PT  - JOURNAL ARTICLE
AU  - Madhavan, Ajay A.
AU  - Cutsforth-Gregory, Jeremy K.
AU  - Brinjikji, Waleed
AU  - Benson, John C.
AU  - Johnson-Tesch, Ben A.
AU  - Liebo, Greta B.
AU  - Mark, Ian T.
AU  - Oien, Michael P.
AU  - Shlapak, Darya P.
AU  - Yu, Lifeng
AU  - Verdoorn, Jared T.
TI  - Benefits of Photon-Counting CT Myelography for Localization of Dural Tears in Spontaneous Intracranial Hypotension
AID  - 10.3174/ajnr.A8179
DP  - 2024 May 01
TA  - American Journal of Neuroradiology
PG  - 668--671
VI  - 45
IP  - 5
4099  - http://www.ajnr.org/content/45/5/668.short
4100  - http://www.ajnr.org/content/45/5/668.full
SO  - Am. J. Neuroradiol.2024 May 01; 45
AB  - SUMMARY: Photon-counting CT is an increasingly used technology with numerous advantages over conventional energy-integrating detector CT. These include superior spatial resolution, high temporal resolution, and inherent spectral imaging capabilities. Recently, photon-counting CT myelography was described as an effective technique for the detection of CSF-venous fistulas, a common cause of spontaneous intracranial hypotension. It is likely that photon-counting CT myelography will also have advantages for the localization of dural tears, a separate type of spontaneous spinal CSF leak that requires different myelographic techniques for accurate localization. To our knowledge, prior studies on photon-counting CT myelography have been limited to techniques for detecting CSF-venous fistulas. In this technical report, we describe our technique and early experience with photon-counting CT myelography for the localization of dural tears.CTMCT myelographyDSMdigital subtraction myelographyEIDenergy-integrating detectorPCCTphoton-counting CTPC-CTMphoton-counting CT myelographySIHspontaneous intracranial hypotensionSRstandard resolutionUHRultra-high-resolutionVMIvirtual monoenergetic image