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    <div class="highwire-article-citation highwire-citation-type-highwire-article node56228--5" data-node-nid="56228" id="top-node-56228--62049245480" data-pisa="ajnr;38/10/E83" data-pisa-master="ajnr;ajnr.A5294" data-apath="/ajnr/38/10/E83.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Reply</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">LETTER</span></span></div>
  
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      <h1 class="highwire-cite-title" id="page-title"><em>Reply:</em></h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">P. Bunch</span>, <span class="highwire-citation-author" data-delta="1">H. Kelly</span>, <span class="highwire-citation-author" data-delta="2">D. Zander</span> and <span class="highwire-citation-author" data-delta="3">H. Curtin</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">October 2017,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">38 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(10) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">E83; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A5294 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-56228--62049245480" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">P. Bunch </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>Department of Radiology, Division of Neuroradiology
Massachusetts General Hospital
Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=P.%2BBunch%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Bunch%20P&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AP.%2BBunch%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="http://orcid.org/0000-0001-6129-7299" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for P. Bunch</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">H. Kelly </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Radiology, Division of Neuroradiology
Massachusetts General Hospital
Boston, Massachusetts</div><div class='author-affiliation'><span class='nlm-sup'>c</span>Department of Radiology
Massachusetts Eye and Ear
Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=H.%2BKelly%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Kelly%20H&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AH.%2BKelly%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="http://orcid.org/0000-0002-6655-8723" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for H. Kelly</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">D. Zander </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>d</span>Radiology Imaging Associates
Denver, Colorado</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=D.%2BZander%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Zander%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AD.%2BZander%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="http://orcid.org/0000-0002-0808-307X" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for D. Zander</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">H. Curtin </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>e</span>Department of Radiology
Massachusetts Eye and Ear
Boston, Massachusetts</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=H.%2BCurtin%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Curtin%20H&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AH.%2BCurtin%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="http://orcid.org/0000-0003-2163-9404" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for H. Curtin</a></li></ul></div></div></div>  </div>

