American Journal of Neuroradiology 20:249-255 (2 1999)
© 1999 American Society of Neuroradiology
ARTICLE
Cerebral Veins: Comparative Study of CT Venography with Intraarterial Digital Subtraction Angiography
a From the Department of Diagnostic Radiology, Division of Neuroradiology, University Hospital of Basel, Kantonsspital, Petersgraben 4, 4031 Basel, Switzerland.
BACKGROUND AND PURPOSE: Our objective was to compare the reliability of CT venography with intraarterial digital subtraction angiography (DSA) in imaging cerebral venous anatomy and pathology.
METHODS: In 25 consecutive patients, 426 venous structures were determined as present, partially present, or absent by three observers evaluating CT multiplanar reformatted (MPR) and maximum intensity projection (MIP) images. These results were compared with the results from intraarterial DSA and, in a second step, with the results of an intraobserver consensus. In addition, pathologic conditions were described.
RESULTS: Using DSA as the standard of reference, MPR images had an overall sensitivity of 95% (specificity, 19%) and MIP images a sensitivity of 80% (specificity, 44%) in depicting the cerebral venous anatomy. On the basis of an intraobserver consensus including DSA, MPR, and MIP images (415 vessels present), the sensitivity/specificity was 95%/91% for MPR, 90%/100% for DSA, and 79%/91% for MIP images. MPR images were superior to DSA images in showing the cavernous sinus, the inferior sagittal sinus, and the basal vein of Rosenthal. Venous occlusive diseases were correctly recognized on both MPR and MIP images. Only DSA images provided reliable information of invasion of a sinus by an adjacent meningioma.
CONCLUSION: CT venography proved to be a reliable method to depict the cerebral venous structures. MPR images were superior to MIP images.
This article has been cited by other articles:
 |
|
 |
|
  C. S. Poon, J.-K. Chang, A. Swarnkar, M. H. Johnson, and J. Wasenko Radiologic Diagnosis of Cerebral Venous Thrombosis: Pictorial Review Am. J. Roentgenol., December 1, 2007; 189(6_Supplement): S64 - S75. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E TEASDALE Mutlidetector CT: new horizons in neurological imaging Imaging, June 1, 2007; 19(2): 153 - 172. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Linn, B. Ertl-Wagner, K.C. Seelos, M. Strupp, M. Reiser, H. Bruckmann, and R. Bruning Diagnostic Value of Multidetector-Row CT Angiography in the Evaluation of Thrombosis of the Cerebral Venous Sinuses AJNR Am. J. Neuroradiol., May 1, 2007; 28(5): 946 - 952. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Smith and M D Hourihan Investigating suspected cerebral venous thrombosis BMJ, April 14, 2007; 334(7597): 794 - 795. [Full Text] [PDF]
|
|
|
|
|
|
N. Khandelwal, A. Agarwal, R. Kochhar, J. R. Bapuraj, P. Singh, S. Prabhakar, and S. Suri Comparison of CT Venography with MR Venography in Cerebral Sinovenous Thrombosis. Am. J. Roentgenol., December 1, 2006; 187(6): 1637 - 1643. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Widjaja, M. Shroff, S. Blaser, S. Laughlin, and C. Raybaud 2D Time-of-Flight MR Venography in Neonates: Anatomy and Pitfalls. AJNR Am. J. Neuroradiol., October 1, 2006; 27(9): 1913 - 1918. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. H. Rodallec, A. Krainik, A. Feydy, A. Helias, J.-M. Colombani, M.-C. Julles, V. Marteau, and M. Zins Cerebral Venous Thrombosis and Multidetector CT Angiography: Tips and Tricks RadioGraphics, October 1, 2006; 26(suppl_1): S5 - S18. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Leach, R. B. Fortuna, B. V. Jones, and M. F. Gaskill-Shipley Imaging of Cerebral Venous Thrombosis: Current Techniques, Spectrum of Findings, and Diagnostic Pitfalls RadioGraphics, October 1, 2006; 26(suppl_1): S19 - S41. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Takhtani CT Neuroangiography: A Glance at the Common Pitfalls and Their Prevention Am. J. Roentgenol., September 1, 2005; 185(3): 772 - 783. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. C. van der Schaaf, B. K. Velthuis, A. Gouw, and G. J. E. Rinkel Venous Drainage in Perimesencephalic Hemorrhage Stroke, July 1, 2004; 35(7): 1614 - 1618. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. B. L. M. Majoie, M. van Straten, H. W. Venema, and G. J. den Heeten Multisection CT Venography of the Dural Sinuses and Cerebral Veins by Using Matched Mask Bone Elimination AJNR Am. J. Neuroradiol., May 1, 2004; 25(5): 787 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Stolz, S. Trittmacher, A. Rahimi, T. Gerriets, C. Rottger, R. Siekmann, and M. Kaps Influence of Recanalization on Outcome in Dural Sinus Thrombosis: A Prospective Study Stroke, February 1, 2004; 35(2): 544 - 547. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Suzuki, H. Ikeda, M. Shimadu, Y. Ikeda, and K. Matsumoto Variations of the Basal Vein: Identification Using Three-dimensional CT Angiography AJNR Am. J. Neuroradiol., April 1, 2001; 22(4): 670 - 676. [Abstract] [Full Text]
|
|