25 May 2025 : Review article
Advancements in Non-Invasive Intracranial Pressure Monitoring via Optic Nerve Sheath Diameter Measurement
Xuebo Jiang ABE 1, Hao Guo BCE 1, Wei Xiao BCDEF 1, Lei Wang BCEF 1, Di Wu BEF 1, Juan Liu CDEF 1, Qian Zhao BDEF 1, Yanxia Shao ABDEF 1*DOI: 10.12659/MSM.947237
Med Sci Monit 2025; 31:e947237
Introduction
Neuromonitoring for Neurologically Critically Ill Patients
ICP Monitoring
ONSD Measurement
US Measurement of ONSD
ONSD Measurement with CT
MRI-Based ONSD Assessment
Threshold of US ONSD for Elevated ICP
Measurement Method
Advantages of US ONSD Measurement for Detection of ICP Elevation
New Approach in ONSD Measurement
Conclusions
References
Tabe 1 Optimal ONSD threshold for evaluating ICP elevation
| Study | Country | Year | ONSD cutoff (mm) | Sensitivity (%) | Specificity (%) |
|---|---|---|---|---|---|
| Geeraerts et al []63 | France | 2007 | 5.9 | 87 | 94 |
| Kimberly et al []64 | USA | 2008 | 5.0 | 88 | 93 |
| Soldatos et al []65 | Greece | 2008 | 5.7 | 74 | 99 |
| Moretti et al []66 | Italy | 2009 | 5.2 | 93 | 74 |
| Strumwasser et al []67 | USA | 2011 | 6.0 | 36 | 38 |
| Rajajee et al []68 | USA | 2011 | 4.8 | 96 | 94 |
| Shirodkar et al []69 | India | 2014 | 4.6 | 85 | 99 |
| Wang et al []56 | China | 2015 | 4.1 | 95 | 92 |
| Rajajee et al []68 | USA | 2011 | 4.8 | 96 | 94 |
| Lochner et al []70 | Germany | 2016 | 5.93 | 93 | 67 |
| Kishk et al []71 | Egypt | 2018 | 6.05 | 73.2 | 91.4 |