Cargando…

Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases

Objectives: Venous diseases in the lower extremities long lacked an objective diagnostic tool prior to the advent of the triggered angiography non-contrast-enhanced (TRANCE) technique. Methods: An observational study with retrospective data analysis. Materials: Between April 2017 and June 2019, 66 p...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Chien-Wei, Tseng, Yuan-Hsi, Lin, Chien-Chiao, Kao, Chih-Chen, Wong, Min Yi, Lin, Bor-Shyh, Huang, Yao-Kuang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344462/
https://www.ncbi.nlm.nih.gov/pubmed/32485855
http://dx.doi.org/10.3390/diagnostics10060355
_version_ 1783555949401735168
author Chen, Chien-Wei
Tseng, Yuan-Hsi
Lin, Chien-Chiao
Kao, Chih-Chen
Wong, Min Yi
Lin, Bor-Shyh
Huang, Yao-Kuang
author_facet Chen, Chien-Wei
Tseng, Yuan-Hsi
Lin, Chien-Chiao
Kao, Chih-Chen
Wong, Min Yi
Lin, Bor-Shyh
Huang, Yao-Kuang
author_sort Chen, Chien-Wei
collection PubMed
description Objectives: Venous diseases in the lower extremities long lacked an objective diagnostic tool prior to the advent of the triggered angiography non-contrast-enhanced (TRANCE) technique. Methods: An observational study with retrospective data analysis. Materials: Between April 2017 and June 2019, 66 patients were evaluated for venous diseases through TRANCE-magnetic resonance imaging (MRI) and were grouped according to whether they had occlusive venous (OV) disease, a static venous ulcer (SU), or symptomatic varicose veins (VV). The clinical appliance of TRANCE-MRI was analysed by groups. Results: In total, 63 patients completed the study. TRANCE-MRI could identify venous thrombosis, including that of the abdominal and pelvic vessels, and it enabled the timely treatment of underlying diseases in patients with OV disease. TRANCE-MRI was statistically compared with the duplex scan, the gold standard to exclude deep vein thrombosis (DVT) in the legs, with regard to their abilities to detect venous thrombosis by using Cohen’s kappa coefficient at a compatible value of 0.711. It could provide the occlusion degree of the peripheral artery for treating an SU. Finally, TRANCE-MRI can be used to outline all collateral veins and occult thrombi before treating symptomatic or recurrent VV to ensure a perfect surgical plan and to avoid complications. Conclusions: TRANCE-MRI is an innovative tool in the treatment of versatile venous pathology in the lower extremities and is widely used for vascular diseases in our institution.
format Online
Article
Text
id pubmed-7344462
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-73444622020-07-14 Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases Chen, Chien-Wei Tseng, Yuan-Hsi Lin, Chien-Chiao Kao, Chih-Chen Wong, Min Yi Lin, Bor-Shyh Huang, Yao-Kuang Diagnostics (Basel) Article Objectives: Venous diseases in the lower extremities long lacked an objective diagnostic tool prior to the advent of the triggered angiography non-contrast-enhanced (TRANCE) technique. Methods: An observational study with retrospective data analysis. Materials: Between April 2017 and June 2019, 66 patients were evaluated for venous diseases through TRANCE-magnetic resonance imaging (MRI) and were grouped according to whether they had occlusive venous (OV) disease, a static venous ulcer (SU), or symptomatic varicose veins (VV). The clinical appliance of TRANCE-MRI was analysed by groups. Results: In total, 63 patients completed the study. TRANCE-MRI could identify venous thrombosis, including that of the abdominal and pelvic vessels, and it enabled the timely treatment of underlying diseases in patients with OV disease. TRANCE-MRI was statistically compared with the duplex scan, the gold standard to exclude deep vein thrombosis (DVT) in the legs, with regard to their abilities to detect venous thrombosis by using Cohen’s kappa coefficient at a compatible value of 0.711. It could provide the occlusion degree of the peripheral artery for treating an SU. Finally, TRANCE-MRI can be used to outline all collateral veins and occult thrombi before treating symptomatic or recurrent VV to ensure a perfect surgical plan and to avoid complications. Conclusions: TRANCE-MRI is an innovative tool in the treatment of versatile venous pathology in the lower extremities and is widely used for vascular diseases in our institution. MDPI 2020-05-29 /pmc/articles/PMC7344462/ /pubmed/32485855 http://dx.doi.org/10.3390/diagnostics10060355 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Chien-Wei
Tseng, Yuan-Hsi
Lin, Chien-Chiao
Kao, Chih-Chen
Wong, Min Yi
Lin, Bor-Shyh
Huang, Yao-Kuang
Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title_full Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title_fullStr Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title_full_unstemmed Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title_short Novel Diagnostic Options without Contrast Media or Radiation: Triggered Angiography Non-Contrast-Enhanced Sequence Magnetic Resonance Imaging in Treating Different Leg Venous Diseases
title_sort novel diagnostic options without contrast media or radiation: triggered angiography non-contrast-enhanced sequence magnetic resonance imaging in treating different leg venous diseases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344462/
https://www.ncbi.nlm.nih.gov/pubmed/32485855
http://dx.doi.org/10.3390/diagnostics10060355
work_keys_str_mv AT chenchienwei noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT tsengyuanhsi noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT linchienchiao noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT kaochihchen noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT wongminyi noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT linborshyh noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases
AT huangyaokuang noveldiagnosticoptionswithoutcontrastmediaorradiationtriggeredangiographynoncontrastenhancedsequencemagneticresonanceimagingintreatingdifferentlegvenousdiseases