Height Of Ventricle Research Articles

Comprehensive Morphometric Analysis to Identify Key Neuroimaging Biomarkers for the Diagnosis of Adult Hydrocephalus Using Artificial Intelligence.

Hydrocephalus involves abnormal cerebrospinal fluid accumulation in brain ventricles. Early and accurate diagnosis is crucial for timely intervention and preventing progressive neurological deterioration. The aim of this study was to identify key neuroimaging biomarkers for the diagnosis of hydrocephalus using artificial intelligence to develop practical and accurate diagnostic tools for neurosurgeons. Fifteen 1-dimensional (1-D) neuroimaging parameters and ventricular volume of adult patients with non-normal pressure hydrocephalus and healthy subjects were measured using manual image processing, and 10 morphometric indices were also calculated. The data set was analyzed using 8 machine, ensemble, and deep learning classifiers to predict hydrocephalus. SHapley Additive exPlanations (SHAP) feature importance analysis identified key neuroimaging diagnostic biomarkers. Gradient Boosting achieved the highest performance, with an accuracy of 0.94 and an area under the curve of 0.97. SHAP analysis identified ventricular volume as the most important parameter. Given the challenges of measuring volume for clinicians, we identified key 1-D morphometric biomarkers that are easily measurable yet provide similar classifier performance. The results showed that the frontal-temporal horn ratio, modified Evan index, modified cella media index, sagittal maximum lateral ventricle height, and coronal posterior callosal angle are key 1-D diagnostic biomarkers. Notably, higher modified Evan index, modified cella media index, and sagittal maximum lateral ventricle height, and lower frontal-temporal horn ratio and coronal posterior callosal angle values were associated with hydrocephalus prediction. The results also elucidated the relationships between these key 1-D morphometric parameters and ventricular volume, providing potential diagnostic insights. This study highlights the importance of a multifaceted diagnostic approach incorporating 5 easily measurable 1-D neuroimaging biomarkers for neurosurgeons to differentiate non-normal pressure hydrocephalus from healthy subjects. Incorporating our artificial intelligence model, interpreted through SHAP analysis, into routine clinical workflows may transform the diagnostic landscape for hydrocephalus by standardizing diagnosis and overcoming the limitations of visual evaluations, particularly in early stages and challenging cases.

The normal 14-18 gestational weeks "parasagittal complex" view of the fetal brain. A 3D transvaginal neurosonographic study.

To study the early second trimester development of brain hemispheres, lateral ventricles, choroid plexus, and ganglionic eminence/basal ganglia complex (GEBG). A retrospective analysis of TVUS 3D volumes of 14-18 gestational weeks (GW) fetuses. Hemispheres were analyzed for wall thickness, choroid plexus extension, GEBG height and length, lamination pattern (intermediate zone and the subplate border, IZ-SP), ventricle height, width, and angle. Measurements were correlated with GW and assessed for symmetry and impact of probe resolution. We included 84 fetuses (168 hemispheres). The CP location is variable at 14-16GW, becoming consistently and symmetrically posterior at 18GW. Hemispheric thickness, GEBG height and length grow significantly with fetal age, whereas ventricle height, width, and angle regress. The detection rate of the IZ-SP line at 14, 15, 16, 17, and 18weeks was 0%, 24%, 78.26%, 100%, and 100%, respectively. The ratio between the upper and lower segments of the cerebral lamination grows with GW. For all brain structures, the asymmetry between sides was significant only for ventricular height. The transducer type did not have a significant effect on any outcome except for ventricle height. These normal features of the parasagittal view should aid clinicians in fetal brain assessment during the early weeks of the second trimester.

Linear CT-scan measurements of cerebral ventricles in senile Poodle dogs.

Breed traits seem to influence the dimensions of the cerebral ventricles in dogs. The ratios between the ventricles and the brain are crucial diagnostic criteria for suspected canine cognitive dysfunction (CCD). This study aimed to establish linear computed tomography (CT)-scan measurements of the cerebral ventricles in 55 Poodle dogs aged >7 years. To this end, cross-sectional CT images were evaluated. The measurements in the whole sample were: height of the right ventricle, 6.0 ± 1.6 mm; height of the left ventricle, 5.8 ± 1.6 mm; width of the right ventricle, 6.9 ± 1.4 mm; width of the left ventricle, 7.0 ± 1.3 mm; height of the third ventricle, 3.4 ± 0.8 mm; height of the right cerebral hemisphere, 39.5 ± 2.0 mm; and height of the left cerebral hemisphere, 40.2 ± 2.6 mm. The average ventricular measurements were higher in dogs older than 11 years (p < 0.05). However, the average ratio of the ventricle height to the height of the brain did not reveal differences between age groups, sex, or antimeres. In addition, none of the images showed fused lateral ventricles. Thus, these data can assist in interpreting ventricle size in senile Poodle dogs (aged >7 years).

