Evaluation of spontaneous third ventriculostomy by three-dimensional sampling perfection with application-optimized contrasts using different flip-angle evolutions (3D-SPACE) sequence by 3 T MR imaging: preliminary results with variant flip-angle mode
Date
2013Source Title
Journal of Neuroradiology
Print ISSN
0150-9861
Publisher
Elsevier
Volume
40
Issue
1
Pages
11 - 18
Language
English
Type
ArticleItem Usage Stats
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Abstract
Purpose
This prospective study aimed to evaluate the use of three-dimensional sampling perfection with application-optimized contrasts using different flip-angle evolutions (3D-SPACE) in the diagnosis of spontaneous third ventriculostomy (STV) and to compare it with phase-contrast cine magnetic resonance imaging (PC-MRI).
Methods
PC-MRI and 3D-SPACE images were obtained in 15 patients with hydrocephalus for evaluation of STV as well as in 10 control cases. The presence of STV was evaluated visually by two experienced radiologists on both PC-MRI and 3D-SPACE images, and the results were statistically compared.
Results
There was a strong correlation between PC-MRI and SPACE scores for both readers (correlation coefficient [r] = 0.784; P = 0.001). There was also a good correlation between PC-MRI scores and consensus-based results. Interobserver reliabilities were strong for all STV scores. In addition, there was excellent correlation between 3D-SPACE scores and consensus-based results (first reader's kappa value: 0.87; second reader's kappa value: 1).
Conclusion
3D-SPACE can provide morphological–physiological information for the evaluation of STV with no need for additional PC-MRI analysis or other sequences. As a non-invasive test, it can also be included among the first line of choices of MRI sequences for patients with obstructive hydrocephalus.
Keywords
Spontaneous third ventriculostomyObstructive hydrocephalus
Magnetic resonance imaging
3D-SPACE
Phase-contrast cine MRI