Ultrasonographic Optic Nerve Sheath Diameter Technical Pitfalls and Imaging Artifacts

Hirzallah, Mohammad I. and Sarwal, Aarti and Dentinger, Aaron M. and Robba, Chiara and Valaikiene, Jurgita and Lochner, Piergiorgio and Schlachetzki, Felix and Mills, David M. and Ertl, Michael and Hakimi, Ryan and Bhise, Shreya and Pansell, Jakob (2025) Ultrasonographic Optic Nerve Sheath Diameter Technical Pitfalls and Imaging Artifacts. JOURNAL OF ULTRASOUND IN MEDICINE, 44 (6). pp. 1103-1120. ISSN 0278-4297, 1550-9613

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Abstract

Ultrasonographic optic nerve sheath diameter (ONSD) is a non-invasive intracranial pressure (ICP) surrogate. This article discusses the effect of ultrasound settings and imaging artifacts on ONSD assessment. Ultrasound settings that may affect ONSD assessment include gain, dynamic range, frequency, harmonic imaging, and focal zones. Artifacts can be related to imaged structures (acoustic shadowing, enhancement, comet tail, and speckle artifacts) or to beam properties (partial volume and refraction artifacts). In addition, optic nerve sheath (ONS) properties such as echogenicity changes based on ICP or ONS kinking are discussed.

Item Type: Article
Uncontrolled Keywords: ULTRASOUND; PHYSICS; INSTRUMENTATION; artifacts; intracranial pressure; noninvasive; optic nerve sheath diameter; ultrasound; ultrasound physics
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurochirurgie
Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 17 Apr 2026 09:31
Last Modified: 17 Apr 2026 09:31
URI: https://pred.uni-regensburg.de/id/eprint/67696

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