1
Return

Disproportionately Elevated Sulcal Index (DESI): An automatically driven index representing disproportionate subarachnoid space enlargement in brain MRI scans

delete2026-05-08
delete0
delete
OA
AI
S
Siavash Shirzadeh Barough
S
Shin Ohno
M
Murat Bilgel
A
Anaya Moghekar
H
Haris I. Sair
M
Mark G. Luciano
A
Abhay Moghekar *
DOI:10.1016/j.brainresbull.2026.111928delete
deleteOriginal
deleteShare
deleteSave
View PDF
Abstract

Abstract

En 中文
• Fully automated deep-learning based U-Net MRI index quantifies the hallmark CSF redistribution of iNPH from a single T1-weighted scan, eliminating subjective DESH visual rating. The pipeline provides a continuous, rater-independent volumetric metric that eliminates the subjectivity of manual imaging assessments. • Disproportionately Elevated Sulcal Index (DESI) demonstrates high performance and reliability across a large, diverse dataset of over 1,200 scans and was further validated using multi-site external data from the Placebo-Controlled Efficacy in iNPH Shunting trial. • A proportional 30° anterior commissure – posterior commissure wedge intrinsically normalizes for head size, yielding a continuous, intracranial volume-independent metric. • DESI distinguishes NPH from Normal aging and other neurodegenerative diseases with high performance (AUC > 0.94).
Keywords:
Normal Pressure Hydrocephalus (NPH)
Disproportionately Enlarged Subarachnoid-space Hydrocephalus (DESH)
Deep Learning
MRI Biomarker
Dementia
AI Summary

AI Summary

Key information extracted from the uploaded paper, including a brief overview, abstract, background, key highlights, visual analysis, and future outlook.

Journal

Brain Research Bulletin cover
Brain Research Bulletin
IF:
3.7
Papers:
6.8K
Citations:
1.2W

Organization

N
national institute on aging and nih
Scholars:
1
Papers: 1
Citations: 0
 
 johns hopkins university
Scholars:
3.9K
Papers: 1.5K
Citations: 0
Cited Papers

Cited Papers

Citing Papers

Citing Papers