PURPOSE
To develop a method for derivation of the cranial-spinal compliance distribution, assess its reliability, and apply to obese female patients with a diagnosis of Idiopathic Intracranial Hypertension (IIH).
MATERIALS AND METHODS
Phase contrast based measurements of blood and CSF flows to, from, and between the cranial and spinal canal compartments were used with lumped-parameter modeling to estimate systolic volume and pressure changes from which cranial and spinal compliance indices are obtained. The proposed MRI indices are analogous to pressure volume indices (PVI) currently being measured invasively with infusion based techniques. The consistency of the proposed method was assessed using MRI data from 7 aged healthy subjects. Measurement reproducibility was assessed using 5 repeated MR scans from one subject. The method was then applied to compare spinal canal compliance contribution in 7 IIH patients and 6 matched healthy controls.
RESULTS
In the healthy subjects, as expected, spinal canal contribution was consistently larger than the cranial contribution (average value of 69%). Measurement variability was 8%. In IIH, the spinal canal contribution is significantly smaller than normal controls (60 vs. 78%, P<0.03).
CONCLUSION
MRI based method for derivation of compliance indices analogous to PVI has been implemented and applied to healthy subjects. The application of the method to obese IIH patients points to the potential role of the spinal canal compartment in IIH.