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• Clinical Article •
Diagnostic value of DESH for shunt responsiveness in idiopathic normal pressure hydrocephalus: A meta-analysis
YANG Qiong  LIU Chunyan  HUA Rongrong  WEI Youping  XING Yan 

Cite this article as: Yang Q, Liu CY, Hua RR, et al. Diagnostic value of DESH for shunt responsiveness in idiopathic normal pressure hydrocephalus: A meta-analysis. Chin J Magn Reson Imaging, 2020, 11(8): 625-629. DOI:10.12015/issn.1674-8034.2020.08.006.


[Abstract] Objective: To systematically review the predictive value of disproportionately enlarged subarachnoid space hydrocephalus (DESH) in the shunt responsiveness in idiopathic normal pressure hydrocephalus (iNPH).Materials and Methods: WanFang Data, CNKI, PubMed, the Cochrane Library, Web of Science, and Embase databases were electronically searched to collect studies on the predictive value of DESH in the shunt responsiveness in iNPH from inception to May 2020. Two reviewers screened literature, extracted data and assessed the risk of bias of included studies by QUADAS-2 standard independently according to inclusion and exclusion criteria. Meta-Disc 1.4 software was used to performed Meta-analysis.Results: A total of 5 studies involving 333 patients were included. The results of our study showed that the pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnosis odds ratio and area under the curve of summary receiver operating characteristics were 60%[95% CI (0.54, 0.67)], 66%[95% CI (0.56, 0.76)], 1.87[95% CI (1.13, 3.10)], 0.45[95% CI (0.23, 0.88)], 4.91[95% CI (1.45, 16.68)] and 0.75.Conclusions: This study to systematically evaluate the diagnostic value of DESH sign on the prognosis of iNPH shunt surgery at home and abroad. Although DESH sign has only moderate diagnostic value, it still has relatively important clinical significance. Due to the limited quality and quantity of included studies, the results of meta-analysis should be validated by more studies. It also needs to pay attention to the significance of imaging especially MRI in the diagnosis of iNPH.
[Keywords] DESH sign；idiopathic normal pressure hydrocephalus；shunt surgery；diagnostic value；meta-analysis；magnetic resonance imaging

YANG Qiong Department of Neurology, Aviation General Hospital, China Medical University, Beijing 100012, China

LIU Chunyan Department of Neurology, Aviation General Hospital, China Medical University, Beijing 100012, China

HUA Rongrong Department of Neurology, Aviation General Hospital, China Medical University, Beijing 100012, China

WEI Youping Department of Neurology, Aviation General Hospital, China Medical University, Beijing 100012, China

XING Yan* Department of Neurology, Aviation General Hospital, China Medical University, Beijing 100012, China

*Corresponding to: Xing Y, E-mail: drxingyan@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of Beijing Natural Science Foundation No. 7202237 Aviation General Hospital Scientific Research Project No. YJ202001
Received  2020-05-29
Accepted  2020-06-30
DOI: 10.12015/issn.1674-8034.2020.08.006
Cite this article as: Yang Q, Liu CY, Hua RR, et al. Diagnostic value of DESH for shunt responsiveness in idiopathic normal pressure hydrocephalus: A meta-analysis. Chin J Magn Reson Imaging, 2020, 11(8): 625-629. DOI:10.12015/issn.1674-8034.2020.08.006.

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