Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas

Document detail
ID

oai:pubmedcentral.nih.gov:1024...

Topic
Spine
Author
Madhavan, A.A. Yu, L. Brinjikji, W. Cutsforth-Gregory, J.K. Schwartz, F.R. Mark, I.T. Benson, J.C. Amrhein, T.J.
Langue
en
Editor

American Society of Neuroradiology

Category

AJNR: American Journal of Neuroradiology

Year

2023

listing date

6/10/2024

Keywords
imaging photon-counting myelography
Metrics

Abstract

CSF-venous fistulas are an increasingly recognized type of CSF leak that can be particularly challenging to detect, even with recently improved imaging techniques.

Currently, most institutions use decubitus digital subtraction myelography or dynamic CT myelography to localize CSF-venous fistulas.

Photon-counting detector CT is a relatively recent advancement that has many theoretical benefits, including excellent spatial resolution, high temporal resolution, and spectral imaging capabilities.

We describe 6 cases of CSF-venous fistulas detected on decubitus photon-counting detector CT myelography.

In 5 of these cases, the CSF-venous fistula was previously occult on decubitus digital subtraction myelography or decubitus dynamic CT myelography using an energy-integrating detector system.

All 6 cases exemplify the potential benefits of photon-counting detector CT myelography in identifying CSF-venous fistulas.

We suggest that further implementation of this imaging technique will likely be valuable to improve the detection of fistulas that might otherwise be missed with currently used techniques.

Madhavan, A.A.,Yu, L.,Brinjikji, W.,Cutsforth-Gregory, J.K.,Schwartz, F.R.,Mark, I.T.,Benson, J.C.,Amrhein, T.J., 2023, Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas, American Society of Neuroradiology

Document

Open Open

Share

Source

pmc

Articles recommended by ES/IODE AI

Computer Science
Advancing the Arabic WordNet: Elevating Content Quality
 wordnet
Basic and Clinical Neuroscie...
Investigating the Glucagon-like Peptide-1 and Its Receptor in Human Brain: Distribution of Expression, Functional Implications, Age-related Changes and Species Specific Characteristics
 diencephalon related age-related alzheimer’s brainstem gene decline decade age alzheimer patchy significant immunoreactivity hippocampus brain cortical glp-1 cortex human glp-1r peptide-1
Life Sciences
Deciphering the lipid–cancer nexus: comprehensive Mendelian randomization analysis of the associations between lipid profiles and digestive system cancer susceptibility
 digestive system cancers lipidomics mendelian randomization causal relationship lipidomic = 0 levels significant risk cancer profiles developing lipid digestive system