Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator
Aims: The transcondylar approach is a new and used for detection of chronic cerebro-spinal venous insufficiency (CCSVI) and intracranial venous reflux in patients with multiple sclerosis. The aim of this study was to assess the ability of native and contrast enhanced (CE-) transcranial color-coded d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Palacký University Olomouc, Faculty of Medicine and Dentistry
2015-12-01
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| Series: | Biomedical Papers |
| Subjects: | |
| Online Access: | https://biomed.papers.upol.cz/artkey/bio-201504-0013_Comparison_of_brain_vessel_imaging_from_transtemporal_and_transcondylar_approaches_using_contrast-enhanced_tran.php |
| _version_ | 1818509572170579968 |
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| author | David Skoloudik Martin Kuliha Martin Roubec Jaroslav Havelka Katerina Langova Roman Herzig |
| author_facet | David Skoloudik Martin Kuliha Martin Roubec Jaroslav Havelka Katerina Langova Roman Herzig |
| author_sort | David Skoloudik |
| collection | DOAJ |
| description | Aims: The transcondylar approach is a new and used for detection of chronic cerebro-spinal venous insufficiency (CCSVI) and intracranial venous reflux in patients with multiple sclerosis. The aim of this study was to assess the ability of native and contrast enhanced (CE-) transcranial color-coded duplex sonography (TCCS) to detect flow and reflux in deep cerebral veins and intracranial venous sinuses from transcondylar and transtemporal approaches.
Methods: Brain magnetic resonance imaging and TCCS from transtemporal and transcondylar approaches using the new technology - Fusion Imaging - in 8 volunteers and 5 patients with multiple sclerosis.
Results: Using TCCS and CE-TCCS, the arteries of the circle of Willis could be detected from the transtemporal approach in 13/13 subjects in both examinations, while detection of the venous system was possible in 7/13 and 9/13 subjects, respectively. However, the arteries of the circle of Willis and venous system were detected through the transcondylar approach in only 5/13 (P=0.041) and 1/13 (P=0.031) subjects using TCCS, and in 12/13 (P=0.921) and 7/13 (P=0.687) subjects using CE-TCCS, respectively.
Conclusions: The results reveal that the TCCS transcondylar approach has serious limitations for the standard detection of intracranial venous reflux. |
| first_indexed | 2024-12-10T22:47:17Z |
| format | Article |
| id | doaj.art-c62b6f55080c474f88e4527246fc113c |
| institution | Directory Open Access Journal |
| issn | 1213-8118 1804-7521 |
| language | English |
| last_indexed | 2024-12-10T22:47:17Z |
| publishDate | 2015-12-01 |
| publisher | Palacký University Olomouc, Faculty of Medicine and Dentistry |
| record_format | Article |
| series | Biomedical Papers |
| spelling | doaj.art-c62b6f55080c474f88e4527246fc113c2022-12-22T01:30:32ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212015-12-01159459560010.5507/bp.2014.064bio-201504-0013Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual NavigatorDavid Skoloudik0Martin Kuliha1Martin Roubec2Jaroslav Havelka3Katerina Langova4Roman Herzig5Department of Neurology, University Hospital, Ostrava, Czech RepublicDepartment of Neurology, University Hospital, Ostrava, Czech RepublicDepartment of Neurology, University Hospital, Ostrava, Czech RepublicDepartment of Radiology, University Hospital, OstravaDepartment of Biophysics, Faculty of Medicine and Dentistry and Institute of Molecular and Translational Medicine, Palacky University OlomoucDepartment of Neurology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital OlomoucAims: The transcondylar approach is a new and used for detection of chronic cerebro-spinal venous insufficiency (CCSVI) and intracranial venous reflux in patients with multiple sclerosis. The aim of this study was to assess the ability of native and contrast enhanced (CE-) transcranial color-coded duplex sonography (TCCS) to detect flow and reflux in deep cerebral veins and intracranial venous sinuses from transcondylar and transtemporal approaches. Methods: Brain magnetic resonance imaging and TCCS from transtemporal and transcondylar approaches using the new technology - Fusion Imaging - in 8 volunteers and 5 patients with multiple sclerosis. Results: Using TCCS and CE-TCCS, the arteries of the circle of Willis could be detected from the transtemporal approach in 13/13 subjects in both examinations, while detection of the venous system was possible in 7/13 and 9/13 subjects, respectively. However, the arteries of the circle of Willis and venous system were detected through the transcondylar approach in only 5/13 (P=0.041) and 1/13 (P=0.031) subjects using TCCS, and in 12/13 (P=0.921) and 7/13 (P=0.687) subjects using CE-TCCS, respectively. Conclusions: The results reveal that the TCCS transcondylar approach has serious limitations for the standard detection of intracranial venous reflux.https://biomed.papers.upol.cz/artkey/bio-201504-0013_Comparison_of_brain_vessel_imaging_from_transtemporal_and_transcondylar_approaches_using_contrast-enhanced_tran.phpultrasoundmagnetic resonance imagingrefluxvenous systemfusion imagingvirtual navigator |
| spellingShingle | David Skoloudik Martin Kuliha Martin Roubec Jaroslav Havelka Katerina Langova Roman Herzig Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator Biomedical Papers ultrasound magnetic resonance imaging reflux venous system fusion imaging virtual navigator |
| title | Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator |
| title_full | Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator |
| title_fullStr | Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator |
| title_full_unstemmed | Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator |
| title_short | Comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast-enhanced transcranial color-coded duplex sonography and Virtual Navigator |
| title_sort | comparison of brain vessel imaging from transtemporal and transcondylar approaches using contrast enhanced transcranial color coded duplex sonography and virtual navigator |
| topic | ultrasound magnetic resonance imaging reflux venous system fusion imaging virtual navigator |
| url | https://biomed.papers.upol.cz/artkey/bio-201504-0013_Comparison_of_brain_vessel_imaging_from_transtemporal_and_transcondylar_approaches_using_contrast-enhanced_tran.php |
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