PMID- 33241090 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2352-0477 (Print) IS - 2352-0477 (Electronic) IS - 2352-0477 (Linking) VI - 7 DP - 2020 TI - Novel multi-linear quantitative brain volume formula for manual radiological evaluation of brain atrophy. PG - 100281 LID - 10.1016/j.ejro.2020.100281 [doi] LID - 100281 AB - OBJECTIVES: The brain atrophy commonly occurs in elderly and in some childhood conditions making the techniques for quantifying brain volume needful. Since the automated quantitative methods of brain volume assessment have limited availability in developing countries, it was the purpose of this study to design and test an alternative formula that is applicable to all healthcare levels. METHODS: The multi-linear diagonal brain fraction formula (DBF) was designed from dimensions of brain relative to skull and ventricles. To test a developed formula, a total of 347 subjects aged between 0 and 18 years who had brain CT scans performed recruited and subjected to a systematic measurement of their brains in a diagonal brain fashion. RESULTS: Out of 347 patients evaluated, 62 subjects (17.8 %) were found to be cases of brain atrophy. The three radiological measurements which included sulcal width (SW), ventricular width (VW) and Evans Index (EI) were concurrently performed. SW and VW showed good age correlation. Similar tests were extended to diagonal brain fraction (DBF) and skull vertical horizontal ratio (VHR) in which DBF showed significant age correlation. CONCLUSIONS: The DBF formula shows significant ability of differentiating changes of brain volume suggesting that it can be utilized as an alternative brain fraction quantification method bearing technical simplicity in assessing gross brain volume. ADVANCES IN KNOWLEDGE: The designed formula is unique in that it captures even the possible asymmetrical volume loss of brain through diagonal lines. The proposed scores being in term of ratios give four grades of brain atrophy. CI - (c) 2020 The Authors. FAU - Sungura, R AU - Sungura R AD - Department of Health and Biomedical Sciences, School of Life Science and Bioengineering, Nelson Mandela-African Institution of Science and Technology, Arusha, Tanzania. FAU - Mpolya, E AU - Mpolya E AD - Department of Health and Biomedical Sciences, School of Life Science and Bioengineering, Nelson Mandela-African Institution of Science and Technology, Arusha, Tanzania. FAU - Spitsbergen, J M AU - Spitsbergen JM AD - Department of Biological Sciences, Western Michigan University, USA. FAU - Onyambu, C AU - Onyambu C AD - Department of Diagnostic and Radiation Medicine, School of Health Sciences, University of Nairobi, Kenya. FAU - Sauli, E AU - Sauli E AD - Department of Health and Biomedical Sciences, School of Life Science and Bioengineering, Nelson Mandela-African Institution of Science and Technology, Arusha, Tanzania. FAU - Vianney, J-M AU - Vianney JM AD - Department of Health and Biomedical Sciences, School of Life Science and Bioengineering, Nelson Mandela-African Institution of Science and Technology, Arusha, Tanzania. LA - eng PT - Journal Article DEP - 20201113 PL - England TA - Eur J Radiol Open JT - European journal of radiology open JID - 101650225 PMC - PMC7674282 OTO - NOTNLM OT - BIANCA, Brain Intensity Abnormality Classification Algorithm OT - BPF, Brain parenchymal fraction OT - Brain atrophy OT - Brain volume OT - CD, Compact disc OT - CSF, Cerebral spina fluid OT - CT, Computerized tomography OT - DBF, Diagonal brain fraction OT - DVD, Digital versatile disc OT - EI, Evans index OT - KNCHREC, Kibong'oto, Nelson Mandela and Cedha Research and Ethical Committee OT - MRI, Magnetic resonance imaging OT - MTA, medial temporal atrophy OT - Neuroimaging OT - Quantification OT - SW, Sulcal width OT - VBM, Volume based morphometry OT - VHR, Vertical-horizontal ratio OT - VW, Ventricular width COIS- The authors report no declarations of interest. EDAT- 2020/11/27 06:00 MHDA- 2020/11/27 06:01 PMCR- 2020/11/13 CRDT- 2020/11/26 05:48 PHST- 2020/09/22 00:00 [received] PHST- 2020/10/20 00:00 [accepted] PHST- 2020/11/26 05:48 [entrez] PHST- 2020/11/27 06:00 [pubmed] PHST- 2020/11/27 06:01 [medline] PHST- 2020/11/13 00:00 [pmc-release] AID - S2352-0477(20)30070-8 [pii] AID - 100281 [pii] AID - 10.1016/j.ejro.2020.100281 [doi] PST - epublish SO - Eur J Radiol Open. 2020 Nov 13;7:100281. doi: 10.1016/j.ejro.2020.100281. eCollection 2020.