Taken initial admission CT images for all included cases were imported into picture archiving and communication system (PACS). Pediatric head CTs were independently reviewed by two different radiologists (YK and ST) to prevent bias. Radiologists were unaware of the patients' age, trauma shape, and Glasgow Coma Score. All the CT scans were obtained by the 16-slice CT scanner (
Alexion 16, Toshiba Medical Systems, Tochigi, Japan), a 3 mm single slice section. Scans of the cranium were displayed using a standard Toshiba mediastinum algorithm at a window level, of 10 and window width of 300 HU. All measurements were made using the same window, contrast and brightness. ONSD was measured as suggested in the literature, posterior to the orbital cortex at a distance of 3 mm from the optic disc. [14, (
link)18] (
link) Firstly, measurements were taken from both optical sheaths, and then an average value was obtained for each patient by one of the radiologists. Patients who could not be measured from both eyes were excluded from this study. One of the radiologists evaluated, head CT images, for fracture, hemorrhage (subdural-epidural-subarachnoid-intraventricular), basal cistern compression, herniation, the shift in midline structures and calculated RCTS according to prespecified parameters. [19] (
link)
Kayadibi Y., Ülgen Tekerek N., Yeşilbaş O., Tekerek S., Üre E., Kayadibi T, & Tekcan Şanlı D.E. (2020). Correlation between optic nerve sheath diameter and Rotterdam computer tomography scoring in pediatric brain injury. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 26(2).