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Research ArticleSpine

Utility of Dual-Energy CT to Improve Diagnosis of CSF Leaks on CT Myelography following Lateral Decubitus Digital Subtraction Myelography with Negative Findings

S.J. Huls, D.P. Shlapak, D.K. Kim, S. Leng and C.M. Carr
American Journal of Neuroradiology October 2022, 43 (10) 1539-1543; DOI: https://doi.org/10.3174/ajnr.A7628
S.J. Huls
aFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota
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D.P. Shlapak
aFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota
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D.K. Kim
aFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota
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S. Leng
aFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota
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C.M. Carr
aFrom the Department of Radiology, Mayo Clinic, Ringgold Standard Institution, Rochester, Minnesota
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References

  1. 1.↵
    1. Schievink WI,
    2. Meyer FB,
    3. Atkinson JL, et al
    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 1996;84:598–605 doi:10.3171/jns.1996.84.4.0598 pmid:8613851
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. Farb RI,
    2. Nicholson PJ,
    3. Peng PW, et al
    . Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and digital subtraction myelography. AJNR Am J Neuroradiol 2019;40:745–53 doi:10.3174/ajnr.A6016 pmid:30923083
    Abstract/FREE Full Text
  3. 3.↵
    1. Mamlouk MD,
    2. Ochi RP,
    3. Jun P, et al
    . Decubitus CT myelography for CSF-venous fistulas: a procedural approach. AJNR Am J Neuroradiol 2021;42:32–36 doi:10.3174/ajnr.A6844 pmid:33122215
    Abstract/FREE Full Text
  4. 4.
    1. Kim DK,
    2. Carr CM,
    3. Benson JC, et al
    . Diagnostic yield of lateral decubitus digital subtraction myelogram stratified by brain MRI findings. Neurology 2021;96:e1312–18 doi:10.1212/WNL.0000000000011522 pmid:33472917
    Abstract/FREE Full Text
  5. 5.
    1. Kranz PG,
    2. Gray L,
    3. Malinzak MD, et al
    . CSF-venous fistulas: anatomy and diagnostic imaging. AJR Am J Roentgenol 2021;217:1418–29 doi:10.2214/AJR.21.26182 pmid:34191547
    CrossRefPubMed
  6. 6.↵
    1. Clark MS,
    2. Diehn FE,
    3. Verdoorn JT, et al
    . Prevalence of hyperdense paraspinal vein sign in patients with spontaneous intracranial hypotension without dural CSF leak on standard CT myelography. Diagn Interv Radiol 2018;24:54–59 doi:10.5152/dir.2017.17220 pmid:29217497
    CrossRefPubMed
  7. 7.↵
    1. Kranz PG,
    2. Luetmer PH,
    3. Diehn FE, et al
    . Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol 2016;206:8–19 doi:10.2214/AJR.15.14884 pmid:26700332
    CrossRefPubMed
  8. 8.↵
    1. Albrecht MH,
    2. Vogl TJ,
    3. Martin SS, et al
    . Review of clinical applications for virtual monoenergetic dual-energy CT. Radiology 2019;293:260–71 doi:10.1148/radiol.2019182297 pmid:31502938
    CrossRefPubMed
  9. 9.↵
    1. Postma AA,
    2. Das M,
    3. Stadler AA, et al
    . Dual-energy CT: what the neuroradiologist should know. Curr Radiol Rep 2015;3:16 doi:10.1007/s40134-015-0097-9 pmid:25815242
    CrossRefPubMed
  10. 10.↵
    1. Grams AE,
    2. Sender J,
    3. Moritz R, et al
    . Dual energy CT myelography after lumbar osteosynthesis. Rofo 2014;186:670–74 doi:10.1055/s-0033-1356199 pmid:24497091
    CrossRefPubMed
  11. 11.↵
    1. De Cecco CN,
