Evidence map›Paper›PMID 37202116›Full record

ArticleAJNR. American journal of neuroradiology2023

Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas.

A A Madhavan, L Yu, W Brinjikji, J K Cutsforth-Gregory, F R Schwartz, I T Mark, J C Benson, T J Amrhein

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 39 citations in OpenAlex.

  1. Sacral CSF-venous fistula: a rare entity. Illustrative case.Journal of neurosurgery. Case lessons · 2026
    Article
  2. Article
  3. Review
  4. Updated ultrafast dynamic computed tomography myelography technique for cerebrospinal fluid leaks.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  5. Fluctuating hearing loss secondary to spontaneous intracranial hypotension: A case report and review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Photon-Counting CT Myelography for the Detection of Spinal CSF Leaks.AJNR. American journal of neuroradiology · 2025
    Article
  12. Review
  13. Observational
  14. Article
  15. Review
  16. Spinal CSF Leaks: The Neuroradiologist Transforming Care.AJNR. American journal of neuroradiology · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

A A MadhavanFrom the Division of Neuroradiology (A.A.M., L.Y., W.B., I.T.M., J.C.B.) madhavan.ajay@mayo.edu.ORCID 0000-0003-1794-4502
L YuFrom the Division of Neuroradiology (A.A.M., L.Y., W.B., I.T.M., J.C.B.).
W BrinjikjiFrom the Division of Neuroradiology (A.A.M., L.Y., W.B., I.T.M., J.C.B.).ORCID 0000-0001-5271-5524
J K Cutsforth-GregoryDepartment of Radiology and Department of Neurology (J.K.C.-G.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-5689-4424
F R SchwartzDivision of Neuroradiology (F.R.S., T.J.A.), Department of Radiology, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0002-3598-7082
I T MarkFrom the Division of Neuroradiology (A.A.M., L.Y., W.B., I.T.M., J.C.B.).ORCID 0000-0002-4036-2992
J C BensonFrom the Division of Neuroradiology (A.A.M., L.Y., W.B., I.T.M., J.C.B.).ORCID 0000-0002-4038-5422
T J AmrheinDivision of Neuroradiology (F.R.S., T.J.A.), Department of Radiology, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0002-9354-9486
MACOM (United States) · USDuke University · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CSF-venous fistulas are an increasingly recognized type of CSF leak that can be particularly challenging to detect, even with recently improved imaging techniques. Currently, most institutions use decubitus digital subtraction myelography or dynamic CT myelography to localize CSF-venous fistulas. Photon-counting detector CT is a relatively recent advancement that has many theoretical benefits, including excellent spatial resolution, high temporal resolution, and spectral imaging capabilities. We describe 6 cases of CSF-venous fistulas detected on decubitus photon-counting detector CT myelography. In 5 of these cases, the CSF-venous fistula was previously occult on decubitus digital subtraction myelography or decubitus dynamic CT myelography using an energy-integrating detector system. All 6 cases exemplify the potential benefits of photon-counting detector CT myelography in identifying CSF-venous fistulas. We suggest that further implementation of this imaging technique will likely be valuable to improve the detection of fistulas that might otherwise be missed with currently used techniques.

Indexed as

FistulaIntracranial HypotensionCerebrospinal Fluid LeakHumansMyelographyTomography, X-Ray Computed

Identifiers

PMID37202116
PMCPMC10249691
OpenAlexW4377019794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.