  
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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" data-highwire-cite-ref-tooltip-instance="highwire_reflinks_tooltip" class="content-block-markup" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="article fulltext-view "><span class="highwire-journal-article-marker-start"></span><p id="p-1">We greatly appreciate the interest that Drs Lecler, Savatovsky, and Audren have shown in our recent article entitled “Trochlear Groove and Trochlear Cistern: Useful Anatomic Landmarks for Identifying the Tentorial Segment of Cranial Nerve IV on MRI,”<sup><a id="xref-ref-1-1" class="xref-bibr" href="#ref-1">1</a></sup> and we are grateful for their thoughtful comments.</p><p id="p-2">Multiple anatomic studies have independently documented the existence of the trochlear groove and trochlear cistern.<sup><a id="xref-ref-2-1" class="xref-bibr" href="#ref-2">2</a><a id="xref-ref-3-1" class="xref-down-link" href="#ref-3"><span>⇓</span></a><a id="xref-ref-4-1" class="xref-down-link" href="#ref-4"><span>⇓</span></a><a id="xref-ref-5-1" class="xref-down-link" href="#ref-5"><span>⇓</span></a>–<a id="xref-ref-6-1" class="xref-bibr" href="#ref-6">6</a></sup> We observed these structures in our clinical practice on coronally acquired fluid-sensitive MR imaging performed routinely as a component of sinus MR imaging examinations at our institution. It has been our experience interpreting these clinical studies that the trochlear groove and trochlear cistern facilitate identification of the adjacent tentorial segment of cranial nerve IV.</p><p id="p-3">This observation and subsequent clinical experience provided the motivation for our recently published study, which involved the retrospective review of 25 consecutive sinus MR imaging examinations containing the fluid-sensitive sequence of interest.<sup><a id="xref-ref-1-2" class="xref-bibr" href="#ref-1">1</a></sup></p><p id="p-4">Our primary interest was the anatomy. We did not mean to suggest that we had developed a novel MR sequence or that this routine clinical sequence represents the best possible one for identifying cranial nerve IV in its entirety. Rather, we hoped to share an imaging observation based on anatomic facts that we believed others may find useful in the assessment of cranial nerve IV pathology.</p><p id="p-5">We would like to clarify the voxel size reported in our initial article because we now realize it to be a source of confusion that could have been stated more clearly. We intended for the reported voxel size range to indicate that the in-plane resolution of the coronally acquired sequence ranged from 0.3 × 0.35 to 0.4 × 0.44 mm and that the out-of-plane section thickness (in the anteroposterior dimension rather than the superior-inferior or z-axis dimension) was 3.0 mm. Because the tentorial segment of cranial nerve IV travels nearly perpendicular to coronally acquired sections through the trochlear groove and trochlear cistern, these acquisition parameters are in fact sufficient to identify cranial nerve IV in many (but not all) cases, as was shown in our study. Moreover, the tentorial segment of cranial nerve IV was often seen on multiple contiguous sections in our study, and we considered seeing the nerve on a single image to be insufficient for nerve identification.</p><p id="p-6">Additionally, we would like to reiterate that we did not identify the entire intracranial course of cranial nerve IV but only the tentorial segment—the portion of the nerve that passes beneath the tentorium before entering the cavernous sinus. It has been our experience that this particular segment of cranial nerve IV is especially difficult to identify on axial images, including high-resolution cisternographic sequences (CISS, FIESTA, and so forth), and we consider this difficulty likely to be related to volume averaging of the overlying tentorium. Thus, we remain convinced that it is advantageous to leverage in-plane resolution and scan this particular segment of cranial nerve IV in the coronal plane perpendicular to its course.</p><p id="p-7">Identifying the intracranial segments of cranial nerve IV in routine clinical practice remains difficult, and we are appreciative of the coregistration-fusion technique suggested by our colleagues. Indeed, we welcome any solution to the difficult problem of identifying cranial nerve IV throughout its course using clinically practical MR imaging, and we agree that the more proximal cisternal segment of cranial nerve IV is very nicely demonstrated in our colleagues' figure.</p><p id="p-8">We look forward to further discussion and exchange of ideas.</p><div class="section ref-list" id="ref-list-1"><h2 class="">References</h2><ol class="cit-list ref-use-labels"><li><span class="ref-label">1.</span><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1. in text" id="ref-1">↵</a><div class="cit ref-cit ref-journal" id="cit-38.10.E83.1" data-doi="10.3174/ajnr.A5117"><div class="cit-metadata"><ol class="cit-auth-list"><li>
</li><li><span class="cit-auth"><span class="cit-name-surname">Bunch</span>  <span class="cit-name-given-names">PM</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Kelly</span>  <span class="cit-name-given-names">HR</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Zander</span>  <span class="cit-name-given-names">DA</span></span>, <span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Trochlear groove and trochlear cistern: useful anatomic landmarks for identifying the tentorial segment of cranial nerve IV on MRI</span>. <abbr class="cit-jnl-abbrev">AJNR Am J Neuroradiol</abbr> <span class="cit-pub-date">2017</span>;<span class="cit-vol">38</span>:<span class="cit-fpage">1026</span>–<span class="cit-lpage">30</span><span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.3174/ajnr.A5117</span><span class="cit-pub-id-sep cit-pub-id-pmid-sep"> </span><span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>28302606</span></cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo5OiIzOC81LzEwMjYiO3M6NDoiYXRvbSI7czoyMDoiL2FqbnIvMzgvMTAvRTgzLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span><span class="cit-sep cit-reflinks-variant-name-sep">/</span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li><li><span class="ref-label">2.</span><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2. in text" id="ref-2">↵</a><div class="cit ref-cit ref-journal" id="cit-38.10.E83.2" data-doi="10.1007/s00701-002-1017-3"><div class="cit-metadata"><ol class="cit-auth-list"><li>
