 items; total score of 12 represents most severe form). Pearson’s correlation test was used for correlation between UCSQ and visual score and between both CIs. ICV was calculated using OsiriX. ICV was compared to normative values and correlated to severity. RESULTS: Mean UCSQ was 22.00 (2.00–42.00). Mean traditional CI was 66.01 (57.36–78.58), and mean visual score was 9.1 (7–12). Correlations between both traditional CI and CI of UCSQ and overall visual scores were moderate and high (r = − 0.59; p = 0.005 vs. r = − 0.81; p < 0.000). Mean ICV was 910 mL (671–1303), and ICV varied from decreased to increased compared to normative values. Negligible correlation was found between ICV and UCSQ (r = 0.26; p > 0.05) and between ICV and CI and visual score (r = − 0.30; p > 0.05 and r = 0.17; p > 0.05, respectively). CONCLUSION: Our current advice is to use traditional CI in clinical practice; it is easy to use and minimally invasive. However, UCSQ is more precise and objective and captures whole skull shape. Therefore, UCSQ is preferable for research. Additionally, more severe scaphocephaly does not result in more deviant skull volumes. Springer Berlin Heidelberg 2020-10-18 2021 /pmc/articles/PMC8009791/ /pubmed/33070215 http://dx.doi.org/10.1007/s00381-020-04932-9 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Article Kronig, Otto D. M. Kronig, Sophia A. J. Van Adrichem, Léon N. A. New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title | New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title_full | New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title_fullStr | New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title_full_unstemmed | New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title_short | New method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
title_sort | new method for quantification of severity of isolated scaphocephaly linked to intracranial volume |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009791/ https://www.ncbi.nlm.nih.gov/pubmed/33070215 http://dx.doi.org/10.1007/s00381-020-04932-9 |
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