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Research ArticleAdult Brain

Prognostic Utility of Disproportionately Enlarged Subarachnoid Space Hydrocephalus in Idiopathic Normal Pressure Hydrocephalus Treated with Ventriculoperitoneal Shunt Surgery: A Systematic Review and Meta-analysis

H.Y. Park, C.R. Park, C.H. Suh, M.J. Kim, W.H. Shim and S.J. Kim
American Journal of Neuroradiology August 2021, 42 (8) 1429-1436; DOI: https://doi.org/10.3174/ajnr.A7168
H.Y. Park
aFrom the Department of Radiology and Research Institute of Radiology (H.Y.P., C.H.S., M.J.K., W.H.S., S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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C.R. Park
bDepartment of Medical Science (C.R.P.) Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Seoul, Korea
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C.H. Suh
aFrom the Department of Radiology and Research Institute of Radiology (H.Y.P., C.H.S., M.J.K., W.H.S., S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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M.J. Kim
aFrom the Department of Radiology and Research Institute of Radiology (H.Y.P., C.H.S., M.J.K., W.H.S., S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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W.H. Shim
aFrom the Department of Radiology and Research Institute of Radiology (H.Y.P., C.H.S., M.J.K., W.H.S., S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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S.J. Kim
aFrom the Department of Radiology and Research Institute of Radiology (H.Y.P., C.H.S., M.J.K., W.H.S., S.J.K.), Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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    FIG 1.

    Typical imaging features of DESH in a 77-year-old patient who presented with gait disturbance, urinary symptoms, and cognitive impairment. A coronal 3D T1-weighted image shows a dilated Sylvian fissure (arrows), tightened subarachnoid space near the vertex (square), and ventriculomegaly (asterisks).

  • FIG 2.
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    FIG 2.

    Flow diagram of the study-selection process.

  • FIG 3.
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    FIG 3.

    Forest plots of the pooled prevalence of DESH in iNPH. Numbers are pooled estimates with 95% CIs in parentheses. Horizontal lines indicate 95% CIs.

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    FIG 4.

    Coupled forest plots showing the pooled sensitivity and specificity for the diagnostic performance of DESH in the prediction of treatment response. Numbers are pooled estimates with 95% CIs in parentheses. Horizontal lines indicate 95% CIs.

  • FIG 5.
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    FIG 5.

    HSROC curve of the diagnostic performance of DESH in the prediction of treatment response. A notable difference was observed between the 95% confidence region and the 95% prediction region in HSROC, indicating considerable heterogeneity.

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American Journal of Neuroradiology: 42 (8)
American Journal of Neuroradiology
Vol. 42, Issue 8
1 Aug 2021
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H.Y. Park, C.R. Park, C.H. Suh, M.J. Kim, W.H. Shim, S.J. Kim
Prognostic Utility of Disproportionately Enlarged Subarachnoid Space Hydrocephalus in Idiopathic Normal Pressure Hydrocephalus Treated with Ventriculoperitoneal Shunt Surgery: A Systematic Review and Meta-analysis
American Journal of Neuroradiology Aug 2021, 42 (8) 1429-1436; DOI: 10.3174/ajnr.A7168

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Prognostic Utility of Disproportionately Enlarged Subarachnoid Space Hydrocephalus in Idiopathic Normal Pressure Hydrocephalus Treated with Ventriculoperitoneal Shunt Surgery: A Systematic Review and Meta-analysis
H.Y. Park, C.R. Park, C.H. Suh, M.J. Kim, W.H. Shim, S.J. Kim
American Journal of Neuroradiology Aug 2021, 42 (8) 1429-1436; DOI: 10.3174/ajnr.A7168
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