{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:49:08Z","timestamp":1782211748674,"version":"3.54.5"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:sec id=\"S1\">\n                    <jats:title>\n                      <jats:italic>Object<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The aim of this study was to evaluate three-dimensional Fourier transformation constructive interference in steady-state (CISS) imaging as a preoperative investigation of anatomical structures around the lumbosacral lipoma for surgical untethering of the spinal cord and debulking of the lipoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2\">\n                    <jats:title>\n                      <jats:italic>Methods<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The CISS imaging was used to visualize neural structures around the lumbosacral lipoma in 13 cases and was compared with conventional magnetic resonance imaging. In all cases, CISS images demonstrated the fine structure of the spinal cord and nerve roots, with good contrast between subarachnoid spaces and lipomas. The CISS findings were closely correlated with microscopic observation and electrophysiological investigation during surgery. In three of eight patients whose CISS images demonstrated abundant nerve roots embedded in the lipoma, untethering of the conus medullaris was not satisfactorily achieved. These three cases had obliteration of the subarachnoid space by the lipomas at the bilateral sides of the cord. In two cases with the vertebral misalignments scoliosis and lordosis, curvilinear reconstruction of CISS images along the spinal cord clearly demonstrated a neuroanatomy around the complicated lipomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S3\">\n                    <jats:title>\n                      <jats:italic>Conclusions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Using CISS imaging is useful for establishing precise neuroanatomical information around lumbosacral lipomas and for predicting the level of surgical difficulty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/ped.2005.103.6.0537","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T06:02:16Z","timestamp":1282888936000},"page":"537-543","source":"Crossref","is-referenced-by-count":14,"title":["Usefulness of constructive interference in steady-state magnetic resonance imaging in the presurgical examination for lumbosacral lipoma"],"prefix":"10.3171","volume":"103","author":[{"given":"Kimiaki","family":"Hashiguchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takato","family":"Morioka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimiko","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Miyagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Futoshi","family":"Mihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yoshiura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Nagata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomio","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"1291","article-title":"Value 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Prognosis and treatment in 73 cases.","volume":"65","author":"Pierre-Kahn","year":"1986"},{"key":"b17","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1007\/s003810050090","article-title":"Congenital lumbosacral lipomas.","volume":"13","author":"Pierre-Kahn","year":"1997"},{"key":"b18","series-title":"AJNR Am J Neuroradiol","first-page":"1219","article-title":"Detection of acoustic schwannoma: use of constructive interference in the steady state three-dimensional MR.","volume":"17","author":"Stuckey","year":"1996"},{"key":"b1","series-title":"Neurosurgery","first-page":"1291","article-title":"Value of constructive interference in steady-state threedimensional, Fourier transformation magnetic resonance imaging for the neuroendoscopic treatment of hydrocephalus and intracranial cysts.","volume":"48","author":"Aleman","year":"2001"},{"key":"b2","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1542\/peds.55.6.826","article-title":"Occult spinal dysraphism: a series of 73 cases.","volume":"55","author":"Anderson","year":"1975"},{"key":"b3","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1007\/s007010170015","article-title":"Surgical experience of 120 patients with lumbosacral lipomas.","volume":"143","author":"Arai","year":"2001"},{"key":"b4","series-title":"Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1016\/0730-725X(95)02019-P","article-title":"Curvilinear reconstruction of 3D magnetic resonance imaging in patients with partial epilepsy: a pilot study.","volume":"13","author":"Bastos","year":"1995"},{"key":"b5","series-title":"Radiol Clin North Am","first-page":"181","article-title":"Magnetic resonance imaging of spinal dysraphism.","volume":"26","author":"Brunberg","year":"1988"},{"key":"b6","series-title":"AJNR Am J Neuroradiol","first-page":"47","article-title":"Constructive interference in steady state-3DFT MR imaging of the inner ear and cerebellopontine angle.","volume":"14","author":"Casselman","year":"1993"},{"key":"b7","series-title":"Childs Brain","first-page":"37","article-title":"Congenital intraspinal lipomas: anatomic considerations and surgical treatment.","volume":"9","author":"Chapman","year":"1982"},{"key":"b8","series-title":"Eur Radiol","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1007\/s003300000623","article-title":"MR spectrum in spinal dysraphism.","volume":"11","author":"Chopra","year":"2001"},{"key":"b9","series-title":"J Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1002\/jmri.1880050419","article-title":"MR assessment of posttraumatic flexion contracture of the elbow.","volume":"5","author":"Fortier","year":"1995"},{"key":"b10","series-title":"Neuro-Orthopedics","first-page":"34","article-title":"Lumbosacral lipoma, the timing of the operation and morphological classification.","volume":"2","author":"Hakuba","year":"1986"},{"key":"b11","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1007\/s002340050474","article-title":"MRI screening for acoustic neuroma without gadolinium: value of 3DFT-CISS sequence.","volume":"39","author":"Hermans","year":"1997"},{"key":"b12","series-title":"J Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1002\/(SICI)1522-2586(200002)11:2<120::AID-JMRI7>3.0.CO;2-Q","article-title":"Evaluation of syringomyelia with threedimensional constructive interference in a steady state (CISS) sequence.","volume":"11","author":"Hirai","year":"2000"},{"key":"b13","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/jns.1985.62.1.0001","article-title":"Management of lipomyelomeningoceles. 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