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

doi:10.3174/ajnr.A6852

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

AJNR Am J Neuroradiol. 2021 Jan;42(1):116-118. doi: 10.3174/ajnr.A6852. Epub 2020 Oct 29.

Authors

I E Duman¹, T Demerath², A Stadler², S Elsheikh², E Raithel³, C Forman³, T Hildenbrand⁴, M Shah⁵, J Grauvogel⁵, C Scheiwe⁵, H Urbach², S Meckel²

Affiliations

¹ From the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.) [email protected].
² From the Departments of Neuroradiology (I.E.D., T.D., A.S., S.E., H.U., S.M.).
³ Siemens Healthcare GmbH (E.R., C.F.), Erlangen, Germany.
⁴ Otorhinolaryngology (T.H.).
⁵ Neurosurgery (M.S., J.G., C.S.), University of Freiburg Medical Center, Faculty of Medicine, University of Freiburg, Freiberg, Germany.

Abstract

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.

MeSH terms

Adult
Cerebrospinal Fluid Rhinorrhea / diagnostic imaging*
Cerebrospinal Fluid Rhinorrhea / surgery
Female
Gadolinium
Humans
Imaging, Three-Dimensional / methods
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Neuroimaging / methods*

Substances

Gadolinium