Assessment of liliequist membrane by 3D-SPACE technique at 3 T

buir.contributor.authorAlgın, Oktay
dc.citation.epage647en_US
dc.citation.spage637en_US
dc.citation.volumeNumber58en_US
dc.contributor.authorAlgın, Oktayen_US
dc.contributor.authorKılın, M.en_US
dc.contributor.authorOzmen, E.en_US
dc.contributor.authorOcakoglu, G.en_US
dc.date.accessioned2020-04-09T14:15:14Z
dc.date.available2020-04-09T14:15:14Z
dc.date.issued2016
dc.departmentAysel Sabuncu Brain Research Center (BAM)en_US
dc.description.abstractIntroduction Liliequist membrane (LM) is the most important anatomic structure for the success of endoscopic third ventriculostomy (ETV). Identification of this membrane is difficult with conventional MRI techniques. The purpose of this retrospective study is to determine the impact of threedimensional sampling perfection with application-optimized contrasts using different flip-angle evolutions (3D-SPACE) sequence with variant flip-angle mode (VFAM) in the assessment of LM at 3-T MRI devices. Methods 3D-SPACE with VFAMimages were obtained in 445 patients. LM visibility and integrity were scored as 0 (good), 1 (moderate), and 2 (poor) on these images for each parts (sellar, diencephalic, and mesencephalic) and overall of the membrane. Results According to the LMoverall integrity scores, 11%(48 cases) of the patients had perforated membrane. According to subsegmental integrity scores, sellar part was completely intact in 63 % of patients, diencephalic segment was completely intact in 60 % of the patients, and mesencephalic segment was completely intact in 95 % of the patients. Visibility scores of the third ventricle inferior wall were significantly higher in the patients with intact LM (p = 0.001). There was not any statistically significant relationship between LM pattern and overall integrity (p = 0.352). LM attachment sites could be detected easier in the patients who had better visibility of third ventricle inferior wall or intact LM (p < 0.001 for both). Conclusion 3D-SPACE technique is a useful alternative for the evaluation of morphology, integrity, individual variations, topographic relationships, and visibility of LM since it has some advantages including lower SAR values, fewer artifacts, and high-resolution images.en_US
dc.identifier.doi10.1007/s00234-016-1669-yen_US
dc.identifier.urihttp://hdl.handle.net/11693/53566
dc.language.isoEnglishen_US
dc.publisherSpringeren_US
dc.relation.isversionofhttps://doi.org/10.1007/s00234-016-1669-yen_US
dc.source.titleNeuroradiologyen_US
dc.subjectMRIen_US
dc.subjectLiliequist’smembraneen_US
dc.subjectCSFen_US
dc.subjectThird ventriculostomyen_US
dc.subject3D-SPACEen_US
dc.titleAssessment of liliequist membrane by 3D-SPACE technique at 3 Ten_US
dc.typeArticleen_US

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