Phase-contrast Cine MRI Versus MR Cisternography on the Evaluation of the Communication Between Intraventricular Arachnoid Cysts and Neighbouring Cerebrospinal Fluid Spaces

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 2009 Jan 28

PMID 19172255

Citations 12

Authors

Oktay Algin

Bahattin Hakyemez

Gokhan Gokalp

Ender Korfali

Mufit Parlak

Affiliations

Soon will be listed here.

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.

Citing Articles

Controversies in the Treatment of Arachnoid Cysts with Special Emphasis on Temporal Arachnoid Cysts.

Peraud A, Ibel R Adv Tech Stand Neurosurg. 2023; 46:175-192.

PMID: 37318575 DOI: 10.1007/978-3-031-28202-7_9.

The unique features of middle cranial fossa and Sylvian fissure arachnoid cysts in children: MRI evaluation.

Kaynak Sahap S, Unal S, Fitoz S Childs Nerv Syst. 2022; 39(1):79-85.

PMID: 36266364 DOI: 10.1007/s00381-022-05712-3.

[Magnetic resonance cisternography].

Yilmaz U Radiologe. 2018; 58(2):132-134.

PMID: 29330616 DOI: 10.1007/s00117-017-0342-8.

Quantitative analysis of intraspinal cerebrospinal fluid flow in normal adults.

Yan L, Liu H, Shang H Neural Regen Res. 2015; 7(15):1164-9.

PMID: 25722710 PMC: 4340034. DOI: 10.3969/j.issn.1673-5374.2012.15.007.

Quantitative assessment of physiological cerebrospinal fluid flow in the cervical spinal canal with 3.0T phase-contrast cine MRI.

Shang H, Liu H, Yan L, Lei J, Cui C, Li H Neural Regen Res. 2015; 7(18):1392-7.

PMID: 25657672 PMC: 4308789. DOI: 10.3969/j.issn.1673-5374.2012.18.005.

References

Dillon W . Intrathecal gadolinium: its time has come?. AJNR Am J Neuroradiol. 2008; 29(1):3-4. PMC: 8119075. DOI: 10.3174/ajnr.A0884. View

Hoffmann K, Hosten N, Meyer B, Roricht S, Sprung C, Oellinger J . CSF flow studies of intracranial cysts and cyst-like lesions achieved using reversed fast imaging with steady-state precession MR sequences. AJNR Am J Neuroradiol. 2000; 21(3):493-502. PMC: 8174987. View

Schroeder H, Gaab M, Niendorf W . Neuroendoscopic approach to arachnoid cysts. J Neurosurg. 1996; 85(2):293-8. DOI: 10.3171/jns.1996.85.2.0293. View

Arbelaez A, Medina E, Rodriguez M, Londono A, Castillo M . Intrathecal administration of gadopentetate dimeglumine for MR cisternography of nasoethmoidal CSF fistula. AJR Am J Roentgenol. 2007; 188(6):W560-4. DOI: 10.2214/AJR.05.1280. View

Yildiz H, Erdogan C, Yalcin R, Yazici Z, Hakyemez B, Parlak M . evaluation of communication between intracranial arachnoid cysts and cisterns with phase-contrast cine MR imaging. AJNR Am J Neuroradiol. 2005; 26(1):145-51. PMC: 7975052. View

Acar O, Kocaogullar Y, Guney O . Arachnoid cyst within the fourth ventricle: a case report. Clin Neurol Neurosurg. 2003; 105(2):93-4. DOI: 10.1016/s0303-8467(02)00111-7. View

Eguchi T, Taoka T, Nikaido Y, Shiomi K, Fujimoto T, Otsuka H . Cine-magnetic resonance imaging evaluation of communication between middle cranial fossa arachnoid cysts and cisterns. Neurol Med Chir (Tokyo). 1996; 36(6):353-7. DOI: 10.2176/nmc.36.353. View

Zada G, Krieger M, McNatt S, Bowen I, McComb J . Pathogenesis and treatment of intracranial arachnoid cysts in pediatric patients younger than 2 years of age. Neurosurg Focus. 2007; 22(2):E1. DOI: 10.3171/foc.2007.22.2.1. View

Pradilla G, Jallo G . Arachnoid cysts: case series and review of the literature. Neurosurg Focus. 2007; 22(2):E7. DOI: 10.3171/foc.2007.22.2.7. View

10.

Stoquart-El Sankari S, Lehmann P, Gondry-Jouet C, Fichten A, Godefroy O, Meyer M . Phase-contrast MR imaging support for the diagnosis of aqueductal stenosis. AJNR Am J Neuroradiol. 2008; 30(1):209-14. PMC: 7051720. DOI: 10.3174/ajnr.A1308. View

11.

Goel G, Ravishankar S, Jayakumar P, Vasudev M, Shivshankar J, Rose D . Intrathecal gadolinium-enhanced magnetic resonance cisternography in cerebrospinal fluid rhinorrhea: road ahead?. J Neurotrauma. 2007; 24(10):1570-5. DOI: 10.1089/neu.2007.0326. View

12.

Hakyemez B, Yildiz H, Parlak M . [CSF connection of the intracranial cysts and cyst like lesions: Analysis with flow sensitive phase-contrast Cine MR imaging]. Tani Girisim Radyol. 2003; 9(2):152-6. View

13.

Nilsson S, Ortoft K, Molstad S . The accuracy of general practitioners' clinical assessment of chest pain patients. Eur J Gen Pract. 2008; 14(2):50-5. DOI: 10.1080/13814780802342622. View

14.

Okamura K, Watanabe M, Inoue N, Kanoh M, Ohno T, Mitsui Y . [Intraventricular arachnoid cyst--on the origin of intraventricular arachnoid cysts]. No To Shinkei. 1996; 48(11):1015-21. View

15.

Kadowaki C, Hara M, Numoto M, Takeuchi K, Saito I . Cine magnetic resonance imaging of aqueductal stenosis. Childs Nerv Syst. 1995; 11(2):107-11. DOI: 10.1007/BF00303815. View

16.

Nitz W, Bradley Jr W, Watanabe A, Lee R, Burgoyne B, OSullivan R . Flow dynamics of cerebrospinal fluid: assessment with phase-contrast velocity MR imaging performed with retrospective cardiac gating. Radiology. 1992; 183(2):395-405. DOI: 10.1148/radiology.183.2.1561340. View

17.

Wester K . Arachnoid cysts in adults: experience with internal shunts to the subdural compartment. Surg Neurol. 1996; 45(1):15-24. DOI: 10.1016/0090-3019(95)00383-5. View

18.

Miyajima M, Arai H, OKUDA O, Hishii M, Nakanishi H, Sato K . Possible origin of suprasellar arachnoid cysts: neuroimaging and neurosurgical observations in nine cases. J Neurosurg. 2000; 93(1):62-7. DOI: 10.3171/jns.2000.93.1.0062. View

19.

Sasaki M, Honda S, Yuasa T, Iwamura A, Shibata E, Ohba H . Narrow CSF space at high convexity and high midline areas in idiopathic normal pressure hydrocephalus detected by axial and coronal MRI. Neuroradiology. 2007; 50(2):117-22. DOI: 10.1007/s00234-007-0318-x. View

20.

Tali E, Ercan N, Kaymaz M, Pasaoglu A, Jinkins J . Intrathecal gadolinium (gadopentetate dimeglumine)-enhanced MR cisternography used to determine potential communication between the cerebrospinal fluid pathways and intracranial arachnoid cysts. Neuroradiology. 2004; 46(9):744-54. DOI: 10.1007/s00234-004-1240-0. View