Assessment of 3D T2-weighted high-sampling-efficiency technique (SPACE) for detection of cerebellar tonsillar motion: new useful sign for Chiari I malformation
Abstract Objective To describe tonsillar blackout sign (TBS) on three-dimensional (3D)-SPACE, evaluate its performance in identifying Chiari malformation (CM1) as diagnostic marker, and investigate its role in differentiation of symptomatic and asymptomatic CM1. Methods One-hundred fifty-six patient...
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| Veröffentlicht in: | Clinical imaging 2015, Vol.39 (1), p.42-50 |
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| creator | Ucar, Murat Tokgoz, Nil Koc, Ali Murat Kilic, Koray Borcek, Alp Ozgun Oner, Ali Yusuf Kalkan, Gokalp Akkan, Koray |
| description | Abstract Objective To describe tonsillar blackout sign (TBS) on three-dimensional (3D)-SPACE, evaluate its performance in identifying Chiari malformation (CM1) as diagnostic marker, and investigate its role in differentiation of symptomatic and asymptomatic CM1. Methods One-hundred fifty-six patients were divided into two groups based on caudal displacement of cerebellar tonsils: CM1 (Group I) and non-CM1 (Group II). Group I was subclassified as symptomatic and asymptomatic by a neurosurgeon. Two radiologists evaluated TBS and cerebrospinal fluid flow abnormality. Results All subjects presenting TBS had CM1. Difference in presence of TBS between Group I and Group II was highly significant ( P < .001).Grading of TBS in symptomatic patients was significantly higher than that in asymptomatic patients ( P < .001). Conclusion TBS is highly suggestive of CM1 and potentially useful in differentiation of symptomatic and asymptomatic CM1. |
| doi_str_mv | 10.1016/j.clinimag.2014.08.011 |
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Methods One-hundred fifty-six patients were divided into two groups based on caudal displacement of cerebellar tonsils: CM1 (Group I) and non-CM1 (Group II). Group I was subclassified as symptomatic and asymptomatic by a neurosurgeon. Two radiologists evaluated TBS and cerebrospinal fluid flow abnormality. Results All subjects presenting TBS had CM1. Difference in presence of TBS between Group I and Group II was highly significant ( P < .001).Grading of TBS in symptomatic patients was significantly higher than that in asymptomatic patients ( P < .001). Conclusion TBS is highly suggestive of CM1 and potentially useful in differentiation of symptomatic and asymptomatic CM1.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2014.08.011</identifier><identifier>PMID: 25457539</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>3D T2-weighted high-sampling-efficiency technique (SPACE) ; Abnormalities ; Adult ; Arnold-Chiari Malformation - diagnosis ; Assessments ; Blackout ; Cerebellum - pathology ; Chiari I malformation ; CSF flow MR imaging ; Diagnostic systems ; Differentiation ; Dysphagia ; Efficiency ; Female ; Headaches ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Markers ; Middle Aged ; Patients ; Physiology ; Radiology ; Studies ; Three dimensional ; Tonsillar motion ; Young Adult</subject><ispartof>Clinical imaging, 2015, Vol.39 (1), p.42-50</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-1f38392168328716b6bbffce611be8f4c48ee887eca174766ed365a261914923</citedby><cites>FETCH-LOGICAL-c517t-1f38392168328716b6bbffce611be8f4c48ee887eca174766ed365a261914923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2014.08.