Détail du document
Identifiant
oai:pubmedcentral.nih.gov:1024...
Sujet
SpineAuteur
Madhavan, A.A. Yu, L. Brinjikji, W. Cutsforth-Gregory, J.K. Schwartz, F.R. Mark, I.T. Benson, J.C. Amrhein, T.J.Langue
enEditeur
American Society of Neuroradiology
Catégorie
AJNR: American Journal of Neuroradiology
Année
2023
Date de référencement
10/06/2024
Mots clés
imaging photon-counting myelographyRésumé
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
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