US Ext Upper Venous Report
Posted: Fri Apr 09, 2010 8:04 am
Hello Dr Doctor,
I have been lucky to have an MRV and now an US exam using the Zamboni protocol with the following results.
"There is evidence of 1 abnormal criterion described by Zamboni relating to change in the measured cross sectional surface area of the IJV with area measured both in the supine and sitting position. When the surface area of the supine internal jusgular vein is larger than the surface area of the jugular vein measurment, the value is considered abnormal. This metric is calculated by subtracting the surface area of the supine internal jugular vein from the surface area of the sitting internal jugular vein as described in his publication. When the metric results in a negative number, it is considered abnormal. The sitting internal jugular veins today were quite narrowed measuring only 1.10sq cm on the right and 0.08 sq cm on the left while the supine internal jugular area was 1.42 sq cm on the right and 0.18 sq cm on the left. These calculations resulted in a delta value of +- 1.32 sq cm on the right and +- 0.10 sq cm on the left."
Ok, did you get all that.
I have not been able to have a discussion with the image specialist, but I was hoping for a Dr S take on this report.
By the way you have my MRV report somewhere in your office with the left IJV that is 11mm down to 2mm.
I realize this is part of the puzzle...but is there any conclusion with this info??
Thanks for you response, I will hang up and wait for my answer.
your best friend in Chicago,
Mark
I have been lucky to have an MRV and now an US exam using the Zamboni protocol with the following results.
"There is evidence of 1 abnormal criterion described by Zamboni relating to change in the measured cross sectional surface area of the IJV with area measured both in the supine and sitting position. When the surface area of the supine internal jusgular vein is larger than the surface area of the jugular vein measurment, the value is considered abnormal. This metric is calculated by subtracting the surface area of the supine internal jugular vein from the surface area of the sitting internal jugular vein as described in his publication. When the metric results in a negative number, it is considered abnormal. The sitting internal jugular veins today were quite narrowed measuring only 1.10sq cm on the right and 0.08 sq cm on the left while the supine internal jugular area was 1.42 sq cm on the right and 0.18 sq cm on the left. These calculations resulted in a delta value of +- 1.32 sq cm on the right and +- 0.10 sq cm on the left."
Ok, did you get all that.
I have not been able to have a discussion with the image specialist, but I was hoping for a Dr S take on this report.
By the way you have my MRV report somewhere in your office with the left IJV that is 11mm down to 2mm.
I realize this is part of the puzzle...but is there any conclusion with this info??
Thanks for you response, I will hang up and wait for my answer.
your best friend in Chicago,
Mark