Spinal Cerebrospinal Fluid Leak Localization with Dynamic Computed Tomography Myelography: Tips, Tricks, and Pitfalls
This article aims to provide insights into the technique, tips, tricks, and potential pitfalls associated with dCTM for spinal CSF leak localization. By understanding the nuances of this procedure, clinicians can optimize the diagnostic process and improve patient outcomes.PMID:38272623 | DOI:10.1016/j.rcl.2023.09.002 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: William P Dillon Source Type: research

Spinal Cerebrospinal Fluid Leak Localization with Digital Subtraction Myelography: Tips, Tricks, and Pitfalls
Radiol Clin North Am. 2024 Mar;62(2):321-332. doi: 10.1016/j.rcl.2023.10.004. Epub 2023 Nov 11.ABSTRACTCerebrospinal fluid (CSF) leak can cause spontaneous intracranial hypotension (SIH) which can lead to neurologic symptoms, such as orthostatic headache. Over time, imaging techniques for detecting and localizing CSF leaks have improved. These techniques include computed tomography (CT) myelography, dynamic CT myelography, cone-beam CT, MRI, MR myelography, and digital subtraction myelography (DSM). DSM provides the highest sensitivity for identifying leak sites and has comparable radiation exposure to CT myelography. The ...
Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: Javier Galvan Marcel Maya Ravi S Prasad Vikram S Wadhwa Wouter Schievink Source Type: research

Percutaneous Treatment and Post-treatment Management of CSF Leaks and CSF-Venous Fistulas in Spontaneous Intracranial Hypotension
Radiol Clin North Am. 2024 Mar;62(2):333-343. doi: 10.1016/j.rcl.2023.09.003. Epub 2023 Oct 20.ABSTRACTSpontaneous intracranial hypotension (SIH) is a treatable cause of orthostatic headaches secondary to pathologic loss of cerebrospinal fluid (CSF) from the subarachnoid space. SIH has several known pathologic causes including dural tears from disc osteophytes, leaks emanating from nerve root sleeve diverticula, and CSF-venous fistulas (CVFs). Depending on the type of leak, surgical repair or endovascular techniques may be options for definite treatment. However, epidural blood patching (EBP) remains first-line therapy for...
Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: Jessica L Houk Peter G Kranz Timothy J Amrhein Source Type: research

Endovascular Embolization Techniques for Cerebrospinal Fluid-Venous Fistula in the Treatment of Spontaneous Intracranial Hypotension
Radiol Clin North Am. 2024 Mar;62(2):345-354. doi: 10.1016/j.rcl.2023.10.006. Epub 2023 Nov 8.ABSTRACTCerebrospinal fluid-venous fistula (CVF) is an important cause of spontaneous intracranial hypotension (SIH), a condition characterized by low cerebrospinal fluid (CSF) volume and orthostatic headaches. The pathogenesis of CVF is thought to be direct connection of the spinal dura to one or more veins in the epidural space, allowing unregulated flow of CSF into the venous system. Herein, we provide a comprehensive review of the endovascular management of CVF in patients with SIH. We also focus on the various techniques and ...
Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: Atakan Orscelik Jeremy K Cutsforth-Gregory Ajay Madhavan Yigit Can Senol Hassan Kobeissi Gokce Belge Bilgin Cem Bilgin David F Kallmes Waleed Brinjikji Source Type: research

Practical Applications of Artificial Intelligence in Spine Imaging: A Review
Radiol Clin North Am. 2024 Mar;62(2):355-370. doi: 10.1016/j.rcl.2023.10.005. Epub 2023 Nov 18.ABSTRACTArtificial intelligence (AI), a transformative technology with unprecedented potential in medical imaging, can be applied to various spinal pathologies. AI-based approaches may improve imaging efficiency, diagnostic accuracy, and interpretation, which is essential for positive patient outcomes. This review explores AI algorithms, techniques, and applications in spine imaging, highlighting diagnostic impact and challenges with future directions for integrating AI into spine imaging workflow.PMID:38272627 | DOI:10.1016/j.rc...
Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: Upasana Upadhyay Bharadwaj Cynthia T Chin Sharmila Majumdar Source Type: research