Imaging of Brain Metabolism Spine and Cord Interventional Neuroradiology Free Communications: XVth Congress of the European Society of Neuroradiology Würzburg, September 13th–17th, 1988

639 Pages·1989·18.877 MB·English

by  K. Bergström, C. Muhr, M. Bergström, P. O. Lundberg, P. Lundin, B. Långström (auth.), Prof. Dr. med. Maschallah Nadjmi (eds.)

Maschallah Nadjmi (Editor)
IlTIaging of
Brain MetabolislTI
Spine and Cord
Interventional N euroradiology
Free COIlli11unications
XV Congress of the
th
European Society of Neuroradiology
Wiirzburg, September 13th -17th, 1988
With 330 Figurers
Springer-Verlag Berlin Heidelberg NewY ork
London Paris Tokyo Hong Kong
Prof. Dr. med. Maschallah Nadjmi
Abteilung fUr Neuroradio\ogie
Kopfklinik der Universitat WUrzburg
loseph-Schneider-StraBe II
8700 WUrzburg
FRG
ISBN-13: 978-3-642-74339-9 e-ISBN-13: 978-3-642-74337-5
DOl: 10.1007/978-3-642-74337-5
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© Springer-Verlag Berlin Heidelberg 1989
Softcover reprint of the hardcover 1st edition 1989
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212113020-543210 -Printed on acid-free paper
FTeface
This volume contains papers given at the recent 15th Congress of the
European Society of Neuroradiology, Wurzburg.
The book consists of four main parts. The first three deal with new
methods for imaging of brain metabolism (PET and MR spectroscopy),
the spine and spinal cord, and interventional neuroradiology, while
the fourth includes contributions on various topics including multiple
sclerosis, AIDS, and the hypophysis.
Where manuscripts for papers given at the Congress were not available,
short summaries based on abstracts submitted before the conference
have been included.
We are very much obliged to Schering (Berlin) for their cooperation
and for supporting this book. We also thank Springer-Verlag, especial
ly B. Lewerich and M. Botsch, for the competent preparation and good
design of this volume.
M. Nadjmi
President of the 15th Congress
of the European Society of
Neuroradiology
Table of Contents
PET and M R Spectroscopy
In Vivo Characterization of Pituitary Adenomas Using
Positron Emission Tomography
K. Belxstrom, C. MlIhl; M. Bergstrom, P. 0. LlindbelX, P. Llindin,
and B. Langstrom .................................................................................... 3
Early Changes in Regional Cerebral Metabolic Rates for
Glucose and Oxygen and in Regional Cerebral Blood Flow of
Malignant Gliomas After Intraarterial Chemotherapy with
ACNU: Positron Emission Tomography Studies in 14 Patients
N. Roosen, K.-1. Langen, T Kuwert,]. C. W Kiwtf, T Kahil, H. Herzog,
£. Rota, W 1. Bock, alld L. £. Fetnendegel1 .... .... ... ..... ............ ........ ... ...... ...... 7
PET in the Differential Diagnosis and Evaluation
of Treatment in Dementias
W-D. Heiss, K. Hcrholz, C. Pawlik, B. Szelies, and K. Wienhard ...................... II
Image-Guided Localized 31p NM R Spectroscopy of the
Human Brain: Preliminary Clinical Results
W He1/7de/,J. Bunke, and C. Friedmann ...................................................... 15
Potentials of Magnetic Resonance Spectroscopy
in Neuroradiology
S. Fe/be!; R. Sautel; and W Loj/ler.............................................................. 19
Brain Infarction: SPECTExamination of Regional
Cerebral Blood Flow (RCBF) and Volume (RCBV)
Compared with Gadolinium (Gd)-DTPA-Enhanced MRI
M. Cordes, H. Henkes, H. Eichstadt, C. L({/i'bre, N. Hosten,
M. Langel; and R. Felix. ..... ....... .... ......... ........ ... ....... ........ ... ...... ......... ...... 27
Emerging Clinical Application of Phosphorous Chemical
Shift Imaging of Neoplastic Disease
H. C. Charles, H. D. Sostman, M. Dewhirst, K. A. Leopold,
M. Bakel; and 1. A. Tucker ... ....... .... ...... ....... .... ... .... ........... ... ...... ... ...... ...... 31
The PET Revolution in the Neurosciences
H. N. Wagner]l: ........ .... .... .... .... ............. ..... ... ... ..... ... ... ....... ...... ........ ....... 32
