RT Journal Article
SR Electronic
T1 Benefits of Photon-Counting CT Myelography for Localization of Dural Tears in Spontaneous Intracranial Hypotension
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 668
OP 671
DO 10.3174/ajnr.A8179
VO 45
IS 5
A1 Madhavan, Ajay A.
A1 Cutsforth-Gregory, Jeremy K.
A1 Brinjikji, Waleed
A1 Benson, John C.
A1 Johnson-Tesch, Ben A.
A1 Liebo, Greta B.
A1 Mark, Ian T.
A1 Oien, Michael P.
A1 Shlapak, Darya P.
A1 Yu, Lifeng
A1 Verdoorn, Jared T.
YR 2024
UL http://www.ajnr.org/content/45/5/668.abstract
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