Ultrasound Report Interpretation

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

Ultrasound Report Interpretation

Postby Kleiner » Fri Oct 29, 2010 12:35 pm

Is there anyone that is able to offer any assistance in interpreting the report I received for my CCSVI testing. Especially the measurements of the IJV's and what they actually mean. The results were sent to my family doctor and he was unable to provide much explanation. The only part I understand is that I have 4 of the 5 criteria for CCSVI. Hoping someone out there knows more than me (and my doctor) and can give me a little more info. Details are below...Thanks so much!!


REPORT


SUPINE STUDY:

Right IJV Cross-sectional area: 17.5mm^2
Left IJV Cross-sectional area: 30.5mm^2

Prominent echogenic bands in the J1 segment of the left IJV
Intermittent retrograde flow in the J2 segment of the left IJV
Normal antegrade flow in the right IJV, vertebral, and deep cerebral veins.



UPRIGHT STUDY:

Right IJV Cross-sectional area: 21.4mm^2 (change from supine= -3.9mm^2

Left IJV Cross-sectional area: 4.8mm^2(change from supine= +25.7mm^2

Normal antegrade flow in the IJV and vertebral veins
Retrograde flow in the deep cerebral veins


INTERPRETATION:

1. Criteria for CCSVI 4/5 (qualifying factor for CCSVI is 2/5)

2. Paradoxal increase in the cross sectiuonal area of the right internal jugular vein from supine to upright and other Doppler parameters as described above compatible with an element of intra and extracranial cerebral venous outflow obstruction based on preliminary information on the hemodynamics of this entity now available in literature.

3. 2-D and Doppler sonography of the neck vein assesses for indirect evidence of cerebral venous outflow obstruction. The exact site of the obstruction is usually difficult to demonstrate with sonography of the neck veins. Further testing to localize the actual site of narrowing/obstruction based on Zamboni's finding would include venography and/or MRI. It should be remembered that Dr. Zamboni's hypothesis is still highly contraversial within the medical community and decision to proceed with more invasive testing such as venography ought to take this into consideration.
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Re: Ultrasound Report Interpretation

Postby Cece » Fri Oct 29, 2010 12:58 pm

Kleiner wrote:2. Paradoxal increase in the cross sectiuonal area of the right internal jugular vein from supine to upright ...

I believe this part means that when you sat up, your right jugular vein increased in size. Jugular veins are supposed to collapse or decrease when upright.

In Dr. Sclafani's thread, he recently posted what the normal measurements for jugulars and other veins are. It'll be back a few pages, it was in response to CCSVIhusband.
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Re: Ultrasound Report Interpretation

Postby 1eye » Fri Oct 29, 2010 1:14 pm

Kleiner wrote:...It should be remembered that Dr. Zamboni's hypothesis is still highly contraversial within the medical community and decision to proceed with more invasive testing such as venography ought to take this into consideration.

less controversial every day... :)
"Try - Just A Little Bit Harder" - Janis Joplin
CCSVI procedure Albany Aug 2010
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