VIII
PET in the Evaluation of Response to Treatment of Brain Tumours
K. Ericson. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
PET in Brain Gliomas -Biological and Morphological Aspects
A. Lilja ................................................................. 35
PET Studies in Cerebro-Vascular Disorders
J. C. Baron .............................................................. 39
Spine
M R Anatomy of the Spine and Spinal Cord
M. Gado, M. Vanniel; and G. Conroy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Craniocervical Junction: MR Study of Normal
Paravertebral Soft Tissues and Bony Structures
C. Faubert, J. L. Dietemann, H. Sick, M. Vouge, and A. Wackenheim . . . . . . . . . . . 51
Spinal CS F Pulsations
G. Schroth, U. Klose, and W. Grodd ........................................ 53
CSF Pulsations in the Cervical Region Studied by MRI
J. T. Wilmink, E. L. Mooyaart, R. L. Kamman, and D. J. Zeilstra .............. 59
DOPE-A Fast Method to Measure CSFMotion
D. Ott and J. Hennig. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Analysis of Spinal CSF-Flow Phenomena with an
MRCine Mode Using Fast Sequences. Demonstration by MR-Movie
G. Schuietel; J. Grebmeiel; and W. J. Huk ................................... 69
Comparison of Strategies for CSF and Blood Flow Motion
Artifacts Suppression in T2-Weighted Spin-Echo
MR Imaging of the Spine
M. Citrin, J. L. Sherman, and R. Gangarosa ................................ 73
Gadolinium DTPA in Magnetic Resonance Imaging
of Spinal Tumours and Angiomas
1.lshelwood, J. M. HawnaUl; and J. P. R. Jenkins. . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
MR in Craniocervical Malformation
C. F. Andreula, M. Resta, M. A. Gentile, and A. Carella ...................... 87
Normal Postnatal Maturation of the Spine
Th. P. Naidich . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Vascular Anatomy and Microangiography of the Spinal Cord
A. K. Thron .. . ..... ....... ..... .... . . .... ....... ... . .... . . ... . . .. ... ... .. 91
Brain Stem Anatomy and MRI
G. De Chambenois, T. N. Jee, N. Girard, J. Sedat, and G. Salamon. . . . . . . . . . . . . 92
Craniocervical Juncture: MRI vs CT in Congenital and Acquired Diseases
R.A.Zimmerman........................................................ 93
IX
Lesions Involving the Foramen Magnum: Diagnostic Management
E. Schindlel; R. Stiglbauel; and A. Neuhold . . . .. ... .. . . . . ... . . ... . .. .. .. ... . 93
Tumors of the Craniocervical Junction: Experiences with
Conventional and Special M RI Techniques
E. Hqfmann, H. Friedburg, D. Ott, and H. BertalanjjY. . . . . . . . . . . . . . . . . . . . . . . . 97
Value of Paramagnetic Contrast Agents in the Evaluation
of the Craniocervical Junction by MRI
F. E. Zanella, G. Friedmann, and W. Heindel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
The Craniocervical Junction in Skeletal Dysplasia:
MRI in Flexion and Extension
J. L. Sherman, S. E. Kopits, and C M. Citrin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Diagnostic Concept of Spinal Tumours
Results of235 Patients
B. Schuknecht, M. Nadjmi, M. Ratzka, and K. Eberhardt. . . . . . . . . . . . . . . . . . . . . 109
Difficulties in Intubation For Cervical Surgery: Airway
Assessment with Magnetic Resonance Imaging
M. Boukobza, D. Bouguet, M. Metzgel; R. Roy-Camille, and P. Viars 113
MR of the Spine in Breast Cancer
E. Touboul, M. Boukobza, J. Kardouss, G. Amlel, and J. Metzger. . . . . . . . . . . . . . 117
MR in Lumbar Spondylolisthesis
S. Cronqvist, S. Holtas, M. Annertz, and B. Jonsson. . . . . . . . . . . . . . . . . . . . . . . . . . 117
M RI of Postoperative Lumbar Spine after Surgery:
Assessment of Recurrent Herniated Disk
C Manelfe, I. Berry, C Nomblot, J. Prere, Ph. Arrue and A. Bonafe . . . . . . . . . . . . 119
MR Post-Diskectomy Imaging
M. Resta, F. DicuOl1Z0, A. Lorusso, and A. Carella.. . . .. .. . .. . . . . .. . . .. . .. ... 125
Spinal Dysraphism -Assessment of the Role ofMR Imaging
