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Diagnosis of cerebral venous thrombosis in children: Comparative study of 3D Brainview T1W black blood sequence and 3D CE-MRV sequence
LÜ Yanqiu  TAO Xiaojuan  CHENG Hua  YIN Guangheng  HU Di  HONG Tianyu  XU Huijuan  PENG Yun 

Cite this article as: Lü YQ, Tao XJ, Cheng H, et al. Diagnosis of cerebral venous thrombosis in children: Comparative study of 3D Brainview T1W black blood sequence and 3D CE-MRV sequence[J]. Chin J Magn Reson Imaging, 2022, 13(2): 75-78. DOI:10.12015/issn.1674-8034.2022.02.015.


[Abstract] Objective To retrospectively evaluate the performance of 3D Brainview T1W black blood sequence for diagnosis of cerebral venous thrombosis (CVT) in children.Materials and Methods This retrospective study included 25 children who had clinical symptoms suggesting CVT or with known CVT with MRIs performed with 3D Brainview T1W and 3D contrast-enhanced (CE) magnetic resonance venography (MRV) sequences on a 3.0 T scanner, and 10 of them also were performed with routine MRI and 3D phase-contrast (PC) MRV. Two neuroradiologists blindly reviewed 3D Brainview T1W and 3D CE-MRV images to obtain a diagnositic outcome for the presence or absence of CVT for each sequence, respectively. Final diagnostic reference standard was based on clinical diagnosis. The inter-observer agreement for the diagnosis of CVT was evaluated by using Kappa analysis for 3D Brainview T1W. Sensitivity/Specificity was used to assess the diagnostic performance of 3D Brainview T1W and 3D CE-MRV against the final diagnostic reference standard.Results The inter-observer agreement in the diagnosis of CVT was high for 3D Brainview T1W sequence (κ=0.95). The sensitivity/specificity for 3D Brainview T1W and 3D CE-MRV were 97.1%/99.6% and 91.4%/99.2%, respectively. There was no significant difference between 3D Brainview T1W and 3D CE-MRV in the diagnosis of CVT. However, 3D Brainview T1W provided more details of thrombi and diagnostic information.Conclusions 3D Brainview T1W showed the excellent performance in the diagnosis of CVT in children.
[Keywords] magnetic resonance imaging；sinus thrombosis；cerebral venous thrombosis；stroke；children

LÜ Yanqiu   TAO Xiaojuan   CHENG Hua   YIN Guangheng   HU Di   HONG Tianyu   XU Huijuan   PENG Yun*  

Department of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China

Peng Y, E-mail: ppengyun@yahoo.com

Conflicts of interest   None.

Received  2021-09-29
Accepted  2022-01-26
DOI: 10.12015/issn.1674-8034.2022.02.015
Cite this article as: Lü YQ, Tao XJ, Cheng H, et al. Diagnosis of cerebral venous thrombosis in children: Comparative study of 3D Brainview T1W black blood sequence and 3D CE-MRV sequence[J]. Chin J Magn Reson Imaging, 2022, 13(2): 75-78. DOI:10.12015/issn.1674-8034.2022.02.015.

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