Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development

Scientific debate over chronic cerebrospinal venous insufficiency (CCSVI) has drawn attention to venous system involvement in a series of pathologic brain conditions. In the last few decades, the MRI venography (MRV) field has developed a number of valuable sequences to better investigate structural...

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Main Authors: M. Paoletti, G. Germani, R. De Icco, C. Asteggiano, P. Zamboni, S. Bastianello
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2016/2694504
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author M. Paoletti
G. Germani
R. De Icco
C. Asteggiano
P. Zamboni
S. Bastianello
author_facet M. Paoletti
G. Germani
R. De Icco
C. Asteggiano
P. Zamboni
S. Bastianello
author_sort M. Paoletti
collection DOAJ
description Scientific debate over chronic cerebrospinal venous insufficiency (CCSVI) has drawn attention to venous system involvement in a series of pathologic brain conditions. In the last few decades, the MRI venography (MRV) field has developed a number of valuable sequences to better investigate structural anatomy, vessel patency, and flow characteristics of venous drainage in the intra- and extracranial systems. A brief two-tier protocol is proposed to encompass the study of intra- and extracranial venous drainage with and without contrast administration, respectively. Contrast-enhanced protocol is based on time-resolved contrast-enhanced MRV of the whole region plus extracranial flow quantification through 2D Cine phase contrast (PC); non-contrast-enhanced protocol includes intracranial 3D PC, extracranial 2D time of flight (TOF), and 2D Cine PC flow quantification. Total scanning time is reasonable for clinical applications: approximately seven minutes is allocated for the contrast protocol (most of which is due to 2D Cine PC), while the noncontrast protocol accounts for around twenty minutes. We believe that a short though exhaustive MRI scan of the whole intra- and extracranial venous drainage system can be valuable for a variety of pathologic conditions, given the possible venous implication in several neurological conditions.
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series Behavioural Neurology
spelling doaj-art-aef8d99302904a72a9941dba37c83f3b2025-02-03T05:44:37ZengWileyBehavioural Neurology0953-41801875-85842016-01-01201610.1155/2016/26945042694504Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging DevelopmentM. Paoletti0G. Germani1R. De Icco2C. Asteggiano3P. Zamboni4S. Bastianello5Institute of Radiology, University of Pavia, Viale Golgi 19, 27100 Pavia, ItalyDepartment of Neuroradiology, IRCCS Istituto Neurologico Casimiro Mondino, Via Mondino 2, Pavia, ItalyDepartment of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, Pavia, ItalyInstitute of Radiology, University of Pavia, Viale Golgi 19, 27100 Pavia, ItalyUnit of Translational Surgery, University of Ferrara, Via Aldo Moro 8, Ferrara, ItalyDepartment of Neuroradiology, IRCCS Istituto Neurologico Casimiro Mondino, Via Mondino 2, Pavia, ItalyScientific debate over chronic cerebrospinal venous insufficiency (CCSVI) has drawn attention to venous system involvement in a series of pathologic brain conditions. In the last few decades, the MRI venography (MRV) field has developed a number of valuable sequences to better investigate structural anatomy, vessel patency, and flow characteristics of venous drainage in the intra- and extracranial systems. A brief two-tier protocol is proposed to encompass the study of intra- and extracranial venous drainage with and without contrast administration, respectively. Contrast-enhanced protocol is based on time-resolved contrast-enhanced MRV of the whole region plus extracranial flow quantification through 2D Cine phase contrast (PC); non-contrast-enhanced protocol includes intracranial 3D PC, extracranial 2D time of flight (TOF), and 2D Cine PC flow quantification. Total scanning time is reasonable for clinical applications: approximately seven minutes is allocated for the contrast protocol (most of which is due to 2D Cine PC), while the noncontrast protocol accounts for around twenty minutes. We believe that a short though exhaustive MRI scan of the whole intra- and extracranial venous drainage system can be valuable for a variety of pathologic conditions, given the possible venous implication in several neurological conditions.http://dx.doi.org/10.1155/2016/2694504
spellingShingle M. Paoletti
G. Germani
R. De Icco
C. Asteggiano
P. Zamboni
S. Bastianello
Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
Behavioural Neurology
title Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
title_full Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
title_fullStr Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
title_full_unstemmed Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
title_short Intra- and Extracranial MR Venography: Technical Notes, Clinical Application, and Imaging Development
title_sort intra and extracranial mr venography technical notes clinical application and imaging development
url http://dx.doi.org/10.1155/2016/2694504
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AT pzamboni intraandextracranialmrvenographytechnicalnotesclinicalapplicationandimagingdevelopment
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