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25457539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ucar, Murat</creatorcontrib><creatorcontrib>Tokgoz, Nil</creatorcontrib><creatorcontrib>Koc, Ali Murat</creatorcontrib><creatorcontrib>Kilic, Koray</creatorcontrib><creatorcontrib>Borcek, Alp Ozgun</creatorcontrib><creatorcontrib>Oner, Ali Yusuf</creatorcontrib><creatorcontrib>Kalkan, Gokalp</creatorcontrib><creatorcontrib>Akkan, Koray</creatorcontrib><title>Assessment of 3D T2-weighted high-sampling-efficiency technique (SPACE) for detection of cerebellar tonsillar motion: new useful sign for Chiari I malformation</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>Abstract Objective To describe tonsillar blackout sign (TBS) on three-dimensional (3D)-SPACE, evaluate its performance in identifying Chiari malformation (CM1) as diagnostic marker, and investigate its role in differentiation of symptomatic and asymptomatic CM1. Methods One-hundred fifty-six patients were divided into two groups based on caudal displacement of cerebellar tonsils: CM1 (Group I) and non-CM1 (Group II). Group I was subclassified as symptomatic and asymptomatic by a neurosurgeon. Two radiologists evaluated TBS and cerebrospinal fluid flow abnormality. Results All subjects presenting TBS had CM1. Difference in presence of TBS between Group I and Group II was highly significant ( P < .001).Grading of TBS in symptomatic patients was significantly higher than that in asymptomatic patients ( P < .001). Conclusion TBS is highly suggestive of CM1 and potentially useful in differentiation of symptomatic and asymptomatic CM1.</description><subject>3D T2-weighted high-sampling-efficiency technique (SPACE)</subject><subject>Abnormalities</subject><subject>Adult</subject><subject>Arnold-Chiari Malformation - diagnosis</subject><subject>Assessments</subject><subject>Blackout</subject><subject>Cerebellum - pathology</subject><subject>Chiari I malformation</subject><subject>CSF flow MR imaging</subject><subject>Diagnostic systems</subject><subject>Differentiation</subject><subject>Dysphagia</subject><subject>Efficiency</subject><subject>Female</subject><subject>Headaches</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Markers</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Physiology</subject><subject>Radiology</subject><subject>Studies</subject><subject>Three dimensional</subject><subject>Tonsillar motion</subject><subject>Young Adult</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk1v1DAQhiMEotvCX6gscSmHLB7biW0OqKulQKVKIHXvVuJMdr3kY7ETqv01_NU6uy1IvdDT-OOZdzyeN0nOgc6BQv5hO7eN61xbrOeMgphTNacAL5IZKMlTIbR-mcyo0jqVVMJJchrClsZELeTr5IRlIpMZ17PkzyIEDKHFbiB9TfhnsmLpHbr1ZsCKbGJMQ9HuYq11inXtrMPO7smAdtO5XyOSi9sfi-XVe1L3nlQYzwfXd5OURY8lNk3hydB3wR1WbT9dfyQd3pExYD02JLh1d8heblzhHbkmbdHEfVtM6JvkVV00Ad8-xLNk9eVqtfyW3nz_er1c3KQ2AzmkUHPFNYNccaYk5GVelnVtMQcoUdXCCoWolERbgBQyz7HieVawHDQIzfhZcnGU3fk-dhUG07pgp9d32I_BQJ6BAGBcPwMVUVYyKZ-Bcqm1yDhE9N0TdNuPvostT1TGlKaURio_Utb3IXiszc5HD_i9AWomX5itefSFmXxhqDLRFzHx_EF-LFus_qY9GiECl0cA4yf_duhNOIwaK-fjTE3Vu__X-PRE4oDZovmJewz_-jGBGWpuJ3dO5gRBKRM84_fkMeDG</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Ucar, Murat</creator><creator>Tokgoz, Nil</creator><creator>Koc, Ali Murat</creator><creator>Kilic, Koray</creator><creator>Borcek, Alp Ozgun</creator><creator>Oner, Ali Yusuf</creator><creator>Kalkan, Gokalp</creator><creator>Akkan, Koray</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>7QO</scope><scope>7U5</scope><scope>L7M</scope></search><sort><creationdate>2015</creationdate><title>Assessment of 3D T2-weighted high-sampling-efficiency technique (SPACE) for detection of cerebellar tonsillar motion: new useful sign for Chiari I malformation</title><author>Ucar, Murat ; Tokgoz, Nil ; Koc, Ali Murat ; Kilic, Koray ; Borcek, Alp Ozgun ; Oner, Ali Yusuf ; Kalkan, Gokalp ; Akkan, Koray</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-1f38392168328716b6bbffce611be8f4c48ee887eca174766ed365a261914923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>3D T2-weighted high-sampling-efficiency technique (SPACE)</topic><topic>Abnormalities</topic><topic>Adult</topic><topic>Arnold-Chiari Malformation - diagnosis</topic><topic>Assessments</topic><topic>Blackout</topic><topic>Cerebellum - pathology</topic><topic>Chiari I malformation</topic><topic>CSF flow MR imaging</topic><topic>Diagnostic systems</topic><topic>Differentiation</topic><topic>Dysphagia</topic><topic>Efficiency</topic><topic>Female</topic><topic>Headaches</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Markers</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Physiology</topic><topic>Radiology</topic><topic>Studies</topic><topic>Three dimensional</topic><topic>Tonsillar motion</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ucar, Murat</creatorcontrib><creatorcontrib>Tokgoz, Nil</creatorcontrib><creatorcontrib>Koc, Ali Murat</creatorcontrib><creatorcontrib>Kilic, Koray</creatorcontrib><creatorcontrib>Borcek, Alp Ozgun</creatorcontrib><creatorcontrib>Oner, Ali Yusuf</creatorcontrib><creatorcontrib>Kalkan, Gokalp</creatorcontrib><creatorcontrib>Akkan, Koray</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ucar, Murat</au><au>Tokgoz, Nil</au><au>Koc, Ali Murat</au><au>Kilic, Koray</au><au>Borcek, Alp Ozgun</au><au>Oner, Ali Yusuf</au><au>Kalkan, Gokalp</au><au>Akkan, Koray</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of 3D T2-weighted high-sampling-efficiency technique (SPACE) for detection of cerebellar tonsillar motion: new useful sign for Chiari I malformation</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2015</date><risdate>2015</risdate><volume>39</volume><issue>1</issue><spage>42</spage><epage>50</epage><pages>42-50</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><abstract>Abstract Objective To describe tonsillar blackout sign (TBS) on three-dimensional (3D)-SPACE, evaluate its performance in identifying Chiari malformation (CM1) as diagnostic marker, and investigate its role in differentiation of symptomatic and asymptomatic CM1. Methods One-hundred fifty-six patients were divided into two groups based on caudal displacement of cerebellar tonsils: CM1 (Group I) and non-CM1 (Group II). Group I was subclassified as symptomatic and asymptomatic by a neurosurgeon. Two radiologists evaluated TBS and cerebrospinal fluid flow abnormality. Results All subjects presenting TBS had CM1. Difference in presence of TBS between Group I and Group II was highly significant ( P < .001).Grading of TBS in symptomatic patients was significantly higher than that in asymptomatic patients ( P < .001). Conclusion TBS is highly suggestive of CM1 and potentially useful in differentiation of symptomatic and asymptomatic CM1.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25457539</pmid><doi>10.1016/j.clinimag.2014.08.011</doi><tpages>9</tpages></addata></record> |
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| subjects | 3D T2-weighted high-sampling-efficiency technique (SPACE) Abnormalities Adult Arnold-Chiari Malformation - diagnosis Assessments Blackout Cerebellum - pathology Chiari I malformation CSF flow MR imaging Diagnostic systems Differentiation Dysphagia Efficiency Female Headaches Humans Magnetic Resonance Imaging - methods Male Markers Middle Aged Patients Physiology Radiology Studies Three dimensional Tonsillar motion Young Adult |
| title | Assessment of 3D T2-weighted high-sampling-efficiency technique (SPACE) for detection of cerebellar tonsillar motion: new useful sign for Chiari I malformation |
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