Journal article
Ari M. Blitz, Ari M. Blitz, Pauline P. Huynh, L. W. Bonham, S. K. Gujar, D. E. Sorte, A. Moghekar, Mark G Luciano, Daniele Rigamonti
American Journal of Neuroradiology, 2020
American Journal of Neuroradiology, 2020
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APA
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Blitz, A. M., Blitz, A. M., Huynh, P. P., Bonham, L. W., Gujar, S. K., Sorte, D. E., … Rigamonti, D. (2020). High-Resolution MRI for Evaluation of Ventriculostomy Tubes: Assessment of Positioning and Proximal Patency. American Journal of Neuroradiology.
Chicago/Turabian
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Blitz, Ari M., Ari M. Blitz, Pauline P. Huynh, L. W. Bonham, S. K. Gujar, D. E. Sorte, A. Moghekar, Mark G Luciano, and Daniele Rigamonti. “High-Resolution MRI for Evaluation of Ventriculostomy Tubes: Assessment of Positioning and Proximal Patency.” American Journal of Neuroradiology (2020).
MLA
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Blitz, Ari M., et al. “High-Resolution MRI for Evaluation of Ventriculostomy Tubes: Assessment of Positioning and Proximal Patency.” American Journal of Neuroradiology, 2020.
BibTeX Click to copy
@article{ari2020a,
title = {High-Resolution MRI for Evaluation of Ventriculostomy Tubes: Assessment of Positioning and Proximal Patency},
year = {2020},
journal = {American Journal of Neuroradiology},
author = {Blitz, Ari M. and Blitz, Ari M. and Huynh, Pauline P. and Bonham, L. W. and Gujar, S. K. and Sorte, D. E. and Moghekar, A. and Luciano, Mark G and Rigamonti, Daniele}
}
Abstract
BACKGROUND AND PURPOSE: Imaging evaluation of ventriculostomy tubes, despite the frequency of malfunction, has remained inadequate due to the absence of a systematic way of assessing the catheter itself. In this retrospective review, we assessed the utility of high-resolution 3D MR imaging techniques, including CISS and volumetric interpolated breath-hold examination sequences, in the evaluation of ventriculostomy catheters. MATERIALS AND METHODS: We performed a retrospective review of 23 clinical MR imaging cases of shunted hydrocephalus spanning a 3-year period, all depicting ventriculostomy catheters. The MR imaging examinations included isotropic CISS and volumetric interpolated breath-hold examination sequences performed with and without contrast. These were independently evaluated by 2 neuroradiologists with respect to the catheter course, side hole position, relationship of the side holes to the ventricles, patency, and the presence or absence of intraluminal debris. RESULTS: The catheter tip was best seen on isotropic CISS sequences reformatted in an oblique plane, and side holes were visualized as CSF signal defects along the catheter wall in 10/23 (43%) cases. The relationship of the catheter side holes to the ventricles was seen in 47% of cases and was best visualized on the coronal CISS sequences. Catheter patency was confirmed in 12/23 (52%) cases, while the other 48% were notable for T2 hypointense filling defects compatible with luminal obstruction. Enhancement of some of these filling defects on imaging is suggestive of choroid plexus ingrowth rather than debris. CONCLUSIONS: High-resolution 3D MR imaging using isotropic CISS sequences allows systematic evaluation of catheter positioning, patency, and potential etiologic differentiation of filling defects when shunt dysfunction is suspected.