Dynamic Magnetic Resonance Imaging of Endoscopic Third Ventriculostomy Patency With Differently Acquired Fast Imaging With Steady-State Precission Sequences

Milos A. Lucic; Katarina Koprivsek; Dusko Kozic; Martina Spero; Milena Spirovski; Silvija Lucic

doi:10.17305/bjbms.2014.3.37

Authors

Milos A. Lucic Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad
Katarina Koprivsek Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad
Dusko Kozic Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad
Martina Spero University Hospital „Dubrava“, University of Zagreb
Milena Spirovski Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad
Silvija Lucic Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

DOI:

https://doi.org/10.17305/bjbms.2014.3.37

Keywords:

Magnetic Resonance Imaging, Dynamic Magnetic Resonance Imaging, Fast Imaging with Steady State Precession, Cerebrospinal Fluid Flow, Endoscopic Third Ventriculostomy

Abstract

The aim of the study was to determine the possibilities of two differently acquired two-dimensional fast imaging with steady-state precession (FISP 2D) magnetic resonance sequences in estimation of the third ventricle floor fenestration patency after endoscopic third ventriculostomy (ETV) in the subjects with aqueductal stenosis/obstruction.

Fifty eight subjects (37 males, 21 females, mean age 27 years) with previously successfully performed ETV underwent brain MRI on 1.5T MR imager 3-6 months after the procedure. Two different FISP 2D sequences (one included in the standard vendor provided software package, and the other, experimentally developed by our team) were performed respectively at two fixed slice positions: midsagittal and perpendicular to the ETV fenestration, and displayed in a closed-loop cinematographic format in order to estimate the patency. The ventricular volume reduction has been observed as well.

Cerebrospinal fluid (CSF) flow through the ETV fenestration was observed in midsagittal plane with both FISP 2D sequences in 93.11% subjects, while in 6.89% subjects the dynamic CSF flow MRI was inconclusive. In the perpendicular plane CSF flow through the ETV fenestration was visible only by use of experimentally developed FISP 2D (TR30/FA70) sequence. Postoperative volume reduction of lateral and third ventricle was detected in 67.24% subjects.

Though both FISP 2D sequences acquired in midsagittal plane may be used to estimate the effects of performed ETV, due to achieved higher CSF pulsatile flow sensitivity, only the use of FISP 2D (TR30/FA70) sequence enables the estimation of the treatment effect in perpendicular plane in the absence of phase-contrast sequences.

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Author Biographies

Milos A. Lucic, Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

Professor of Radiology
Radiologist, Neuroradiologist
Katarina Koprivsek, Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

Professor of Radiology
Dusko Kozic, Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

Professor of Radiology
Martina Spero, University Hospital „Dubrava“, University of Zagreb

MD, PhD, Neuroradiologist
Milena Spirovski, Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

MD, Radiologist
Silvija Lucic, Oncology Institute of Vojvodina, Diagnostic Imaging Center, University of Novi Sad, University School of Medicine Novi Sad

MD, PhD, Radiologist and Nuclear Medicine Specialist

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