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• Clinical Article •
Morphological type of torcular herophili and drainage dominant of internal jugular vein using 3D CE-MRA
QIU JU-sheng  XIE Jian-jin  WANG Jina-wen  LIAO Xue-yan  YU Ting-yu  CHEN Jin-yin  TANG Lang-lang 

DOI:10.12015/issn.1674-8034.2017.07.004.


[Abstract] Objective: To explore the imaging anatomy of torcular herophili and drainage dominant of internal jugular vein (IJV).Materials and Methods: A total of 1204 patients [749 men, 455 women, age range, 14—84 years, mean age, (65.11±11.99) years] were included. Venous phase scanning was performed immediately after head and neck arterial phase scanning on 3 dimensional contrast enhanced magnetic resonance angiography (3D CE MRA). Transverse sinus (TS) and IJV drainage dominant types were observed with maximum intensity projection (MIP) images. Morphological types of the torcular herophili regions were classified.Results: Of the 1204 subjects, TS was found to be right, left, and codominant in 51.91%, 14.95%, and 33.14% of the cases, respectively. According to anatomic features, torcular herophili regions were classified into 4 types: simple confluence type (14.20%), double bifurcation type (31.48%), dural venous sinuses deviation type (51.66%) and occipital sinus (OS) type (2.66%). The third type was subdivided into 3 subtypes according to the different deviations of the superior sagittal sinus (SSS) and the straight sinus (SS). Of the 1162 subjects, IJV was found to be right, left, and codominant in 53.70%, 17.38%, and 28.92% of the cases, respectively.Conclusions: The morphological type of torcular herophili is rather complicated. In the different types of TS, the drainage form of IJV is consistent with that of TS drainage.
[Keywords] Cranial sinuses；Jugular veins；Magnetic resonance angiography；Anatomy

QIU JU-sheng Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

XIE Jian-jin Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

WANG Jina-wen* Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

LIAO Xue-yan Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

YU Ting-yu Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

CHEN Jin-yin Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

TANG Lang-lang Department of Radiology, Longyan First Hospital, Affiliated to Fujian Medical University, Longyan 364000, China

*Correspondence to: Wang JW, E-mail: 1127195362@qq.com

Conflicts of interest   None.

Received  2017-02-14
Accepted  2017-04-06
DOI: 10.12015/issn.1674-8034.2017.07.004
DOI:10.12015/issn.1674-8034.2017.07.004.

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