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3.0T Brain and CSF flow - NIC Las Vegas

ExamCard
Orrison, William Las Vegas, Nevada Imaging Centers USA
Gibson, Jon Las Vegas, Nevada Imaging Centers USA
Perkins, Tom, Ph.D. Philips Healthcare USA
Jong, J.W. Philips Healthcare USA

3.0T Brain and CSF flow

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ExamCard Purpose

General examination of the cranial contents, aquaduct of Sylvius - foramen of Monroe - magnum foramen. Post-gadolinium sequences are accomplished 5 minutes post injection to visualize lesions with abnormal vascularity. Recommended if hydrocephalus or CSF flow deficiency are probable diagnosis.

 

The T1W_3D_TFE sagittal pre- and post-contrast (scans 8/9) are reformatted into coronal and axial planes.

ExamCard Overview

Scan 1Survey
Scan 2Reference scan
Scan 3FLAIR sagittal
Scan 4FLAIR axial
Scan 5T2W_GraSE axial
Scan 6CSF flow sagittal midline
Scan 7CSF QFlow
Scan 8T1W_3D_TFE sagittal
Scan 9T1W_3D_TFE sagittal post Gadolinium

Total scan time: 23:12 min.

ExamCard Images

T2W_GraSE axial FLAIR axial
T2W_GraSE axial
FLAIR axial

Contrast agent / injection protocol

0.5 cc per kg (half dose)

Post-processing / analysis

The T1W_3D_TFE sagittal pre- and post-contrast (scans 8/9) are reformatted into coronal and axial planes.

 

3 Variations:

 

Aqueduct of Sylvius:

Q-flow measuring velocities between the 3rd & 4th ventricles.

 

Foramen of Monroe:

Q-flow ensures comunicative flow between 1st & 2nd ventricles (lateral ventricles).

 

Foramen Magnum:

More often used to demonstrate flow deficiencies associated with Chiari malformations. Velocities are measured 5 times:

 

1- entire foramen;

2- anterior to the cervical cord;

3- right of cord;

4- left of cord;

5- posterior to cord.

 

Depending on the possible obstructing properties of the malformation velocities should increase over the entire area of the foramen magnum and greatly deminish in the area of obstruction.

 

 

 

Related reading:

 

 

 

 



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ExamCard
Intera 3.0T
Release 11
Master / Quasar Dual
Brain, Neuro
 

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