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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Main Authors: Ercüment Ünlü, Derya Demirbağ Kabayel, Ferda Özdemir, Bekir Çağlı, Sedat A. Tuncel
Format: Article
Language:English
Published: Galenos Publishing House 2011-09-01
Series:Balkan Medical Journal
Subjects:
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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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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