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Does measurement of the jugular foramen diameter on MRI help to differentiate transverse sinus thrombosis from unilateral transverse sinus hypoplasia?

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dc.contributor.authorMİDİ, İPEK
dc.contributor.authorsGul, Burcu; Samanci, Cesur; Uluduz, Derya Ugurlu; Alis, Deniz; Midi, Ipek; Kocer, Naci; Islak, Civan; Kizilkilic, Osman
dc.date.accessioned2022-03-12T22:43:38Z
dc.date.available2022-03-12T22:43:38Z
dc.date.issued2021
dc.description.abstractBackground and Purpose 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 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-WhitneyUtest was used to compare the ratios between thrombosis and hypoplasia groups, and the cutoff value was calculated by receiver-operating characteristic curve analysis. 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 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.
dc.identifier.doi10.1007/s11547-020-01265-0
dc.identifier.eissn1826-6983
dc.identifier.issn0033-8362
dc.identifier.pubmed32857273
dc.identifier.urihttps://hdl.handle.net/11424/236346
dc.identifier.wosWOS:000564337100001
dc.language.isoeng
dc.publisherSPRINGER-VERLAG ITALIA SRL
dc.relation.ispartofRADIOLOGIA MEDICA
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCerebral venous thrombosis
dc.subjectTransverse sinus
dc.subjectTransverse sinus hypoplasia
dc.subjectMR venography
dc.subjectMRI
dc.subjectCEREBRAL VENOUS THROMBOSIS
dc.subjectVENOGRAPHY
dc.subjectDIAGNOSIS
dc.titleDoes measurement of the jugular foramen diameter on MRI help to differentiate transverse sinus thrombosis from unilateral transverse sinus hypoplasia?
dc.typearticle
dspace.entity.typePublication
local.avesis.id5677a786-91a8-424b-bab1-45b2fafcc14f
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
local.journal.quartileQ2
oaire.citation.endPage436
oaire.citation.issue3
oaire.citation.startPage430
oaire.citation.titleRADIOLOGIA MEDICA
oaire.citation.volume126
relation.isAuthorOfPublicationa436ba9b-29cc-4170-b37f-ba8e767e9c59
relation.isAuthorOfPublication.latestForDiscoverya436ba9b-29cc-4170-b37f-ba8e767e9c59

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