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Complications of CSF Shunts in Pediatrics: Functional Assessment With CSF Shunt Scintigraphy-Performance and

Hedieh Khalatbari1, Marguerite T Parisi1,2

  • 1Department of Radiology, University of Washington School of Medicine, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105.

AJR. American Journal of Roentgenology
|October 21, 2020
PubMed

Insights

This review details the performance and interpretation criteria for cerebrospinal fluid (CSF) shunt scintigraphy. Proper application of these methods enhances diagnostic accuracy for patients with shunted hydrocephalus.

Area of Science:

  • Neurosurgery
  • Nuclear Medicine
  • Radiology

Background:

  • Hydrocephalus is a common condition requiring cerebrospinal fluid (CSF) shunting.
  • CSF shunts can malfunction due to various mechanical or biological issues.
  • Accurate assessment of shunt function is crucial for patient management.

Purpose of the Study:

  • To review the performance methods of CSF shunt scintigraphy.
  • To outline the interpretation criteria for CSF shunt scintigraphy studies.
  • To emphasize the importance of understanding shunt mechanics and failure modes.

Main Methods:

  • Review of existing literature on CSF shunt scintigraphy.
  • Analysis of performance metrics and diagnostic yield.
  • Discussion of established interpretation guidelines.

Main Results:

  • CSF shunt scintigraphy is a valuable tool for assessing shunt function.
  • Specific interpretive criteria improve diagnostic accuracy.
  • Understanding shunt components and failure mechanisms is essential.

Conclusions:

  • Effective interpretation of CSF shunt scintigraphy demands expertise in hydrocephalus and shunt technology.
  • Strict adherence to interpretive criteria maximizes the diagnostic utility of scintigraphy.
  • This functional information aids neurosurgical management of shunted hydrocephalus.

Keywords:
CSF shunthydrocephaluspediatricradionuclide CSF scintigraphyradionuclide shuntogramventriculoperitoneal shunt

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