Qualitative and quantitative evaluation of the ventricular system and brain parenchyma in healthy dogs of different skull conformation on computed tomography scans.

This study aimed to perform quantitative and qualitative evaluations of the lateral and third ventricles, and brain parenchyma, in healthy dogs of different skull conformations on CT scans. Forty-five adult client-owned dogs were divided into three groups according to skull conformation: G1 (dolichocephalic)-15 German Shepherds; G2 (mesaticephalic)-15 Rottweilers; G3 (brachycephalic)-15 Boxers. Transverse plane images were used for quantitative and qualitative evaluations of the lateral ventricles and third ventricle, and pre- and post-contrast brain parenchyma. The height of both ventricles and brain was measured at the level of the interthalamic adhesion. Ventricle height, brain height, and ventricle/brain height ratio were statistically higher in G3 compared with G1 and G2 that were similar. The third ventricle was visible but unmeasurable in five dogs from G1 and three from G2. In G3, all dogs had third ventricle visible and measurable in all images. Asymmetric ventricles were seen in five dogs in Group 1 and Group 2, and seven in Group 3. Brain parenchyma had homogenous density in 80% of the dogs in all groups. Contrast enhancement of the rostral midline was visualized in all dogs. In conclusion, brain CT scans of healthy dogs showed that the qualitative data were similar among groups, but lateral ventricle and brain measurements in brachycephalic dogs differed from the dolichocephalic and mesaticephalic dogs.

Presumed cholesterinic granulomas detected on CT in horses are associated with increased lateral ventricle height and age.

Cholesterinic granulomas are mass‐like lesions that form at the choroid plexus of the ventricular system. Large cholesterinic granulomas within the lateral ventricles have been reported to cause severe neurological signs. However, little data are available about their prevalence or appearance in the overall population. The objective was to report the prevalence of presumed cholesterinic granulomas on CT in a population of horses, and investigate associations between presumed cholesterinic granuloma presence, lateral ventricle size, age, and neurological signs. The study was cross sectional, CT scans of the head were assessed for presumed cholesterinic granuloma presence and size, and lateral ventricle height. Computed tomography findings and clinical information were compared using nonparametric testing. Computed tomography scans of 139 horses were included. Presumed cholesterinic granulomas were found in 22 horses (15.8%), nine were unilateral and 13 bilateral. A significant increase in prevalence was observed with age (P < .0001), with 38% of horses over 15 years old affected. The median volume of presumed cholesterinic granulomas was 242 mm3 with a range from 51 to 2420 mm3. The mean lateral ventricle height was significantly increased in horses with presumed cholesterinic granulomas present (P = .004), with a median of 7.3 mm compared to 4.9 mm without. Neurological signs were not associated with presumed cholesterinic granuloma presence or lateral ventricle height. Fourth ventricle mineralizations were found in seven horses, which may represent cholesterinic granulomas. In conclusion, presumed cholesterinic granulomas occurred in a large proportion of the examined population and are associated with increased lateral ventricle dilation and advanced age.

Cardiovascular Magnetic Resonance Imaging-Derived Mitral Valve Geometry in Determining Mitral Regurgitation Severity

Mitral regurgitation is the most common valvular heart disease worldwide. Magnetic resonance may be a useful tool to analyze mitral valve parameters. To distinguish mitral valve geometric patterns in patients with different severities of mitral regurgitation (MR) based on cardiovascular magnetic resonance imaging. Sixty-three patients underwent cardiovascular magnetic resonance imaging. Mitral valve parameters analyzed were: tenting area (mm2) and angle (degrees), ventricle height (mm), tenting height (mm), anterior leaflet, posterior leaflet length and annulus diameter (mm). Patients were divided into two groups, one including patients who required mitral valve surgery and another which did not. Thirty-six patients had trace to mild (1-2+) MR and 27 had moderate to severe MR (3-4+). Ten (15.9%) out of 63 patients underwent surgery. Patients with more severe MR had a larger left ventricle end systolic diameter (38.6 ± 10.2 vs 45.4 ± 16.8, p<0.05) and left end diastolic diameter (52.9 ± 6.8 vs 60.1 ± 12.3, p= 0.005). On multivariate analysis, the tenting area was the strongest determinant of MR severity (r= 0.62, p=0.035). Annulus length (36.1 ± 4.7 vs 41 ± 6.7, p< 0.001), tenting area (190.7 ± 149.7 vs 130 ± 71.3, p= 0.048) and posterior leaflet length (15.1 ± 4.1 vs 12.2 ± 3.5, p= 0.023) were larger on patients requiring mitral valve surgery. Tenting area, annulus and posterior leaflet length are possible determinants of MR severity. These geometric parameters could be used to determine severity and could, in the future, direct specific patient care based on individual mitral apparatus anatomy.