T.Jaspan, C/. Rothwell, I. M. Holland, and B. S. Worthington 131
Diagnosis of Lumbar Dysraphias by CT Myelography and
Nuclear Magnetic Resonance Imaging
M. Ratzka, N. Sorensen, M. Nadjmi, and B. Schuknecht. . . . . . . . . . . . . . . . . . . . . . 135
Lumbosacral Spinal Dysraphism - Examination with
MRI Compared with Conventional Modalities:
Management and Recommendations
E. Volle, J. Treisch, H. J. Kaufmann,
J. P. Hedde, D. Kohlel; and T. Michael. . . .. . . ... .. ... . . . ... . . . .. . . .. . ... .. . . 143
The Anatomic Basis ofVertebrogenic Pain in Lumbar Disc
Extrusion: A Retrospective MR Study
J. R. Jinkll1s, A. R. Whittemore, and W. G. Bradley. . . . . . . . . . . . . . . . . . . . . . . . . . . 147
MRI in Degenerative Disease of the Lumbosacral Disc
P. Piazza, R. Menozzi, F. Cu:,mano, E. Ferri, M.lmberti, and P. Bassi.. ... ... .. 151
x
MRI in Spinal Dysraphism - Findings in 90 Children and Adolescents
M.Just.................................................................. 157
3D Gradient Echo Sequences in Examination of the Spine
N. Oblettel; H. Kett, and A. Breit. .. . .. . . . ... . ... .. . . .... . ..... . .... ... ... . . 158
Clinical Use of Three-Dimensional Spinal ComputerTomograpy
H. Becker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Significance of Modern Imaging Techniques in Patients
with Friedreich's Ataxia
W. Muller-Forell, G. Schroth, and K. Wessel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Diagnosis ofVertebrospinal Vascular Malformations:
10 Years of Experience
J. Stojanovie, A. Kamlel; K. Cavka, A. Jusie,
M. Sostarko, N. Thallel; and A. Mandie. . .. . . .. ... . . .. . . ... . . . . .. . . .. . .. ... 167
Pathophysiology of Spinal Dural Arteriovenous Fistula:
A Hemodynamic Approach
W. Hasslel; E. H. Grote, and A. Thron ...................................... 173
Cystic Necrosis in Compressive Cervical Myelopathy:
A Comparison of Myelo CT and M RI
J. H. Faiss, G. Schroth, W. Grodd, B. Will, and E. Koenig. . . .. .. . . .. . . .. . .. .. . 179
Contrast Enhanced MRI ofInfectious Spondylitis
S. 0. Rodiek, G. T. Wemel; and G. Goede.................................... 183
MRI of Syringomyelia: Comparison of Pre-Postoperative
Results with Clinical Symptoms
G. Schroth, M. Palmbach, and H. Steinmetz... ....... ..... .......... ... .. ... 187
Low Flip Angle Gradient Echo M RI of the
Cervical Spine at OJ Tesla
S. Holtas, F. Stahlberg, E.-M. Larsson, and S. Cronqvist 191
MRI Detection of Intramedullary Ischemia
Due to Cervical Spondylosis
G. C. Dooms, P. Mathurin, G. Comelis, and P. Hulcelle. . . . . . . . . . . . . . . . . . . . . . . 192
Computer Aided Analytic Morphometry of Posterior
Intervertebral Articulations
P. D'Aprile, G. Farchi, V. Pesce Delfino, and A. Carella 193
Spinal Cord Puncture: Diagnostic and Therapeutic Aspects
D. Tampieri, D. Melanson, and R. Ethier. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 197
Clinical Relevance of Surface Coil Images
Corrected by Homomorphic Filtering
F. E. Zanella, H. Lanfermann, W. Stembrich, and J. Bunke 201
Effects of Gadolinium Complexes on Spinal Cord Cell Cultures
M. Allard ............................................................... 205
XI
Gadolinium Enhancement in MR of Suspected Spinal MUltiple Sclerosis
E.-M. Larsson, S. Holtas, O. Nilsson, and S. Cronqvist ...................... 206
The Role ofMRI in the Assessment of Lesions
of the Conus and Lower Cord
B. S. Worthington,A. R. M. Wilson, T.Jaspan, and f. M. Holland 207
M Rand Radionuclear Bone Scan in Evaluation of Spinal Metastases
G. Krol, S. Yeh, G. Sze and L. Ginsberg.. . . . .. . .. ... ... .. . .. . .. . . ... .. . .. . .. 211
Improvement of Myelography by Application of Digital Radiography
B. Haubitz, W. Dohring, and H. Becker.. . . ... . .. ... .. . . . . .. ... . ... . .. . .. ... 215
The Value of M RI in the Pre-and Postsurgical Evaluation
of Cervical Spine Disease
F. E. Zanella, W. Gross-Fengels, and A. Koulousakis......................... 219
Spinal Cord Lesions Due to Cervical Myelopathy.
