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. 2008 Oct;36(4):491-6.
doi: 10.1016/j.ejvs.2008.06.024. Epub 2008 Aug 20.

MR venography in the detection of pelvic venous congestion

G Asciutto  1 , A Mumme, B Marpe, O Köster, K C Asciutto, B Geier
Affiliations
Free article

MR venography in the detection of pelvic venous congestion

G Asciutto et al. Eur J Vasc Endovasc Surg. 2008 Oct.
Free article

Abstract

Purpose: To investigate the feasibility of using magnetic resonance venography (MRV) to detect pelvic venous congestion (PVC).

Methods: A prospective study of 23 female patients with signs and symptoms of PVC, who underwent duplex sonography, MRV and phlebography (P). Examinations were interpreted in a blinded fashion. Visualization of venous anatomy, presence of venous incompetence and congestion grade were evaluated. Sensitivity and specificity of MRV using P as reference were calculated.

Results: MRV agreed with P in 96% (Cohen-K-value 0.646) and in 70% (K 0.555) of the cases respectively in the venous anatomy and congestion grade. Sensitivity and specificity of MRV were 88% and 67% for ovarian veins, 100% and 38% for hypogastric veins and 91% and 42% for the pelvic plexus.

Conclusions: In this prospective study MRV showed high sensitivity in the evaluation of patients with suspected PVC. Routine use of this diagnostic method requires further studies in larger patient cohorts.

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