Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome
Objective: The purpose of this study is to evaluate the effect of various upper extremity positions (adduction-abduction) on vascular structures in contrast-enhanced three-dimensional MR angiographic studies performed in patients with thoracic outlet syndrome.Materials and Methods: Twenty-two consec...
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Format: | Article |
Language: | English |
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Galenos Publishing House
2011-09-01
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Series: | Balkan Medical Journal |
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Online Access: | http://tutfd.org/text.php3?id=777 |
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author | Ercüment Ünlü Derya Demirbağ Kabayel Ferda Özdemir Bekir Çağlı Sedat A. Tuncel |
author_facet | Ercüment Ünlü Derya Demirbağ Kabayel Ferda Özdemir Bekir Çağlı Sedat A. Tuncel |
author_sort | Ercüment Ünlü |
collection | DOAJ |
description | Objective: The purpose of this study is to evaluate the effect of various upper extremity positions (adduction-abduction) on vascular structures in contrast-enhanced three-dimensional MR angiographic studies performed in patients with thoracic outlet syndrome.Materials and Methods: Twenty-two consecutive patients with clinical symptoms of neurovascular thoracic outlet syndrome were examined by 1.0 T MR unit. Examinations were studied by three-dimensional contrast-enhanced MR angiography with the arms positioned in abduction and adduction in the same patients. Results: In twenty-one of 44 subclavian arteries, impingement or stenosis with different degrees were found. Majority of lesions were localized in the costoclavicular region. Venous phase sequences of contrast-enhanced MR angiography showed compression of the subclavian vein in the 17 areas.Conclusion: Thoracic outlet syndrome remains controversial in both diagnosis and treatment, particulary in patients with no muscle atrophy, hand ischemia findings or venous stasis symptoms. Three-dimensional contrast-enhanced MR angiography is noninvasive and requires neither ionizing radiation nor administration of iodinated contrast material- and may be used to diagnose early compression findings and stenosis of the subclavian vessels. |
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format | Article |
id | doaj.art-a74dc672719e48e9b2fc96bea762b286 |
institution | Directory Open Access Journal |
issn | 2146-3123 2146-3131 |
language | English |
last_indexed | 2024-04-10T10:08:14Z |
publishDate | 2011-09-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | Balkan Medical Journal |
spelling | doaj.art-a74dc672719e48e9b2fc96bea762b2862023-02-15T16:22:22ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312011-09-012803279285Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet SyndromeErcüment ÜnlüDerya Demirbağ KabayelFerda ÖzdemirBekir ÇağlıSedat A. TuncelObjective: The purpose of this study is to evaluate the effect of various upper extremity positions (adduction-abduction) on vascular structures in contrast-enhanced three-dimensional MR angiographic studies performed in patients with thoracic outlet syndrome.Materials and Methods: Twenty-two consecutive patients with clinical symptoms of neurovascular thoracic outlet syndrome were examined by 1.0 T MR unit. Examinations were studied by three-dimensional contrast-enhanced MR angiography with the arms positioned in abduction and adduction in the same patients. Results: In twenty-one of 44 subclavian arteries, impingement or stenosis with different degrees were found. Majority of lesions were localized in the costoclavicular region. Venous phase sequences of contrast-enhanced MR angiography showed compression of the subclavian vein in the 17 areas.Conclusion: Thoracic outlet syndrome remains controversial in both diagnosis and treatment, particulary in patients with no muscle atrophy, hand ischemia findings or venous stasis symptoms. Three-dimensional contrast-enhanced MR angiography is noninvasive and requires neither ionizing radiation nor administration of iodinated contrast material- and may be used to diagnose early compression findings and stenosis of the subclavian vessels.http://tutfd.org/text.php3?id=777Thoracic outlet syndromecontrast-enhancedthree dimensionalmagnetic resonance angiographyadductionabduction |
spellingShingle | Ercüment Ünlü Derya Demirbağ Kabayel Ferda Özdemir Bekir Çağlı Sedat A. Tuncel Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome Balkan Medical Journal Thoracic outlet syndrome contrast-enhanced three dimensional magnetic resonance angiography adduction abduction |
title | Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome |
title_full | Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome |
title_fullStr | Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome |
title_full_unstemmed | Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome |
title_short | Efficacy of Three-Dimensional Contrast-Enhanced Magnetic Resonance Angiography (3D CE-MRA) in the Diagnosis of Thoracic Outlet Syndrome |
title_sort | efficacy of three dimensional contrast enhanced magnetic resonance angiography 3d ce mra in the diagnosis of thoracic outlet syndrome |
topic | Thoracic outlet syndrome contrast-enhanced three dimensional magnetic resonance angiography adduction abduction |
url | http://tutfd.org/text.php3?id=777 |
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