Evaluation of giant arachnoid granulations with high-resolution 3D-volumetric MR sequences at 3T

Copyright © 2019 Elsevier B.V. All rights reserved..

PURPOSE: To evaluate the contribution to the diagnosis of the giant arachnoid granulations (AGs) of three-dimensional (3D) high-resolution magnetic resonance (MR) imaging sequences such as T2-weighted sampling perfection with application optimized contrasts using different flip-angle evolution (SPACE) and post-contrast T1-weighted magnetization prepared rapid gradient echo (MPRAGE).

MATERIALS AND METHODS: Patients with 45 giant AGs were included in this retrospective study. All the patients were performed 3D T2-weighted SPACE and contrast enhanced MR venography sequences, as well as conventional cerebral MR imaging sequences. Post-contrast T1 weighted MPRAGE sequence were performed on 38/45 patients. All cerebral MR examinations were reviewed by the 2 neuroradiologists. Each GA was evaluated carefully to assess location and mean diameter.

RESULTS: The most common location for giant AGs was at both transverse sinuses. Fluid signal feature within the giant AGs was not isointense to CSF on SE T1 and FLAIR MR imaging in 32 of 45 giant AGs. There were cerebral herniation into AG in 10 (22.2 %) of 45 giant AGs. 33 (73.3 %) of 45 giant AGs had central vein finding into AG in contrast enhanced MR venography. Signal void phenomenon into AG in 3D T2-weighted SPACE MR sequence was identified in 28 (62.2 %) of 45 giant AGs.

CONCLUSIONS: Fluid within giant AGs had no completely CSF-like signal intensity on conventional and 3D high-resolution MR imaging sequences. Majority of CSF-incongruent fluid within giant AGs on conventional sequences is mostly due to intra-AG CSF flow.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:121

Enthalten in:

European journal of radiology - 121(2019) vom: 20. Dez., Seite 108722

Sprache:

Englisch

Beteiligte Personen:

Ogul, Hayri [VerfasserIn]
Guven, Fadime [VerfasserIn]
Izgi, Emine [VerfasserIn]
Kantarci, Mecit [VerfasserIn]

Links:

Volltext

Themen:

Brain
Cerebrospinal fluid
Journal Article
Magnetic resonance imaging

Anmerkungen:

Date Completed 18.03.2020

Date Revised 18.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejrad.2019.108722

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM303100168