    2. Boll DT,
    3. Bolus DN, et al
    . White paper of the Society of Computed Body Tomography and Magnetic Resonance on dual-energy CT, Part 4: abdominal and pelvic applications. J Comput Assist Tomogr 2017;41:8–14 doi:10.1097/RCT.0000000000000546 pmid:27824670
    CrossRefPubMed
  12. 12.↵
    1. Houk JL,
    2. Marin DM,
    3. Malinzak MD, et al
    . Dual energy CT for the identification of CSF-venous fistulas and CSF leaks in spontaneous intracranial hypotension: report of four cases. Radiol Case Rep 2022;17:1824–29 doi:10.1016/j.radcr.2022.02.053 pmid:35369539
    CrossRefPubMed
  13. 13.↵
    1. Kim DK,
    2. Brinjikji W,
    3. Morris PP, et al
    . Lateral decubitus digital subtraction myelography: tips, tricks, and pitfalls. AJNR Am J Neuroradiol 2020;41:21–28 doi:10.3174/ajnr.A6368 pmid:31857327
    Abstract/FREE Full Text
  14. 14.↵
    1. Dobrocky T,
    2. Grunder L,
    3. Breiding PS, et al
    . Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol 2019;76:580–87 doi:10.1001/jamaneurol.2018.4921 pmid:30776059
    CrossRefPubMed
  15. 15.↵
    1. Whiteley W,
    2. Al-Shahi R,
    3. Warlow CP, et al
    . CSF opening pressure: reference interval and the effect of body mass index. Neurology 2006;67:1690–91 doi:10.1212/01.wnl.0000242704.60275.e9 pmid:17101909
    Abstract/FREE Full Text
  16. 16.↵
    1. McCollough CH,
    2. Leng S,
    3. Yu L, et al
    . Dual- and multi-energy CT: principles, technical approaches, and clinical applications. Radiology 2015;276:637–53 doi:10.1148/radiol.2015142631 pmid:26302388
    CrossRefPubMed
  17. 17.↵
    1. Zensen S,
    2. Bos D,
    3. Opitz M, et al
    . Single- and dual-source CT myelography: comparison of radiation exposure and establishment of diagnostic reference levels. Diagnostics (Basel) 2021;11:1809 doi:10.3390/diagnostics11101809 pmid:34679507
    CrossRefPubMed
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American Journal of Neuroradiology: 43 (10)
American Journal of Neuroradiology
Vol. 43, Issue 10
1 Oct 2022
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S.J. Huls, D.P. Shlapak, D.K. Kim, S. Leng, C.M. Carr
Utility of Dual-Energy CT to Improve Diagnosis of CSF Leaks on CT Myelography following Lateral Decubitus Digital Subtraction Myelography with Negative Findings
American Journal of Neuroradiology Oct 2022, 43 (10) 1539-1543; DOI: 10.3174/ajnr.A7628

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Dual-Energy CT for CSF Leaks Diagnosis
S.J. Huls, D.P. Shlapak, D.K. Kim, S. Leng, C.M. Carr
American Journal of Neuroradiology Oct 2022, 43 (10) 1539-1543; DOI: 10.3174/ajnr.A7628
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  • Spinal CSF Leaks: The Neuroradiologist Transforming Care
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This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Myelographic Timing Matters
    M.D. Mamlouk, P.Y. Shen
    American Journal of Neuroradiology 2023 44 3
  • Spinal CSF Leaks: The Neuroradiologist Transforming Care
    Mark D. Mamlouk, Andrew L. Callen, Ajay A. Madhavan, Niklas Lützen, Lalani Carlton Jones, Ian T. Mark, Waleed Brinjikji, John C. Benson, Jared T. Verdoorn, D.K. Kim, Timothy J. Amrhein, Linda Gray, William P. Dillon, Marcel M. Maya, Thien J. Huynh, Vinil N. Shah, Tomas Dobrocky, Eike I. Piechowiak, Joseph Levi Chazen, Michael D. Malinzak, Jessica L. Houk, Peter G. Kranz
    American Journal of Neuroradiology 2024 45 11

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