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Neuroradiology

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01-10-2013 | Diagnostic Neuroradiology

Reflux venous flow in dural sinus and internal jugular vein on 3D time-of-flight MR angiography

Authors: Jinhee Jang, Bum-soo Kim, Bom-yi Kim, Hyun Seok Choi, So-Lyung Jung, Kook-Jin Ahn, Jae Young Byun

Published in: Neuroradiology | Issue 10/2013

Abstract

Introduction

Reflux venous signal on the brain and neck time-of-flight magnetic resonance angiography (TOF MRA) is thought to be related to a compressed left brachiocephalic vein. This study is aimed to assess the prevalence of venous reflux flow in internal jugular vein (IJV), sigmoid sinus/transverse sinus (SS/TS), and inferior petrosal sinus (IPS) on the brain and neck TOF MRA and its pattern.

Methods

From the radiology database, 3,475 patients (1,526 men, 1,949 women, age range 19–94, median age 62 years) with brain and neck standard 3D TOF MRA at 3 T and 1.5 T were identified. Rotational maximal intensity projection images of 3D TOF MRA were assessed for the presence of reflux flow in IJV, IPS, and SS/TS.

Results

Fifty-five patients (1.6 %) had reflux flow, all in the left side. It was more prevalent in females (n = 43/1,949, 2.2 %) than in males (n = 12/1,526, 0.8 %) (p = 0.001). The mean age of patients with reflux flow (66 years old) was older than those (60 years old) without reflux flow (p = 0.001). Three patients had arteriovenous shunt in the left arm for hemodialysis. Of the remaining 52 patients, reflux was seen on IJV in 35 patients (67.3 %). There were more patients with reflux flow seen on SS/TS (n = 34) than on IPS (n = 25).

Conclusion

Venous reflux flow on TOF MRA is infrequently observed, and reflux pattern is variable. Because it is exclusively located in the left side, the reflux signal on TOF MRA could be an alarm for an undesirable candidate for a contrast injection on the left side for contrast-enhanced imaging study.

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Title: Reflux venous flow in dural sinus and internal jugular vein on 3D time-of-flight MR angiography
Authors: Jinhee Jang
Bum-soo Kim
Bom-yi Kim
Hyun Seok Choi
So-Lyung Jung
Kook-Jin Ahn
Jae Young Byun
Publication date: 01-10-2013
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 10/2013
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-013-1239-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reflux venous flow in dural sinus and internal jugular vein on 3D time-of-flight MR angiography

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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