Pre-and Postoperative MRI Findings
D. Kilhne, H. C. Nahsel; D. deSilva,A. Feldges,
W. H. Heienbrok, and J. Lalik ............................................. 223
Delay of Tibial F-Wave Response after
Lumbar Myeloradiculography
N. Prey, G. Kubina, Th. Staudacher, and P. Stoeter . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
MR Imaging and Gadolinium Enhancement of Spinal Epidural Sepsis
M. Boukobza, L. Feldman, B. Chenesseau, and J. Metzger. . . . . . . . . . . . . . . . . . . . 237
Intramedullary Lipoma
B.Appel, R. Crols, E.Moens, and A. Lowenthal............................. 237
Embryonal and Fetal Vascularisation of the Spinal Cord:
Microangiographic Examinations
A. Thron, P. Stoetel; C. Hauss, R. Dietz, U. Drews, and W. Sonntag. . . . . . . . . . . . . 239
Spinal Cord Sonography in Post-Laminectomy Tumour Patients
U. Mende, A. Aschoff, P. Fritz, and H. Betz .................................. 243
MR Evaluation with Gadolinium of the Spine in Spinal
Cord Compression Secondary to Metastatic Disease
and Posttreatment Control
J. Met:uel; M. Boukobza, N. Bouayed, A. Arzimanoglou,
M. Poi riel; and R. Roy-Camille. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Compression of the Cervical Spinal Cord in Mucopolysacharidosis
D. Wagner and P. Stoeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Lumbar Facet Joint Syndrome. A Randomized Prospective Trial
E. M. Laasonen, G. Lilius,A. Harilainen, P. Myllynell, and G. Gronlund....... 249
Width of the Cervical Spinal Canal in Multiple Sclerosis
and Its Significance for Therapy
M. Muessig, W. Trabert, K. Schimrigk, and G. Huber. . . . . . . . . . . . . . . . . . . . . . . . . 253
XII
Tethered Spinal Cord: Reliability of Conventional
Myelography and Postoperative Follow-up in 30 Patients
H. 0. M. Thijssen, J. L. Merx, and S. H. Bakker-Niezen . . . . . . . . . . . . . . . . . . . . . . . 257
Myelographic Presentation of Meningeal Carcinomatosis
G. Krol, M. Malkin, N.lmam, and J. Posner. ... ... ... . . ... . . . ... . . .. . ..... . . 261
Interventional Neuroradiology
EndosaccularTreatment via the Endovascular Approach of the
So-called Surgical Subarachnoid Aneurysms: A New Technique
J. Moret, L. Picard, P. Derome, J. Lepoire, L. Castaings, and A. Boulin 267
EndovascularTreatment ofIntracranial AVMs by Means of Wing
Microcatheter: Technique, Clinical and Pathological Results
A. Benati, A. Beltramel/o, R. Colombari, A. Maschio, S. Perini, E. Piovan,
R. Da Pian, A. Pasqualin, R. Scienza, L. Rosta, A. Scarpa, and G. Zamboni ... . 277
Embolization of Brain AVMs with Flow-Independent Microcatheters
A. Valavanis ., ... '" . ..... . . ..... ... .. . .. . ........... .... . . .... .... .. ... . 281
Balloon Occlusion of Internal Carotid for the Treatment
of Giant Inoperable Aneurysms
W. S. Tan, J. J.JafG/; R.Abejo, R. M. Crowel/, and D. Spigos ................... 282
EndovascularTreatment of a Giant Fusiform Aneurysm
of the Basilar Artery. Case Report.
A. Aymard, D. Rufenacht, D. Reizine, F. Woimant, and J. J. Mer/and. . . . . . . . . . . 282
Cerebral Arterio-Venous Fistulas Treated by Endovascular Procedure
A. Biondi, D. Rufenacht, and J. J. Mer/and. . . . . . . . . . . . . . . . . . . . . . . . . . . .• . . . . . 283
The "Creeping Balloon": An Alternative Technique for the
Treatment of the Difficult Carotid-Cavernous Fistulas
W. J. Huk ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
Embolization of Cerebral AVMs: Experience with Nine Cases
G. Guglielmi, M. Fe/iC/ani, G. GUidetti, and P. Silipo . . . . . . . . . . . . . . . . . .. . . . . . . 289
Therapeutic Embolization of Vascular Malformations of the
Head and Neck: Indications, Technique, Results
J. Stojanovii:, A. Kamlel; M. Turii:, J. Unusii:, and B. Malenica 295
Thrombus Formation: Structure and Evolution in
Intracranial Aneurysms Treated by Balloon Occlusion
V. Graves, C. Strothel; C. Partington, Y. Kikuchi, and P. Eldevik ........... ,... 299
Silk Suture Embolization of High Flow
Vascular Malformations
S. T. Hecht and J. A. Horton ............................................... 303
Local Intraarterial Fibrinolysis in the Carotid Territory. Risk Factors
J. Theron, P. Courtheoux, A. Casasco, and F. Alachkar .. . .. . . . . ... . . . .. .. .. . . 303