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Visual interpretation of brain MRE exams using non-parametric statistical mapping to diagnose normal pressure hydrocephalus
Matthew Christopher Murphy1, Petrice M Cogswell1, Joshua D Trzasko1, Armando Manduca2, Matthew L Senjem1, Clifford R Jack, Jr.1, Fredric B Meyer3, Richard L Ehman1, and John Huston, III1
1Radiology, Mayo Clinic, Rochester, MN, United States, 2Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States, 3Neurosurgery, Mayo Clinic, Rochester, MN, United States
A non-parametric statistical framework is outlined to display the result of brain MRE exams in terms of an effect size. Using these maps but no summary statistics, neuoradiologists were able to diagnose normal pressure hydrocephalus with 70% sensitivity and 100% positive predictive value.
One example set of images per group in the study. The top row shows the age- and sex-corrected median stiffness map. The bottom row shows the effect size map.
Example quantile maps at one slice location for a single NPH participant (top row) and the CU group (bottom row).