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Journal of Neuroradiology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le lundi 6 février 2012
Doi : 10.1016/j.neurad.2011.12.003
Evaluation of spontaneous third ventriculostomy by three-dimensional sampling perfection with application-optimized contrasts using different flip-angle evolutions (3D-SPACE) sequence by 3T MR imaging: Preliminary results with variant flip-angle mode
Évaluation de la ventriculostomie du troisième ventricule par la séquence 3D SPACE à 3T : résultats préliminaires
 

Oktay Algin a, ⁎ , Baris Turkbey b , Evrim Ozmen a , Gokhan Ocakoglu c , Mustafa Karaoglanoglu a , Halil Arslan a
a Department of Radiology, Ataturk Training and Research Hospital, Bilkent, 06050 Ankara, Turkey 
b National Cancer Institute, NIH, Bethesda, Maryland, USA 
c Uludag University Medical Faculty, Biostatistics department, Gorukle, Bursa, Turkey 

Corresponding author. Tel.: +90 31 22 23 81 30; fax: +90 31 22 91 27 07.
Summary
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 ventriculostomy, Obstructive hydrocephalus, Magnetic resonance imaging, 3D-SPACE, Phase-contrast cine MRI


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Disclosure of interest


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