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</li><li><span class="cit-auth"><span class="cit-name-surname">Rhoton</span>  <span class="cit-name-given-names">AL</span></span></li></ol><cite>. <span class="cit-article-title">The sellar region</span>. <abbr class="cit-jnl-abbrev">Neurosurgery</abbr> <span class="cit-pub-date">2002</span>;<span class="cit-vol">51</span>:<span class="cit-fpage">S335</span>–<span class="cit-lpage">74</span><span class="cit-pub-id-sep cit-pub-id-pmid-sep"> </span><span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>12234453</span></cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=12234453&amp;link_type=MED&amp;atom=%2Fajnr%2F38%2F10%2FE83.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><span class="ref-label">4.</span><a class="rev-xref-ref" href="#xref-ref-4-1" title="View reference 4. in text" id="ref-4">↵</a><div class="cit ref-cit ref-journal" id="cit-38.10.E83.4" data-doi="10.1007/s10143-012-0426-x"><div class="cit-metadata"><ol class="cit-auth-list"><li>
</li><li><span class="cit-auth"><span class="cit-name-surname">Iaconetta</span>  <span class="cit-name-given-names">G</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">de Notaris</span>  <span class="cit-name-given-names">M</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Benet</span>  <span class="cit-name-given-names">A</span></span>, <span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">The trochlear nerve: microanatomic and endoscopic study</span>. <abbr class="cit-jnl-abbrev">Neurosurg Rev</abbr> <span class="cit-pub-date">2013</span>;<span class="cit-vol">36</span>:<span class="cit-fpage">227</span>–<span class="cit-lpage">37</span>; <span class="cit-comment">discussion 237–38</span><span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1007/s10143-012-0426-x</span><span class="cit-pub-id-sep cit-pub-id-pmid-sep"> </span><span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>23065103</span></cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1007/s10143-012-0426-x&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=23065103&amp;link_type=MED&amp;atom=%2Fajnr%2F38%2F10%2FE83.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><span class="ref-label">5.</span><a class="rev-xref-ref" href="#xref-ref-5-1" title="View reference 5. in text" id="ref-5">↵</a><div class="cit ref-cit ref-journal" id="cit-38.10.E83.5" data-doi="10.1055/s-0033-1347899"><div class="cit-metadata"><ol class="cit-auth-list"><li>
</li><li><span class="cit-auth"><span class="cit-name-surname">Herlan</span>  <span class="cit-name-given-names">S</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Hirt</span>  <span class="cit-name-given-names">B</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Tatagiba</span>  <span class="cit-name-given-names">M</span></span>, <span class="cit-etal">et al</span></li></ol><cite>. <span class="cit-article-title">Focus on the lateral incisural space: where is the trochlear nerve?</span> <abbr class="cit-jnl-abbrev">J Neurol Surg Part B Skull Base</abbr> <span class="cit-pub-date">2013</span>;<span class="cit-vol">74</span>:<span class="cit-fpage">271</span>–<span class="cit-lpage">73</span><span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1055/s-0033-1347899</span><span class="cit-pub-id-sep cit-pub-id-pmid-sep"> </span><span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>24436923</span></cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1055/s-0033-1347899&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=24436923&amp;link_type=MED&amp;atom=%2Fajnr%2F38%2F10%2FE83.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><span class="ref-label">6.</span><a class="rev-xref-ref" href="#xref-ref-6-1" title="View reference 6. in text" id="ref-6">↵</a><div class="cit ref-cit ref-journal" id="cit-38.10.E83.6" data-doi="10.1002/ca.22602"><div class="cit-metadata"><ol class="cit-auth-list"><li>
</li><li><span class="cit-auth"><span class="cit-name-surname">Joo</span>  <span class="cit-name-given-names">W</span></span>, </li><li><span class="cit-auth"><span class="cit-name-surname">Rhoton</span>  <span class="cit-name-given-names">AL</span>  <span class="cit-name-suffix">Jr</span>.</span></li></ol><cite>. <span class="cit-article-title">Microsurgical anatomy of the trochlear nerve</span>. <abbr class="cit-jnl-abbrev">Clin Anat</abbr> <span class="cit-pub-date">2015</span>;<span class="cit-vol">28</span>:<span class="cit-fpage">857</span>–<span class="cit-lpage">64</span><span class="cit-pub-id-sep cit-pub-id-doi-sep"> </span><span class="cit-pub-id cit-pub-id-doi"><span class="cit-pub-id-scheme-doi">doi:</span>10.1002/ca.22602</span><span class="cit-pub-id-sep cit-pub-id-pmid-sep"> </span><span class="cit-pub-id cit-pub-id-pmid"><span class="cit-pub-id-scheme-pmid">pmid:</span>26223856</span></cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1002/ca.22602&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=26223856&amp;link_type=MED&amp;atom=%2Fajnr%2F38%2F10%2FE83.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li></ol></div><ul class="copyright-statement"><li class="fn" id="copyright-statement-1">© 2017 by American Journal of Neuroradiology</li></ul><span class="highwire-journal-article-marker-end"></span></div><span class="related-urls"></span></div></div>  </div>

  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 38</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 10 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Oct 2017 </div></div>
      
      
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">P.</span> <span class="nlm-surname">Bunch</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">H.</span> <span class="nlm-surname">Kelly</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">D.</span> <span class="nlm-surname">Zander</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">H.</span> <span class="nlm-surname">Curtin</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Oct 2017, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">38 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(10) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">E83; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A5294 </span></div>
  
  
  
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">P.</span> <span class="nlm-surname">Bunch</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">H.</span> <span class="nlm-surname">Kelly</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">D.</span> <span class="nlm-surname">Zander</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">H.</span> <span class="nlm-surname">Curtin</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Oct 2017, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">38 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(10) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">E83; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A5294 </span></div>
  
  
  
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