Three-Dimensional Volumetric Magnetic Resonance Imaging Analysis of Syringomyelia Evolution After Posterior Fossa Decompression for Chiari Malformation Type1.

3D Chiari malformation type 1 Posterior fossa decompression Syringomyelia Syrinx Syrinx volume Volume evolution

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 20 04 2023
revised: 23 07 2023
accepted: 24 07 2023
pubmed: 3 8 2023
medline: 3 8 2023
entrez: 2 8 2023
Statut: ppublish

Résumé

This study aims to introduce a method of three-dimensional (3D) volume magnetic resonance imaging (MRI) measurements to evaluate the evolution of syringomyelia (SM) in adults with Chiari malformation type 1 (CM-1) after posterior fossa decompression (PFD), to provide reproducible and accurate measurements. Radiologic and clinical data were obtained for 28 patients. MRI 3D syrinx volumes were evaluated by 2 observers using Philips Healthcare Tumor Tracking tool. The mean SM preoperative volume was 9.1 ± 15.3 cm This study shows that 3D volume measurement of the syrinx cavity on MRI is a reproducible and accurate method to assess the postoperative evolution of SM in CM-1 after PFD. Most patients (75%) showed a reduction of SM volume, with a mean volume decrease of 50%. The reliability is yet to be validated in further larger studies.

Identifiants

DOI: 10.1016/j.wneu.2023.07.121 PMID: 37532020
pubmed: 37532020
pii: S1878-8750(23)01066-5
doi: 10.1016/j.wneu.2023.07.121
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e566-e577

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Wassim Baassiri (W)

Department of Spine and Spinal Cord Surgery, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, and Claude Bernard University of Lyon 1, Lyon, France. Electronic address: wassimbaassiri@gmail.com.

Alexandre Bani-Sadr (A)

Department of Neuroradiology, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, and Claude Bernard University of Lyon 1, Lyon, France.

Gabriele Capo (G)

Department of Spine and Spinal Cord Surgery, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, and Claude Bernard University of Lyon 1, Lyon, France; Department of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.

Andrei Brinzeu (A)

Department of Spine and Spinal Cord Surgery, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, and Claude Bernard University of Lyon 1, Lyon, France; Department of Neurosciences, Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania.

Cédric Yves Barrey (CY)

Department of Spine and Spinal Cord Surgery, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, and Claude Bernard University of Lyon 1, Lyon, France; Laboratory of Biomechanics, École nationale supérieure d'Arts et Métiers, Arts et Metiers ParisTech, Paris, France.

Classifications MeSH