Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination
Purpose: To compare the diagnostic performance of magnetic resonance (MR) sequences for the evaluation of cerebral venous sinus thrombosis (CVST) during followup examinations. Materials and Methods: Thirteen cases that were confirmed to be CVST between January 2006 and March 2016 were included in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2018-05-01
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| Series: | 대한영상의학회지 |
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| Online Access: | https://doi.org/10.3348/jksr.2018.78.5.330 |
| _version_ | 1818042720230309888 |
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| author | Ji Eun Choi Young Cheol Weon Gyeong Min Park Jee-Hyun Kwon Wook-Joo Kim Woon-Jung Kwon Seong Hoon Choi |
| author_facet | Ji Eun Choi Young Cheol Weon Gyeong Min Park Jee-Hyun Kwon Wook-Joo Kim Woon-Jung Kwon Seong Hoon Choi |
| author_sort | Ji Eun Choi |
| collection | DOAJ |
| description | Purpose: To compare the diagnostic performance of magnetic resonance (MR) sequences for the evaluation of cerebral venous sinus thrombosis (CVST) during followup examinations.
Materials and Methods: Thirteen cases that were confirmed to be CVST between
January 2006 and March 2016 were included in this study. Two neuroradiologists independently examined each initial and follow-up MR sequence image in random order.
Results: Gadolinium-enhanced T1-weighted imaging (Gd-enhanced T1WI) was the
most sensitive sequence for the detection of CVST in the initial and follow-up MR
examinations (82% and 55.3%, respectively). Among the non-enhanced MR sequences of the initial examination, gradient-recalled echo was the most sensitive (77.4%),
fluid-attenuated inversion recovery (FLAIR) had low sensitivity (34.4%). The overall
diagnostic performances of all MR sequences except for FLAIR decreased during the
follow-up. FLAIR was the most sensitive during follow-up, and was also the only
sequence with increased sensitivity during follow-up (from 34.4% to 55.6%).
Conclusion: Gd-enhanced T1WI had the best diagnostic performance for CVST in
both initial and follow-up MR examinations. Therefore, it is reasonable to use Gdenhanced T1WI to evaluate CVST during follow-up examinations. However, for patients
who cannot tolerate MR contrast agents, the use of FLAIR to assess the remaining
CVST during the follow-up may be helpful. |
| first_indexed | 2024-12-10T08:50:48Z |
| format | Article |
| id | doaj.art-9cff48f4f2b646ffbdd1514a9a628773 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-10T08:50:48Z |
| publishDate | 2018-05-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-9cff48f4f2b646ffbdd1514a9a6287732022-12-22T01:55:36ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282018-05-01785330339https://doi.org/10.3348/jksr.2018.78.5.330Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up ExaminationJi Eun Choi0Young Cheol Weon1Gyeong Min Park2Jee-Hyun Kwon3Wook-Joo Kim4Woon-Jung Kwon5Seong Hoon Choi6Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, KoreaPurpose: To compare the diagnostic performance of magnetic resonance (MR) sequences for the evaluation of cerebral venous sinus thrombosis (CVST) during followup examinations. Materials and Methods: Thirteen cases that were confirmed to be CVST between January 2006 and March 2016 were included in this study. Two neuroradiologists independently examined each initial and follow-up MR sequence image in random order. Results: Gadolinium-enhanced T1-weighted imaging (Gd-enhanced T1WI) was the most sensitive sequence for the detection of CVST in the initial and follow-up MR examinations (82% and 55.3%, respectively). Among the non-enhanced MR sequences of the initial examination, gradient-recalled echo was the most sensitive (77.4%), fluid-attenuated inversion recovery (FLAIR) had low sensitivity (34.4%). The overall diagnostic performances of all MR sequences except for FLAIR decreased during the follow-up. FLAIR was the most sensitive during follow-up, and was also the only sequence with increased sensitivity during follow-up (from 34.4% to 55.6%). Conclusion: Gd-enhanced T1WI had the best diagnostic performance for CVST in both initial and follow-up MR examinations. Therefore, it is reasonable to use Gdenhanced T1WI to evaluate CVST during follow-up examinations. However, for patients who cannot tolerate MR contrast agents, the use of FLAIR to assess the remaining CVST during the follow-up may be helpful.https://doi.org/10.3348/jksr.2018.78.5.330cerebral thrombosisdiagnosismagnetic resonance imaging |
| spellingShingle | Ji Eun Choi Young Cheol Weon Gyeong Min Park Jee-Hyun Kwon Wook-Joo Kim Woon-Jung Kwon Seong Hoon Choi Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination 대한영상의학회지 cerebral thrombosis diagnosis magnetic resonance imaging |
| title | Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination |
| title_full | Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination |
| title_fullStr | Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination |
| title_full_unstemmed | Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination |
| title_short | Comparison of MRI Sequences for the Detection of Cerebral Venous Sinus Thrombosis During Follow-Up Examination |
| title_sort | comparison of mri sequences for the detection of cerebral venous sinus thrombosis during follow up examination |
| topic | cerebral thrombosis diagnosis magnetic resonance imaging |
| url | https://doi.org/10.3348/jksr.2018.78.5.330 |
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