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Black-blood Venous Imaging (BBVI): A Contrast-Free and High-Resolution Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study
BACKGROUND: Iliac vein compression syndrome (IVCS) diagnosis heavily relies on an imaging test. However, non-invasive and contrast-free imaging test for the diagnosis of IVCS remains a big challenge. To address this issue, this prospective study aimed to assess the image quality and diagnostic perfo...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490483/ https://www.ncbi.nlm.nih.gov/pubmed/36124369 http://dx.doi.org/10.1177/10760296221127275 |
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author | Cheng, Zhangbo Wang, Hang Lin, Shengmei Yin, Lei Su, Jiawei Lei, Yunhong Lan, Yongrong Yan, Jun Han, Tao Ma, Mingping Xie, Guoxi |
author_facet | Cheng, Zhangbo Wang, Hang Lin, Shengmei Yin, Lei Su, Jiawei Lei, Yunhong Lan, Yongrong Yan, Jun Han, Tao Ma, Mingping Xie, Guoxi |
author_sort | Cheng, Zhangbo |
collection | PubMed |
description | BACKGROUND: Iliac vein compression syndrome (IVCS) diagnosis heavily relies on an imaging test. However, non-invasive and contrast-free imaging test for the diagnosis of IVCS remains a big challenge. To address this issue, this prospective study aimed to assess the image quality and diagnostic performance of a magnetic resonance imaging technique, black-blood venous imaging (BBVI), in detecting IVCS by comparing it with contrast-enhanced computed tomography venography (CTV) and using invasive digital subtraction angiography (DSA) as the reference. METHODS: We enrolled 105 patients, and all patients underwent BBVI, CTV, and DSA examinations. We compared the consistency of CTV and BBVI image quality and their consistency in diagnosing the rate of iliac vein stenosis in IVCS patients. Using the consensus DSA as a reference, the sensitivity, specificity, positive and negative predictive values, and accuracy of BBVI and CTV and their diagnostic agreement with DSA were calculated. RESULTS: BBVI demonstrated high sensitivity, specificity, and accuracy for the diagnosis of IVCS, without contrast agents. BBVI and CTV are quite in diagnosis IVCS. Quite SE (67.8% vs 68.3%), SP (94.8% vs 94.8%), PPV (98.0% vs 98.0%), NPV (46.2% vs 46.9%) and ACC (75.3% vs 75.7%) were obtained by BBVI in comparison with CTV. CONCLUSION: BBVI has comparable diagnostic performance with CTV. It may be a viable alternative to CTV techniques in screening the IVCS without contrast agents and free of ionizing radiation. |
format | Online Article Text |
id | pubmed-9490483 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-94904832022-09-22 Black-blood Venous Imaging (BBVI): A Contrast-Free and High-Resolution Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study Cheng, Zhangbo Wang, Hang Lin, Shengmei Yin, Lei Su, Jiawei Lei, Yunhong Lan, Yongrong Yan, Jun Han, Tao Ma, Mingping Xie, Guoxi Clin Appl Thromb Hemost Original Manuscript BACKGROUND: Iliac vein compression syndrome (IVCS) diagnosis heavily relies on an imaging test. However, non-invasive and contrast-free imaging test for the diagnosis of IVCS remains a big challenge. To address this issue, this prospective study aimed to assess the image quality and diagnostic performance of a magnetic resonance imaging technique, black-blood venous imaging (BBVI), in detecting IVCS by comparing it with contrast-enhanced computed tomography venography (CTV) and using invasive digital subtraction angiography (DSA) as the reference. METHODS: We enrolled 105 patients, and all patients underwent BBVI, CTV, and DSA examinations. We compared the consistency of CTV and BBVI image quality and their consistency in diagnosing the rate of iliac vein stenosis in IVCS patients. Using the consensus DSA as a reference, the sensitivity, specificity, positive and negative predictive values, and accuracy of BBVI and CTV and their diagnostic agreement with DSA were calculated. RESULTS: BBVI demonstrated high sensitivity, specificity, and accuracy for the diagnosis of IVCS, without contrast agents. BBVI and CTV are quite in diagnosis IVCS. Quite SE (67.8% vs 68.3%), SP (94.8% vs 94.8%), PPV (98.0% vs 98.0%), NPV (46.2% vs 46.9%) and ACC (75.3% vs 75.7%) were obtained by BBVI in comparison with CTV. CONCLUSION: BBVI has comparable diagnostic performance with CTV. It may be a viable alternative to CTV techniques in screening the IVCS without contrast agents and free of ionizing radiation. SAGE Publications 2022-09-19 /pmc/articles/PMC9490483/ /pubmed/36124369 http://dx.doi.org/10.1177/10760296221127275 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Manuscript Cheng, Zhangbo Wang, Hang Lin, Shengmei Yin, Lei Su, Jiawei Lei, Yunhong Lan, Yongrong Yan, Jun Han, Tao Ma, Mingping Xie, Guoxi Black-blood Venous Imaging (BBVI): A Contrast-Free and High-Resolution Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title | Black-blood Venous Imaging (BBVI):
A Contrast-Free and High-Resolution
Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title_full | Black-blood Venous Imaging (BBVI):
A Contrast-Free and High-Resolution
Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title_fullStr | Black-blood Venous Imaging (BBVI):
A Contrast-Free and High-Resolution
Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title_full_unstemmed | Black-blood Venous Imaging (BBVI):
A Contrast-Free and High-Resolution
Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title_short | Black-blood Venous Imaging (BBVI):
A Contrast-Free and High-Resolution
Magnetic Resonance Approach for Diagnosing IVCS – a Proof of Concept Study |
title_sort | black-blood venous imaging (bbvi):
a contrast-free and high-resolution
magnetic resonance approach for diagnosing ivcs – a proof of concept study |
topic | Original Manuscript |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490483/ https://www.ncbi.nlm.nih.gov/pubmed/36124369 http://dx.doi.org/10.1177/10760296221127275 |
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