%0 Journal Article %A R. Zivadinov %A R. Galeotti %A D. Hojnacki %A E. Menegatti %A M.G. Dwyer %A C. Schirda %A A.M Malagoni %A K. Marr %A C. Kennedy %A I. Bartolomei %A C. Magnano %A F. Salvi %A B. Weinstock-Guttman %A P. Zamboni %T Value of MR Venography for Detection of Internal Jugular Vein Anomalies in Multiple Sclerosis: A Pilot Longitudinal Study %D 2011 %R 10.3174/ajnr.A2386 %J American Journal of Neuroradiology %P 938-946 %V 32 %N 5 %X BACKGROUND AND PURPOSE: CCSVI was recently described in patients with MS. CCSVI is diagnosed noninvasively by Doppler sonography and invasively by catheter venography. We assessed the role of conventional MRV for the detection of IJV anomalies in patients with MS diagnosed with CCSVI and in healthy controls who underwent MRV and Doppler sonography examinations during 6 months. MATERIALS AND METHODS: Ten patients with MS underwent TOF, TRICKS, Doppler sonography, and catheter venography at baseline. They were treated at baseline with percutaneous angioplasty and re-evaluated 6 months' posttreatment with MRV and Doppler sonography. In addition, 6 healthy controls underwent a baseline and a 6-month follow-up evaluation by Doppler sonography and MRV. RESULTS: At baseline, the sensitivity, specificity, PPV, and NPV of Doppler sonography for detecting IJV abnormalities relative to catheter venography in patients with MS were calculated, respectively, at 82%, 100%, 99%, and 95%. The figures were 99%, 33%, 33%, 99% for TOF and 99%, 39%, 35%, and 99% for TRICKS. Venous anomalies included the annulus, septum, membrane, and malformed valve. No agreement was found between TOF and catheter venography in 70% of patients with MS and between TRICKS and catheter venography in 60% of patients with MS. At follow-up, 50% of the patients with MS presented with abnormalities on Doppler sonography but only 30% were diagnosed with restenosis. CONCLUSIONS: Conventional MRV has limited value for assessing IJV anomalies for both diagnostic and posttreatment purposes. CCSVIchronic cerebrospinal venous insufficiencyCVcatheter venographyEVTMSEndovascular Treatment Study for MSDSDoppler sonographyIJVinternal jugular veinLIJVleft internal jugular vein6 mo6-month follow-up examinationMRVMR venographyMSmultiple sclerosisNPVnegative predictive valuePPVpositive predictive valuePTApercutaneous transluminal angioplastyRIJVright internal jugular veinTOF2D time-of-flight venographyTRICKS3D time-resolved imaging of contrast kinetics %U https://www.ajnr.org/content/ajnr/32/5/938.full.pdf