Review Article

Interpretation and value of MR CSF flow studies for paediatric neurosurgery

Samukelisiwe Sithembile Mbonane, Savvas Andronikou
South African Journal of Radiology | Vol 17, No 1 | a208 | DOI: https://doi.org/10.4102/sajr.v17i1.208 | © 2013 Samukelisiwe Sithembile Mbonane, Savvas Andronikou | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2013 | Published: 05 March 2013

About the author(s)

Samukelisiwe Sithembile Mbonane, Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Savvas Andronikou, Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Imaging techniques may be underutilised when clinicians are unaware of the technique or do not recognise its potential. Phase-contrast MR imaging (PC-MRI) is a rapid, simple and non-invasive technique that is sensitive to CSF flow. It demonstrates a mechanical coupling between cerebral blood and CSF flow throughout the cardiac cycle. Neurosurgeons should be able to request this procedure routinely as part of an MRI request. This paper gives an overview of the indications, technical requirements, technique and interpretation, using image examples. Indications for CSF flow studies include assessment and functionality of shunt treatment in patients with hydrocephalus; hydrocephalus associated with achondroplasia; Chiari I malformation; confirmation of aqueductal stenosis; and determining patency of a third ventriculostomy.

Keywords

Phase contrast; MRI;Hydrocephalus;Chiari; cerebrospinal fluid

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