Here's an excerpt from one of the the radiologist's forums. It's interesting as heck to hear their dialogue.
"I did my first patient for CCVI who has MS.
The test was normal. I read all of the hand outs brought. It was very explicit. I am at home without the handout.
Will include it tomorrow. This test has to be very structured and duplicated for each side for comparison.
Don't know that I really knew what I was doing.
I also looked at the IVC at the suggestion of our neuroradiologist.
bil transverse IJV's measure inferior and superior,, all diameters measured.
" with valsalva, supine and then 85 degrees sitting upright head resting.on a pillow.
Doppler triplex normal respiration, valsalva with release, velocities measured inferior and superior jugular.
Valsalva and release velocity trace is hard to do within a few seconds.. but I was able to see the changes.
Obviously the velocity decreases with valsalva and increases with respiration.
I will read over the literature.
Is this going to be a test for every patient with MS?
... Oye the pressure.
Well we will see how the vascular radiologist reads it."
So it sounds like he is not confident yet, but going to read and learn the proper protocol. And a big THANKS to the MS Patient who brought the information packet for the radiologist! This is a revolution being brought about by the “little folks”, each of us taking one step at a time, each in our own way. The momentum is truly growing and I‘m proud to be on board.
Here's the link, you'll find the CCSVI references down the page aways. There are two differnt discussion sections, so don't miss the even lower entries. If nothing else, this is interesting billing info: "Venous insufficiency unspecified (459.81) is a billable indication for a venous exam."