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Fig. 2E 19-year-old man with glioblastoma multiforme. Two types of infusion
failure were seen in this patient. Forty-eight hours after initiation of
convection-enhanced infusion, leakage of infusate into subarachnoid CSF space
occurred, and hyperintense signal did not develop on T2-weighted MR images.
A-C, Images show failure due to catheter crossing sulcus within
backflow region. D-F, Images show failure due to placement of catheter
tip within subarachnoid space. Human figure indicates imaging plane. Blue line
and indicates plane perpendicular to catheter shown in C and F.
Thick red and thicker and lighter blue indicate catheter trajectories.
Reconstructed image in coronal plane shows catheter (turquoise line)
piercing pial surface and infusate accumulation (outline) within
basilar cisterns.