A Study Comparing the Results of Duplex Ultrasound and Magnetic Resonance Venography to Diagnose Pelvic Vein Congestion in Conjunction with a Compression Syndrome

Purpose To explore the feasibility of high-resolution MRI 3-dimensional (3D) CUBE T1-weighted magnetic resonance imaging (MRI) in combination with non-contrast-enhanced (NCE) magnetic resonance venography (MRV) for the assessment of lumen stenosis in May–Thurner syndrome. Methods Twenty-nine patients underwent computed tomography venography (CTV) and high-resolution MRI-CUBE T1, and NCE MRV acquisitions. ANOVA and LSD tests were used to compare the stenosis rate and narrowest and distal diameters of the vessel lumen. Results There were no significant differences in the estimated stenosis rate between CTV, CUBE T1, and NCE MRV (p = 0.768). However, there were significant differences in the measured stenosis diameters of the left common iliac vein (LCIV), with CTV giving the largest mean diameter and CUBE had the smallest mean diameter (p < 0.05). The measured normal LCIV diameters did not significantly differ between MRV and CUBE (p = 0.075) but were significantly larger on CTV than on MRV and CUBE (p < 0.05). Conclusions Compared with CTV, a combination of CUBE and MRV could provide an improved assessment of the degree of lumen stenosis in May–Thurner syndrome and demonstrate acute thrombosis. MRI underestimates the diameter of the vessel in comparison with CTV. MRI can be a substitute tool for Duplex ultrasound and CTV.

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A Novel Scoring System for Lower-extremity Venous Pathology Analysed Using Magnetic Resonance Venography and Duplex Ultrasound

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.012s26 ◽

2012 ◽

Vol 27 (1_suppl) ◽

pp. 163-170 ◽

Cited By ~ 21

Author(s):

C W K P Arnoldussen ◽

I Toonder ◽

C H A Wittens

Keyword(s):

Magnetic Resonance ◽

Lower Extremity ◽

Scoring System ◽

Imaging Techniques ◽

Vena Cava ◽

Duplex Ultrasound ◽

Venous System ◽

Magnetic Resonance Venography ◽

Chronic Venous Disease ◽

Venous Disease

Objectives: To present a novel scoring system for lower-extremity venous pathology (the LOVE score) and our experiences using it in our clinical practice to identify venous pathology with duplex ultrasound (DUS) and magnetic resonance venography (MRV). Method: A total of 40 patients, 30 suspected of chronic venous disease and 10 with acute deep vein thrombosis (DVT) were examined from the inferior vena cava (IVC) to the popliteal vein using DUS and MRV. The image findings were reported using the LOVE score. Results The majority of deep veins (368 out of 378 segments) were completely visualized by both our imaging techniques and could be analysed using the LOVE score. Both imaging techniques reported comparable findings with regard to the visualization of thrombus, obstruction, collaterals, trabeculations, anatomic variations and central venous compression (e.g. May–Thurner). Conclusions: The LOVE score can be used to expand and standardize the documentation of imaging the deep venous system beyond thrombosis, to help identify (optimal) treatment options in patients with venous disease, in both the clinical and research setting. This first assessment shows that both DUS and MRV are capable of systematically identifying a multitude of changes in the venous system.

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Iliac Compression Syndrome and Recanalization of Femoropopliteal and Iliac Venous Thrombosis: A Prospective Study With Magnetic Resonance Venography

Yearbook of Vascular Surgery ◽

10.1016/s0749-4041(08)70291-4 ◽

2006 ◽

Vol 2006 ◽

pp. 377-378

Author(s):

G.L. Moneta

Keyword(s):

Magnetic Resonance ◽

Prospective Study ◽

Venous Thrombosis ◽

Magnetic Resonance Venography ◽

Compression Syndrome ◽

A Prospective Study

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Prospective Comparison of Contrast-Enhanced Computed Tomography Versus Magnetic Resonance Venography in the Detection of Occult Deep Pelvic Vein Thrombosis in Patients with Pelvic and Acetabular Fractures

Journal of Orthopaedic Trauma ◽

10.1097/00005131-200210000-00001 ◽

2002 ◽

Vol 16 (9) ◽

pp. 613-621 ◽

Cited By ~ 35

Author(s):

Michael D. Stover ◽

Steven J. Morgan ◽

Michael J. Bosse ◽

Stephen H. Sims ◽

Brian J. Howard ◽

...

Keyword(s):

Computed Tomography ◽

Magnetic Resonance ◽

Magnetic Resonance Venography ◽

Acetabular Fractures ◽

Pelvic Vein ◽

Vein Thrombosis ◽

Prospective Comparison ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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Value of magnetic resonance venography and computed tomographic venography in lower extremity chronic venous disease

Phlebology The Journal of Venous Disease ◽

10.1177/0268355513477785 ◽

2013 ◽

Vol 28 (1_suppl) ◽

pp. 169-175 ◽

Cited By ~ 39

Author(s):

C W K P Arnoldussen ◽

R De Graaf ◽

C H A Wittens ◽

M W De Haan

Keyword(s):

Magnetic Resonance ◽

Lower Extremity ◽

Treatment Options ◽

Vena Cava ◽

Duplex Ultrasound ◽

Magnetic Resonance Venography ◽

Chronic Venous Disease ◽

Venous Disease ◽

Computed Tomographic ◽

Computed Tomographic Venography

For the treatment of chronic venous disease (CVD) of the lower extremity, identification of the underlying venous pathologies is essential. Traditionally, the pathologies to detect with imaging have been centred on insufficiency and reflux of the superficial, perforator and deep veins of the leg. More recently, stenosis and obstruction of the deep veins of the pelvis and abdomen (i.e. inferior vena cava, common and external iliac veins) have been identified as significant underlying pathologies in CVD. Accurate detection of stenotic and/or occlusive venous disease expands the treatment options for patients with CVD. In most cases, imaging of venous disease is performed with duplex ultrasound. In this article we discuss the existing evidence and potential value of computed tomographic venography and magnetic resonance venography to contribute in accurately identifying chronic venous disease, in particular chronic venous obstruction.

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