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Phase-contrast cine MRI versus MR cisternography on the evaluation of the communication between intraventricular arachnoid cysts and neighbouring cerebrospinal fluid spaces

  • Diagnostic Neuroradiology
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Abstract

Introduction

The objective of this study was to evaluate the role of phase-contrast cine magnetic resonance imaging (PC-MRI) in detecting possible communications between intraventricular arachnoid cysts (IV-ACs) and cerebrospinal fluid (CSF) spaces based on MR cisternography (MRC) comparison.

Materials and methods

Twenty-one patients with IV-AC were examined by PC-MRI and MRC. In order to determine the communication of IVAC with its neighbouring CSF spaces, PC-MRI was employed. The communication of IV-ACs with the ventricular system was examined on at least two anatomic planes. Precontrast images and PC-MRI were followed by the intrathecal administration of 0.5–1 ml gadopentetate dimeglumine. Early and delayed MRC were then carried out. Results of PC-MRI were compared with findings of MRC (McNemar’s test).

Results

In seven IV-ACs, no communication was detected by PC-MRI. In 14 IVACs, a pulsatile CSF flow into the IV-ACs was observed. All the IV-ACs, which have been determined as non-communicating (NC) on the PC-MRI, showed NC character on MRC as well. Six cases suggesting a communication on PC-MRI showed no communication on MRC. MRC revealed eight communicating (38%) and 13 NC (62%) IV-ACs among a total of 21 cases. The sensitivity and specificity of PC-MRI imaging in demonstrating the communication between the IV-ACs and the CSF were 100% and 54%, respectively.

Conclusion

PC-MRI is an effective method for evaluating NC IV-ACs. In order to decide about the management of IV-ACs, which are communicating according to the PC-MRI, the results should be confirmed with MRC if suspected jet flow is depicted.

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Acknowledgement

We gratefully acknowledge Gokhan Ocakoglu, for his suggestions and for reviewing of the statistical analysis.

Conflict of interest statement

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, Uludag University School of Medicine, Bursa, Turkey

    Oktay Algın, Bahattin Hakyemez, Gokhan Gokalp & Mufıt Parlak

  2. Department of Neurosurgery, Uludag University School of Medicine, Bursa, Turkey

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  1. Oktay Algın
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  2. Bahattin Hakyemez
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  3. Gokhan Gokalp
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  4. Ender Korfalı
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  5. Mufıt Parlak
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Correspondence to Bahattin Hakyemez.

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Algın, O., Hakyemez, B., Gokalp, G. et al. Phase-contrast cine MRI versus MR cisternography on the evaluation of the communication between intraventricular arachnoid cysts and neighbouring cerebrospinal fluid spaces. Neuroradiology 51, 305–312 (2009). https://doi.org/10.1007/s00234-009-0499-6

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  • DOI: https://doi.org/10.1007/s00234-009-0499-6

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