The status of farmed fish hearts: an alert to improve health and production in three Mediterranean species

The heart ventricles of farmed gilthead seabream (Sparus aurata), European seabass (Dicentrarchus labrax) and Senegalese sole (Solea senegalensis) have been examined and we compared them to the corresponding fish from wild populations. These results can help to understand the differences in farmed fish hearts and in the myocardial structure that this condition of growth can produce. Several parameters were measured in the two groups. Numerical comparisons included heart mass, cardiac and ventricular index, ventricle height:width ratio, width and alignment of bulbus arteriosus, ventricular angles and compacta thickness. We confirm that the normal shape of wild fish hearts can be modified as a result from the adaptation to different environments. These changes can modify the structure of myocardium and compromise the cardiac function in farmed species. The ventricle of farmed fish present differences in shape, were misaligned, rounder, with a wider bulbus and thinner compact layer. Further studies are necessary to reveal functional significance and possible causes of these abnormal hearts and improve the cardiac welfare of Mediterranean species in culture as a way of ensuring a level of production compatible with economic benefits.

Morphometric study on dimensions of various parts of pons and comparison of data in accordance with age and sex of healthy people by MRI

Objectives: The emergence of magnetic Resonance Imaging (MRI) technique has made it possible to answer many questions in the field of anatomy more precisely while observing different anatomic parts of living persons at different ages. This study was conducted to determine the dimensions of different parts of pons and also comparing the data in accordance with age and sex by MRI.Methods: The present study carried out on 300 healthy individuals referred to imaging center at Imam Reza hospital in the city of Kermanshah, Iran. The precondition for people to be included in the study was the approval made by in-house physician based on person's state of health and the lack of any pathological lesion in brain on the basis of images obtained by MRI. Following MRI procedure, the dimensions of target parts in pons were calculated by the MRI-associated measuring system and recorded along with the age and sex of the patients. Measurements were recorded in mm and based on selecting the largest height, width and length of the organ during the examination of all axial, sagital, and T1 coronal profiles. Data analysis was performed using t-student test and Pearson's correlation. The significance level was set at P=0.05.Results: The mean size of different parts of pons recorded in mm was as follows: The height of tegmentum of pons in men and women were 21.10±1.99 and 20.35±1.95, respectively. The height of ventricle of pons was 24.96±1.45 in men and 23.72±1.41 in women. The length of pons in men was 21.40±1.55 and in women 21.10±1.28. The length of ventricle in men and women were 16.85±1.21 and 16.77±1.36, respectively. The length of tegmentum of pons was 4.57±0.50 in men and 4.40±0.58 in women. Lastly, the transverse length of the ventricle of pons was 27.30±1.68 in men and 26.52±1.63 in women.Discussion: The values obtained for the transverse length, length of tegmentum of ventricle, height of ventricle and height of tegmentum in men were larger than those found for women. There were significant relationships between the transverse length, length of tegmentum of pons, height of ventricle of pons and the age in men. There was no significant relationship between dimension of pons and age in women.

Ultrasonographic evaluation of infantile hydrocephalus before and after shunting. A study in 20 children.

The authors present the results of a prospective study of 20 children with congenital or acquired hydrocephalus of nontumoral etiology and submitted to ventriculo- (or cyst-) peritoneal shunting with valve. The diagnosis was established by B-mode or real-time brain sonography, in association with another neuroradiological procedure (computed tomography, ventriculography with air or Dimer-X, cerebral angiography). Among the proposed measurements (cortical thickness, lateral ventricle height, III ventricle width and ventricular ratio) for pre- and postoperative comparison, the cortical thickness and the lateral ventricle height were the ones that changed significantly when analyzed by sonography. The routine use of brain sonography allowed the visualization of the ventricular catheter position and the diagnosis of complications, such as subdural collection, progressive enlargement of cysts, isolated IV ventricle, etc, even before symptoms arise. The authors conclude that sonography is easily performed, inexpensive and innocuous, and should be used routinely during the follow-up of children with hydrocephalus.

MEASUREMENT OF RADIOLOGICALLY DETERMINED CRANIOCEREBRAL REFERENCE POINTS AND THE THIRD VENTRICLE DURING STEREOTAXIC SURGERY

1. Craniocerebral reference points and the width and height of the third ventricle were measured in intraoparative positive pressure pneumovetriculograms on 71 patients who underwent stereotaxic surgery for various reasons. 2. When reference points were located on two-dimensional plane in relation to the anterior comissure, distant reference points were more variable than those close to the anterior comissure. 3. The CA-CP distance and the width of the third ventricle were 22.9±1.9 and 8.1±2.3 mm (mean±S. D.) respectively and the mean values of the width and height of the third ventricle and the CA - CP distance were greater in males than in females respectivery. 4. A correlation coefficient was high between the width of the third ventricle and the CA-CP distance, but was low between the width and height of the third ventricle and between the height of the ventricle and the CA-CP distance.