Does measurement of the jugular foramen diameter on MRI help to differentiate transverse sinus thrombosis from unilateral transverse sinus hypoplasia?
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Diagnosis, Differential
Female
Humans
Jugular Foramina
/ anatomy & histology
Lateral Sinus Thrombosis
/ diagnostic imaging
Magnetic Resonance Angiography
/ methods
Male
Middle Aged
ROC Curve
Reference Values
Retrospective Studies
Sensitivity and Specificity
Statistics, Nonparametric
Transverse Sinuses
/ abnormalities
Young Adult
Cerebral venous thrombosis
MR venography
MRI
Transverse sinus
Transverse sinus hypoplasia
Journal
La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
21
08
2019
accepted:
12
08
2020
pubmed:
29
8
2020
medline:
20
3
2021
entrez:
29
8
2020
Statut:
ppublish
Résumé
The transverse sinus (TS) is a frequent location of cerebral venous thrombosis. However, unilateral TS hypoplasia is a frequent variation and radiological imaging pitfall in the diagnosis because it may mimic unilateral TS thrombosis. The purpose of this study is to find a cutoff value for bilateral jugular foramen (JF) diameter ratios on magnetic resonance imaging (MRI) for differentiating TS thrombosis from TS hypoplasia. We retrospectively reviewed magnetic resonance venography results for 174 patients with reduced unilateral TS caliber resulting from either unilateral thrombosis (80 patients) or unilateral hypoplasia (94 patients). We calculated the ratio by proportioning the diameter of the JF ipsilateral to the TS with caliber reduction to the diameter of the contralateral JF. The Mann-Whitney U test was used to compare the ratios between thrombosis and hypoplasia groups, and the cutoff value was calculated by receiver-operating characteristic curve analysis. The ratio of bilateral JF diameters was lower in patients with hypoplasia than those with thrombosis (P < .01). The cutoff value to determine the diagnosis of TS hypoplasia with maximum accuracy was 0.638, with a sensitivity of 91.3% and specificity of 64.9%. In equivocal cases, calculating the cutoff value by proportioning the diameter of JF ipsilateral to the TS with caliber reduction to the contralateral JF seems to be an efficient, quick, and straightforward method and valuable aid to differentiate TS thrombosis from TS hypoplasia.
Sections du résumé
BACKGROUND AND PURPOSE
OBJECTIVE
The transverse sinus (TS) is a frequent location of cerebral venous thrombosis. However, unilateral TS hypoplasia is a frequent variation and radiological imaging pitfall in the diagnosis because it may mimic unilateral TS thrombosis. The purpose of this study is to find a cutoff value for bilateral jugular foramen (JF) diameter ratios on magnetic resonance imaging (MRI) for differentiating TS thrombosis from TS hypoplasia.
MATERIALS AND METHODS
METHODS
We retrospectively reviewed magnetic resonance venography results for 174 patients with reduced unilateral TS caliber resulting from either unilateral thrombosis (80 patients) or unilateral hypoplasia (94 patients). We calculated the ratio by proportioning the diameter of the JF ipsilateral to the TS with caliber reduction to the diameter of the contralateral JF. The Mann-Whitney U test was used to compare the ratios between thrombosis and hypoplasia groups, and the cutoff value was calculated by receiver-operating characteristic curve analysis.
RESULTS
RESULTS
The ratio of bilateral JF diameters was lower in patients with hypoplasia than those with thrombosis (P < .01). The cutoff value to determine the diagnosis of TS hypoplasia with maximum accuracy was 0.638, with a sensitivity of 91.3% and specificity of 64.9%.
CONCLUSION
CONCLUSIONS
In equivocal cases, calculating the cutoff value by proportioning the diameter of JF ipsilateral to the TS with caliber reduction to the contralateral JF seems to be an efficient, quick, and straightforward method and valuable aid to differentiate TS thrombosis from TS hypoplasia.
Identifiants
pubmed: 32857273
doi: 10.1007/s11547-020-01265-0
pii: 10.1007/s11547-020-01265-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
430-436Références
Leach JL, Fortuna RB, Jones BV et al (2006) Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics 26(Suppl. 1):19–41
doi: 10.1148/rg.26si055174
Chik Y, Gottesman RF, Zeiler SR et al (2012) Differentiation of transverse sinus thrombosis from congenitally atretic cerebral transverse sinus with CT. Stroke 43:1968–1970
doi: 10.1161/STROKEAHA.112.656124
Saposnik G, Barinagarrementeria F, Brown RD et al (2011) Diagnosis and management of cerebral venous thrombosis: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 42(4):1158–1192
doi: 10.1161/STR.0b013e31820a8364
Park JH, Yoon SH (2008) New concept of cerebrospinal fluid dynamics in cerebral venous sinus thrombosis. Med Hypotheses 70(1):143–147
doi: 10.1016/j.mehy.2007.03.036
Ferro JM, Canhão P, Stam J et al (2004) Cerebral vein and dural sinus thrombosis. Results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke 35:664–670
doi: 10.1161/01.STR.0000117571.76197.26
Padayachee TS, Bingham JB, Graves MJ et al (1991) Dural sinus thrombosis: diagnosis and follow-up by magnetic resonance angiography and imaging. Neuroradiology 33:165–167
doi: 10.1007/BF00588259
Ayanzen RH, Bird CR, Keller PJ et al (2000) Cerebral MR venography: normal anatomy and potential diagnostic pitfalls. AJNR Am J Neuroradiol 21(1):74–78
pubmed: 10669228
Zouaoui A, Hidden G (1988) Cerebral venous sinuses: anatomical variants or thrombosis? Acta Anat (Basel) 133:318–324
doi: 10.1159/000146661
Alper F, Kantarci M, Dane S et al (2004) Importance of anatomical asymmetries of transverse sinuses: an MR venographic study. Cerebrovasc Dis 18:236–239
doi: 10.1159/000079960
Walecki J, Mruk B, Nawrocka-Laskus E et al (2015) Neuroimaging of cerebral venous thrombosis (CVT)–old dilemma and the new diagnostic methods. Pol J Radiol 80:368–373
doi: 10.12659/PJR.894386
Surendrababu NRS, Livingstone RS (2006) Variations in the cerebral venous anatomy and pitfalls in the diagnosis of cerebral venous sinus thrombosis: low field MR experience. Indian J Med Sci 60:135–142
doi: 10.4103/0019-5359.24677
Fofi L, Giugni E, Vadala R et al (2012) Cerebral transverse sinus morphology as detected by MR venography in patients with chronic migraine. Headache 52:1254–1261
doi: 10.1111/j.1526-4610.2012.02154.x
Poon CS, Chang J-K, Swarnkar A, Johnson MH et al (2007) Radiologic diagnosis of cerebral venous thrombosis: pictorial review. AJR 189:S64–S75
doi: 10.2214/AJR.07.7015
Farb RI, Scott JN, Willinsky RA et al (2003) Intracranial venous system: gadolinium- enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence—initial experience. Radiology 226(1):203–209
doi: 10.1148/radiol.2261020670
Arauz A, Chavarria-Medina M, Patiño-Rodriguez H et al (2018) Association between transverse sinus hypoplasia and cerebral venous thrombosis: a case-control study. J Stroke Cerebrovasc Dis 27(2):432–437
doi: 10.1016/j.jstrokecerebrovasdis.2017.09.019
Goyal G, Singh R, Bansal N et al (2016) Anatomical variations of cerebral MR venography: is gender matter? Neurointervention 11:92–98
doi: 10.5469/neuroint.2016.11.2.92