Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data

The progression of clinical manifestations of lower-limb varicose veins remains unclear. This study investigated changes in lower-limb venous blood flow using phase-contrast magnetic resonance angiography. Data were collected on veins from 141 legs. We compared legs with and without varicose veins a...

Full description

Bibliographic Details
Main Authors: Yuan-Hsi Tseng, Chien-Wei Chen, Min-Yi Wong, Teng-Yao Yang, Yu-Hui Lin, Bor-Shyh Lin, Yao-Kuang Huang
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/1/118
_version_ 1827666006335553536
author Yuan-Hsi Tseng
Chien-Wei Chen
Min-Yi Wong
Teng-Yao Yang
Yu-Hui Lin
Bor-Shyh Lin
Yao-Kuang Huang
author_facet Yuan-Hsi Tseng
Chien-Wei Chen
Min-Yi Wong
Teng-Yao Yang
Yu-Hui Lin
Bor-Shyh Lin
Yao-Kuang Huang
author_sort Yuan-Hsi Tseng
collection DOAJ
description The progression of clinical manifestations of lower-limb varicose veins remains unclear. This study investigated changes in lower-limb venous blood flow using phase-contrast magnetic resonance angiography. Data were collected on veins from 141 legs. We compared legs with and without varicose veins and related symptoms and examined varying levels of varicose vein symptom severity. Legs without varicose veins exhibited a lower absolute stroke volume (ASV, <i>p</i> < 0.01) and mean flux (MF, <i>p</i> = 0.03) for the great saphenous vein (GSV) compared with legs with symptomatic varicose veins. Legs with asymptomatic varicose veins exhibited lower MF for the GSV (<i>p</i> = 0.02) compared with legs with symptomatic varicose veins. Among legs with varicose veins, asymptomatic legs exhibited lower ASV (<i>p</i> = 0.03) and MF (<i>p</i> = 0.046) for the GSV compared with legs that exhibited skin changes or ulcers; however, no significant differences were observed between legs presenting with discomfort or edema and legs with skin changes or ulcers, and between legs presenting with discomfort or edema and asymptomatic legs. In conclusion, in the supine position, increased blood flow rate and blood flow volume in the GSV were associated with symptomatic varicose veins and increased symptom severity.
first_indexed 2024-03-10T01:38:56Z
format Article
id doaj.art-ec2cbfcc52e148cc826033b13526dffc
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-10T01:38:56Z
publishDate 2022-01-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-ec2cbfcc52e148cc826033b13526dffc2023-11-23T13:28:33ZengMDPI AGDiagnostics2075-44182022-01-0112111810.3390/diagnostics12010118Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging DataYuan-Hsi Tseng0Chien-Wei Chen1Min-Yi Wong2Teng-Yao Yang3Yu-Hui Lin4Bor-Shyh Lin5Yao-Kuang Huang6Division of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanDepartment of Diagnostic Radiology, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanDepartment of Cardiology, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 300, TaiwanDivision of Thoracic and Cardiovascular Surgery, Chiayi Chang Gung Memorial Hospital, College of Medicine, Chia-Yi and Chang Gung University, Taoyuan 33302, TaiwanThe progression of clinical manifestations of lower-limb varicose veins remains unclear. This study investigated changes in lower-limb venous blood flow using phase-contrast magnetic resonance angiography. Data were collected on veins from 141 legs. We compared legs with and without varicose veins and related symptoms and examined varying levels of varicose vein symptom severity. Legs without varicose veins exhibited a lower absolute stroke volume (ASV, <i>p</i> < 0.01) and mean flux (MF, <i>p</i> = 0.03) for the great saphenous vein (GSV) compared with legs with symptomatic varicose veins. Legs with asymptomatic varicose veins exhibited lower MF for the GSV (<i>p</i> = 0.02) compared with legs with symptomatic varicose veins. Among legs with varicose veins, asymptomatic legs exhibited lower ASV (<i>p</i> = 0.03) and MF (<i>p</i> = 0.046) for the GSV compared with legs that exhibited skin changes or ulcers; however, no significant differences were observed between legs presenting with discomfort or edema and legs with skin changes or ulcers, and between legs presenting with discomfort or edema and asymptomatic legs. In conclusion, in the supine position, increased blood flow rate and blood flow volume in the GSV were associated with symptomatic varicose veins and increased symptom severity.https://www.mdpi.com/2075-4418/12/1/118magnetic resonance imagingmagnetic resonance venographynon-contrast venographyphase-contrast magnetic resonance imagingquantitative flowvaricose vein
spellingShingle Yuan-Hsi Tseng
Chien-Wei Chen
Min-Yi Wong
Teng-Yao Yang
Yu-Hui Lin
Bor-Shyh Lin
Yao-Kuang Huang
Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
Diagnostics
magnetic resonance imaging
magnetic resonance venography
non-contrast venography
phase-contrast magnetic resonance imaging
quantitative flow
varicose vein
title Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
title_full Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
title_fullStr Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
title_full_unstemmed Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
title_short Blood Flow Analysis of the Great Saphenous Vein in the Su-Pine Position in Clinical Manifestations of Varicose Veins of Different Severities: Application of Phase-Contrast Magnetic Resonance Imaging Data
title_sort blood flow analysis of the great saphenous vein in the su pine position in clinical manifestations of varicose veins of different severities application of phase contrast magnetic resonance imaging data
topic magnetic resonance imaging
magnetic resonance venography
non-contrast venography
phase-contrast magnetic resonance imaging
quantitative flow
varicose vein
url https://www.mdpi.com/2075-4418/12/1/118
work_keys_str_mv AT yuanhsitseng bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT chienweichen bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT minyiwong bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT tengyaoyang bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT yuhuilin bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT borshyhlin bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata
AT yaokuanghuang bloodflowanalysisofthegreatsaphenousveininthesupinepositioninclinicalmanifestationsofvaricoseveinsofdifferentseveritiesapplicationofphasecontrastmagneticresonanceimagingdata