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Research ArticleAdult Brain

High-Resolution Gadolinium-Enhanced MR Cisternography Using Compressed-Sensing T1 SPACE Technique for Detection of Intracranial CSF Leaks

I.E. Duman, T. Demerath, A. Stadler, S. Elsheikh, E. Raithel, C. Forman, T. Hildenbrand, M. Shah, J. Grauvogel, C. Scheiwe, H. Urbach and S. Meckel
American Journal of Neuroradiology January 2021, 42 (1) 116-118; DOI: https://doi.org/10.3174/ajnr.A6852
I.E. Duman
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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  • ORCID record for I.E. Duman
T. Demerath
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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A. Stadler
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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S. Elsheikh
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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E. Raithel
dSiemens Healthcare GmbH (E.R., C.F.), Erlangen, Germany
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  • ORCID record for E. Raithel
C. Forman
dSiemens Healthcare GmbH (E.R., C.F.), Erlangen, Germany
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T. Hildenbrand
bOtorhinolaryngology (T.H.)
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  • ORCID record for T. Hildenbrand
M. Shah
cNeurosurgery (M.S., J.G., C.S.), University of Freiburg Medical Center, Faculty of Medicine, University of Freiburg, Freiberg, Germany
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J. Grauvogel
cNeurosurgery (M.S., J.G., C.S.), University of Freiburg Medical Center, Faculty of Medicine, University of Freiburg, Freiberg, Germany
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C. Scheiwe
cNeurosurgery (M.S., J.G., C.S.), University of Freiburg Medical Center, Faculty of Medicine, University of Freiburg, Freiberg, Germany
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H. Urbach
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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S. Meckel
aFrom the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.)
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Abstract

SUMMARY: In patients with CSF rhinorrhea, accurate identification of the CSF leakage site is crucial for surgical planning. We describe the application of a novel gadolinium-enhanced high-resolution 3D compressed-sensing T1 SPACE technique for MR cisternography and compare findings with CT cisternography and intraoperative results. In our pilot experience with 7 patients, precise detection of CSF leaks was feasible using compressed-sensing T1 SPACE, which appeared to be superior to CT cisternography.

ABBREVIATIONS:

CS
compressed-sensing
CTC
CT cisternography
MRC
MR cisternography
SPACE
sampling perfection with application-optimized contrasts by using different flip angle evolution
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American Journal of Neuroradiology: 42 (1)
American Journal of Neuroradiology
Vol. 42, Issue 1
1 Jan 2021
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High-Resolution Gadolinium-Enhanced MR Cisternography Using Compressed-Sensing T1 SPACE Technique for Detection of Intracranial CSF Leaks
I.E. Duman, T. Demerath, A. Stadler, S. Elsheikh, E. Raithel, C. Forman, T. Hildenbrand, M. Shah, J. Grauvogel, C. Scheiwe, H. Urbach, S. Meckel
American Journal of Neuroradiology Jan 2021, 42 (1) 116-118; DOI: 10.3174/ajnr.A6852

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High-Resolution Gadolinium-Enhanced MR Cisternography Using Compressed-Sensing T1 SPACE Technique for Detection of Intracranial CSF Leaks
I.E. Duman, T. Demerath, A. Stadler, S. Elsheikh, E. Raithel, C. Forman, T. Hildenbrand, M. Shah, J. Grauvogel, C. Scheiwe, H. Urbach, S. Meckel
American Journal of Neuroradiology Jan 2021, 42 (1) 116-118; DOI: 10.3174/ajnr.A6852
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