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Neuroimage-Based Consciousness Evaluation of Patients with Secondary Doubtful Hydrocephalus Before and After Lumbar Drainage

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Neuroscience Bulletin 2020年第9期36卷 985-996页

作者： Jiayu Huo Zengxin Qi Sen Chen Qian Wang Xuehai Wu Di Zang tanikawa hiromi Jiaxing Tan Lichi Zhang Weijun Tang Dinggang Shen Institute for Medical Imaging Technology Shanghai Jiao Tong UniversityShanghai 200030China Department of Neurosurgery Huashan HospitalShanghai Medical CollegeFudan UniversityShanghai 200030China Neurosurgical Institute of Fudan University Shanghai Clinical Medical Center of NeurosurgeryShanghai Key Laboratory of Brain Function Restoration and Neural RegenerationShanghai 200030China State Key Laboratory of Medical Neurobiology and Ministry of Education Frontiers Center for Brain Science School of Basic Medical Sciences and Institutes of Brain ScienceFudan UniversityShanghai 200030China Department of Radiology Huashan HospitalFudan UniversityShanghai 200030China Department of Radiology and Biomedical Research Imaging Center University of North Carolina at Chapel HillChapel HillNC 27599USA Department of Brain and Cognitive Engineering Korea UniversitySeoul 02841Republic of Korea

Hydrocephalus is often treated with a cerebrospinal fluid shunt(CFS) for excessive amounts of cerebrospinal fluid in the ***,it is very difficult to distinguish whether the ventricular enlargement is due to hydrocephalus or other causes,such as brain atrophy after brain damage and *** non-trivial evaluation of the consciousness level,along with a continuous drainage test of the lumbar cistern is thus clinically important before the decision for CFS is *** studied 32 secondary mild hydrocephalus patients with different consciousness levels,who received T1 and diffusion tensor imaging magnetic resonance scans before and after lumbar cerebrospinal fluid *** applied a novel machine-learning method to find the most discriminative features from the multi-modal ***,we built a regression model to regress the JFK Coma Recovery Scale-Revised(CRS-R) scores to quantify the level of *** experimental results showed that our method not only approximated the CRS-R scores but also tracked the temporal changes in individual *** regression model has high potential for the evaluation of consciousness in clinical practice.

关键词： Hydrocephalus Disorder of consciousness Structural imaging Feature selection Regression

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