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Table 1.

Expert suggestions for radiologic measurements of cSDH for volume, width, MLS, and reporting

cSDH Volume/WidthMLSReporting
  • Preferably use computer-assisted volumetric analysis

  • In case width is measured, report detailed methodology

  • Measured perpendicular to the midline joining the most anterior and posterior visible points on the falx

  • Measurements should be conducted on axial and coronal slices

  • On axial slices measured at the level and location of the foramen of Monro and as the maximum displacement of the septum pellucidum relative to the midline

  • On coronal slices as the maximum MLS of the septum pellucidum at the level of the highest point of the septum

  • Overall MLS should then be determined as mean of these 3 (or 2 in case no coronal slices are available) measurements

  • cSDH width should always be evaluated and reported in context with cSDH volume measurements, MLS, and clinical information

  • MLS should always be assessed together with other parameters such as clinical information and cSDH volume

  • Detailed description of the used algorithms when reporting cSDH width, volume, MLS, or other quantitative radiologic measures should be provided