The diagnosis of ventriculoperitoneal shunt malfunction by using phase-contrast cine magnetic resonance imaging

Hongri Zhang; Jinsen Zhang; Jinghua Peng; Xiaowei Hao; Gang Li

doi:10.1016/j.jocn.2019.03.033

The diagnosis of ventriculoperitoneal shunt malfunction by using phase-contrast cine magnetic resonance imaging

J Clin Neurosci. 2019 Jun:64:141-144. doi: 10.1016/j.jocn.2019.03.033. Epub 2019 Apr 15.

Authors

Hongri Zhang¹, Jinsen Zhang², Jinghua Peng¹, Xiaowei Hao¹, Gang Li³

Affiliations

¹ Department of Neurosurgery, The First Affiliated Hospital of Henan University of Science and Technology, #24 Jinghua Road, Luoyang, PR China.
² Department of Neurosurgery, Huashan Hospital, Fudan University, #12 Middle Wulumuqi Road, Shanghai, PR China.
³ Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. Electronic address: ligangqiluhospital@163.com.

PMID: 31000330
DOI: 10.1016/j.jocn.2019.03.033

Abstract

The ventriculoperitoneal (VP) shunt is a gold standard procedure to treat hydrocephalus. However, shunt malfunction is the common complications after surgery. In this study, we utilize phase-contrast cine magnetic resonance imaging (PC cine MRI) to improve the diagnosis of VP shunt malfunction. In in vitro and in vivo experiment results demonstrate the cerebrospinal fluid (CSF) flow velocities in the shunt tube are significantly decreased in the shunt malfunction group, which indicated PC cine MRI could evaluate the CSF flow dynamics of VP shunt effectively. This method is noninvasive and simple, also can improve the diagnosis of shunt malfunction.

Keywords: Diagnosis; Malfunction; Phase-contrast cine magnetic resonance imaging; Ventriculoperitoneal shunt.

MeSH terms

Equipment Failure*
Female
Humans
Hydrocephalus / surgery
Magnetic Resonance Imaging, Cine / methods*
Male
Neuroimaging / methods*
Postoperative Complications / diagnostic imaging*
Ventriculoperitoneal Shunt / adverse effects*