Diffusion tensor imaging in patients with adult chronic idiopathic hydrocephalus
Abstract
Objective Diffusion tensor imaging (DTI) parameters were investigated in patients with chronic idiopathic hydrocephalus to evaluate microstructural changes of brain tissue caused by chronic ventricular dilatation. Methods Eleven patients fulfilling the criteria for possible or probable idiopathic normal pressure hydrocephalus and 10 healthy control subjects underwent MRI at 3 Tesla, including DTI with 12 gradient directions. Patients were scanned before lumbar cerebrospinal fluid (CSF) withdrawal tests. Differences in fractional anisotropy (FA) and mean diffusivity (MD) between patients and controls were assessed using 2 different methods: manual definition of regions of interest and a fully automated method, TBSS (Tract-Based Spatial Statistics). DTI parameters were correlated with clinical findings. Results Compared with the control group, patients with chronic idiopathic hydrocephalus had significantly higher MD values in both the periventricular corticospinal tract (CST) and the corpus callosum (CC), whereas FA values were significantly higher in the CST but lower in the CC. DTI parameters of the CST correlated with the severity of gait disturbances. Conclusion Microstructural changes in periventricular functionally relevant white matter structures (CSF, CC) in chronic idiopathic hydrocephalus can be visualized using DTI. Further studies should investigate the change of DTI parameters after CSF shunting and its relation to neurologic outcome.
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In DTI, patients with idiopathic normal pressure hydrocephalus exhibit greater FA within the CST compared with controls.
“In DTI, patients with iNPH exhibit greater FA within the CST compared with controls (Hattingen et al., 2010)”
From NODDI in clinical research (2020) · cites this paper as Hattingen et al., 2010
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- Authors
- Hattingen, E., Jurcoane, A., Melber, J., Blasel, S., Zanella, F. E., Neumann-Haefelin, T., & Singer, O. C.
- Affiliations
- Goethe University Frankfurt (DE)
- Venue
- Neurosurgery
- Published
- 2010-05
- Volume
- 66
- Issue
- 5
- Pages
- 917-924
- ISSN
- 0148-396X (ISSN-L)
- OpenAlex
- W1984806874
- Cited by
- 111
- References
- 32
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 8 · 2023: 4 · 2022: 1 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 12 · 2015: 8 · 2014: 9 · 2013: 13 · 2012: 9
- FWCI
- 8.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- idiopathic normal pressure hydrocephalus, diffusion tensor imaging, fractional anisotropy, mean diffusivity, white matter microstructure, corticospinal tract, corpus callosum, gait disturbance, cerebrospinal fluid shunting, tract-based spatial statistics
- MeSH terms
- Aged, Brain, Chronic Disease, Humans, Hydrocephalus, Normal Pressure, Image Interpretation, Computer-Assisted, Middle Aged, Anisotropy, Diffusion Tensor Imaging
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