Document Detail


Effective use of flow-spoiled FBI and time-SLIP methods in the diagnostic study of an aberrant vessel of the head and neck: "left jugular venous steal by the right jugular vein".
MedLine Citation:
PMID:  20677273     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three-dimensional (3D) time-of-flight (TOF) is now commonly used in routine magnetic resonance angiography (MRA) studies of the head and neck. However, there are limits to its diagnostic abilities in the clinical field and, in some instances, a more invasive supplementary examination may be required. We incidentally discovered a patient with an aberrant vessel of the head and neck that ran alongside the left carotid artery and contained a constant, slowly pulsating efferent blood flow. 3D-TOF and carotid ultrasonography could not determine the nature and origin of this vessel. Additional studies using flow-spoiled fresh blood imaging (flow-spoiled FBI) and time spatial labeling inversion pulse (time-SLIP) methods were effective in determining that the vessel was the left jugular vein, and that the continuous venous reflux was a result of a venous steal by the right jugular vein. We show that by combining different MRA techniques we can effectively achieve diagnosis without resorting to more invasive examinations.
Authors:
Taroh Kogure; Kyuya Kogure; Mitsumasa Iizuka; Azusa Ino; Masako Ishii
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  32     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-11-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  429-33     Citation Subset:  IM    
Copyright Information:
2010 Wiley-Liss, Inc.
Affiliation:
Kogure Medical Clinic, Fukaya-shi, Saitama, Japan. horatio@gol.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Arteries / pathology
Diagnostic Imaging / methods*
Female
Head / blood supply*,  pathology
Humans
Imaging, Three-Dimensional
Ischemic Attack, Transient / diagnosis,  pathology
Jugular Veins / pathology*
Magnetic Resonance Angiography / methods
Neck / blood supply*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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