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Research ArticleBrain

Positional Venous MR Angiography: An Operator-Independent Tool to Evaluate Cerebral Venous Outflow Hemodynamics

P. Niggemann, M. Seifert, A. Förg, H.H. Schild, H. Urbach and T. Krings
American Journal of Neuroradiology February 2012, 33 (2) 246-251; DOI: https://doi.org/10.3174/ajnr.A2774
P. Niggemann
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M. Seifert
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A. Förg
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H.H. Schild
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H. Urbach
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T. Krings
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    Fig 1.

    MIP (left column) and axial source images at the level of C4 in the supine (top row) and sitting positions (bottom row) in a healthy volunteer. In the supine position, there is no significant narrowing of the IJV. The EJV, NV, and the VP can be identified in the supine position. In the sitting position, the IJV, EJV, and the NV are much less prominent, whereas the VP is slightly more prominent.

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    Fig 2.

    MIP (left column) and axial source images at the level of C2 in supine (top row) and sitting positions (bottom row) in a healthy volunteer. In the supine position, there is a slight narrowing of the IJVs. The EJVs, the NV, and VP can be identified in the supine position. In the sitting position, IJVs and EJVs are no longer visible, whereas the NV are much more prominent. The VP can be identified.

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    Fig 3.

    MIP (left column) and axial source images at the level of C2 in supine (top row) and sitting positions (bottom row) in a healthy volunteer. In the supine position, there is a high-grade stricture of the left jugular vein (arrow). The EJV and VP are visible. In the sitting position, only the right IJV is visible (arrowhead). The NV are prominent, and the VP can be identified.

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    Fig 4.

    MIP (left column) and axial source images at the level of C2 in supine (top row) and sitting positions (bottom row) in a healthy volunteer. In the supine position, there is a high-grade stricture of the left IJV. The EJV, NV, and VP are visible. In the sitting position, only the right IJV is visible, but narrowed. The VP are prominent, and the NV can be identified.

Tables

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    Table 1:

    The delineation of the internal jugular and collateral vessels shown for both positions

    VolunteerSupineSitting
    IJVEJVVPNVIJVEJVVPNV
    1++–+–+++
    2++–––+++
    3++++––++
    4+–+++++–
    5+++–+–++
    6++–+(+)–++
    7+–+++–++
    8++––+––+
    9++––(+)–+–
    10++–+++++
    11++–++––+
    12++––(+)–+–
    13+++–(+)–++
    14++––(+)–++
    15++––(+)–++
    • Note: + indicates vessel delineated; –, vessel not delineated; in parentheses, delineation of the IJV only on 1 side.

    • View popup
    Table 2:

    The delineation of venous strictures in the IJV and the localization of the strictures for all volunteers

    VolunteerSupineSitting
    IJV DelineationOccurrence of StrictureIJV DelineationOccurrence of Stricture
    1BilateralBoth sides superiorNot depictedNA
    2BilateralBoth sides superiorNot depictedNA
    3BilateralLeft side superiorNot depictedNA
    4BilateralNo strictureBilateralNarrowed, no stricture
    5BilateralNo strictureBilateralNarrowed, no stricture
    6BilateralNo strictureRight side onlyNarrowed, no stricture
    7BilateralLeft side superiorBilateralNarrowed, no stricture
    8BilateralNo strictureBilateralNarrowed, no stricture
    9BilateralNo strictureLeft side onlyNarrowed, no stricture
    10BilateralRight side superiorBilateralNarrowed, no stricture
    11BilateralBoth sides superiorBilateralNarrowed, no stricture
    12BilateralNo strictureRight side onlyNarrowed, no stricture
    13BilateralBoth sides superiorRight side onlyNarrowed, no stricture
    14BilateralNo strictureRight side onlyNarrowed, no stricture
    15BilateralRight side superiorRight side onlyNarrowed, no stricture
    • Note:—NA indicates not applicable.

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American Journal of Neuroradiology: 33 (2)
American Journal of Neuroradiology
Vol. 33, Issue 2
1 Feb 2012
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Positional Venous MR Angiography: An Operator-Independent Tool to Evaluate Cerebral Venous Outflow Hemodynamics
P. Niggemann, M. Seifert, A. Förg, H.H. Schild, H. Urbach, T. Krings
American Journal of Neuroradiology Feb 2012, 33 (2) 246-251; DOI: 10.3174/ajnr.A2774

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Positional Venous MR Angiography: An Operator-Independent Tool to Evaluate Cerebral Venous Outflow Hemodynamics
P. Niggemann, M. Seifert, A. Förg, H.H. Schild, H. Urbach, T. Krings
American Journal of Neuroradiology Feb 2012, 33 (2) 246-251; DOI: 10.3174/ajnr.A2774
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