Posted: Wed Mar 09, 2011 10:52 am
However, both of mine took several hours each.
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I agree about the time, although I think a thorough Zamboni protocol ultrasound is a good idea for follow-up comparisons, particularly for the information it gives about the verts and the epidural veins, to try and infer about the azygous.DrCumming wrote:Jackie, the time it takes to do the study is not that important versus the knowledge and skill of the person doing the exam.jackiejay wrote:my son's doppler ultrasound took at the most 20 minutes.....is that normally the amount of time needed to do this exam?
Did they find CCSVI?
CD, to obtain the most accurate results using the Zamboni protocol we use an Esaote system that has CCSVI specific software and a special multi-directional probe. We also have special calibrated presets for use in evaluating the veins.CD wrote:I am not sure if this is true, but I heard it has to be on a the new Siemens Ultrasound Machine with special software, for the CCSVI protocol testing. Is this true?
CD
Civickiller,civickiller wrote:does anyone know if PI has somebody there trained in the full zamboni protocal? or what clinics do?
Lanie, where are you preforming these test?
Formyruca,formyruca wrote:Hi Lanie,
What is the current number of pwMS that have met 3 of 5 Zamboni criteria at your facility?
Thanks!
Jackiejay,jackiejay wrote:my son's doppler ultrasound took at the most 20 minutes.....is that normally the amount of time needed to do this exam?
Jackiejay,jackiejay wrote:Lanie,
He was tested using the Zamboni protocol (seated and supine positions) at the Barrie clinic in Ontario....criteria met for CCSVI..3/5....perhaps they have a speedy way of doing it...
Jackie
Cece,Cece wrote:Lanie, what are the challenges with measuring the deep cerebral veins? Did it take you a while to become consistent at those? Dr. Sclafani has just mentioned that the consensus between Dr. Zamboni and 47 experts at the ISNVD conference these last few days was that the Zamboni criteria will now be reduced to just four instead of five! They are dropping the deep cerebral veins portion. Will this change what you do at CCSVI Atlanta?
Azygos cannot be properly evaluated by Doppler. Reflux in the vertebral veins is relatively rare, but problems with the azygos are common. If there are collaterals coming off the vertebrals, then that is often indicative of a problem with the azygos, but the converse is not true. A person can have a problem with the azygos and still not show a problem with the vertebral veins - actually that is often the case.Cece wrote:That is something!! They check the vertebral veins (I was told at AAC Brooklyn that I had beautiful verts, during the ultrasound) and if there is reflux in the verts, that indicates there may be reflux in the azygous. It's indirect but at least it's information. For Angela to be able to say that you had an azygous with bloodflow through it, she must have been seeing the verts flowing and they have to be flowing somewhere, which is the azygous...I hope I've got this right.Hooch wrote:The technician in Barrie told me that she had a way of checking that the azygous was open using the doppler ultrasound. I am a Dr Siskin patient and he couldn't find my azygous but Angela said I did have one and that I had bloodflow through it!
20 minutes for CCSVI doppler?! Just doing the deep cerebral veins for reflux takes up to 20 minutes by itself. As a sonographer certified in this exam I want to share my experience so patients know what to expect from their testing facility to get an accurate diagnosis. I am happy for you that yours came back in your favor but some do not and that is most likely because they were not fully evaluated.jackiejay wrote:although my son's doppler ultrasound was fairly quickly done...one of his qualifying criteria was "abnormal flow in the deep cerebral veins"...