Paget-Schroetter disease MRI: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{ Paget-Schroetter disease }} | {{Paget-Schroetter disease}} | ||
{{CMG}}; {{AE}} {{Anahita}} | |||
== Overview == | == Overview == | ||
[[Magnetic resonance imaging]] ([[Magnetic resonance imaging|MRI]]) is useful in the presence of atypical symptoms or in the setting of a normal [[ultrasound]] in a highly suspected patient. | |||
== MRI == | == MRI == | ||
* [[Magnetic resonance angiography|Magnetic resonance venography]] with 100% [[Sensitivity (tests)|sensitivity]] and 97% [[Specificity (tests)|specificity]] is one of the most accurate non-invasive diagnostic tools for [[Paget-Schroetter disease]].<ref name="pmid21079709">{{cite journal| author=Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK| title=Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. | journal=West J Emerg Med | year= 2010 | volume= 11 | issue= 4 | pages= 358-62 | pmid=21079709 | doi= | pmc=2967689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21079709 }}</ref> | * [[Magnetic resonance angiography|Magnetic resonance venography]] with 100% [[Sensitivity (tests)|sensitivity]] and 97% [[Specificity (tests)|specificity]] is one of the most accurate non-invasive diagnostic tools for [[Paget-Schroetter disease]].<ref name="pmid21079709">{{cite journal| author=Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK| title=Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. | journal=West J Emerg Med | year= 2010 | volume= 11 | issue= 4 | pages= 358-62 | pmid=21079709 | doi= | pmc=2967689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21079709 }}</ref> | ||
* [[MRI|MR venography]] is capable of detecting [[thrombus]] in the venous system.<ref name="pmid29494023">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29494023 | doi= | pmc= | url= }}</ref> | * [[MRI|MR venography]] is capable of detecting [[thrombus]] in the venous system.<ref name="pmid29494023">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29494023 | doi= | pmc= | url= }}</ref> | ||
* [[Magnetic resonance imaging|MR venography]] has some disadvantages which may limit | * [[Magnetic resonance imaging|MR venography]] has some disadvantages which may limit its usage. Such as : | ||
** Limited availability<ref name="pmid210797094">{{cite journal| author=Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK| title=Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. | journal=West J Emerg Med | year= 2010 | volume= 11 | issue= 4 | pages= 358-62 | pmid=21079709 | doi= | pmc=2967689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21079709 }}</ref> | ** Limited availability<ref name="pmid210797094">{{cite journal| author=Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK| title=Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. | journal=West J Emerg Med | year= 2010 | volume= 11 | issue= 4 | pages= 358-62 | pmid=21079709 | doi= | pmc=2967689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21079709 }}</ref> | ||
** High price | ** High price | ||
* [[Magnetic resonance imaging]] (MRI) is helpful to confirm or exclude the diagnosis | * [[Magnetic resonance imaging]] (MRI) is helpful to confirm or exclude the diagnosis when [[Paget-Schroetter disease]] is highly suspected, but there are no abnormal [[ultrasound]] findings. This imaging method could also be used to study other possible etiologies of [[Subclavian]]-[[Axillary vein]] compression.<ref name="Rosa SalazarOtálora Valderrama20152">{{cite journal|last1=Rosa Salazar|first1=Vladimir|last2=Otálora Valderrama|first2=Sonia del Pilar|last3=Hernández Contreras|first3=María Encarnación|last4=García Pérez|first4=Bartolomé|last5=Arroyo Tristán|first5=Andrés del Amor|last6=García Méndez|first6=María del Mar|title=Multidisciplinary Management of Paget-Schroetter Syndrome. A Case Series of Eight Patients|journal=Archivos de Bronconeumología (English Edition)|volume=51|issue=8|year=2015|pages=e41–e43|issn=15792129|doi=10.1016/j.arbr.2015.05.026}}</ref> | ||
* [[Magnetic resonance angiography|MR angiography]] is an accurate diagnostic tool capable of : | * [[Magnetic resonance angiography|MR angiography]] is an accurate diagnostic tool capable of : | ||
** Detecting [[Axillary vein|Axillary]]-[[Subclavian vein]] occlusion | ** Detecting [[Axillary vein|Axillary]]-[[Subclavian vein]] occlusion | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Hematology]] | [[Category:Hematology]] | ||
[[Category:Angiology]] | [[Category:Angiology]] | ||
[[Category:cardiology]] | [[Category:cardiology]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 20:19, 23 June 2020
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Paget-Schroetter disease Microchapters |
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Differentiating Paget-Schroetter disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Paget-Schroetter disease MRI On the Web |
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American Roentgen Ray Society Images of Paget-Schroetter disease MRI |
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Risk calculators and risk factors for Paget-Schroetter disease MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Magnetic resonance imaging (MRI) is useful in the presence of atypical symptoms or in the setting of a normal ultrasound in a highly suspected patient.
MRI
- Magnetic resonance venography with 100% sensitivity and 97% specificity is one of the most accurate non-invasive diagnostic tools for Paget-Schroetter disease.[1]
- MR venography is capable of detecting thrombus in the venous system.[2]
- MR venography has some disadvantages which may limit its usage. Such as :
- Limited availability[3]
- High price
- Magnetic resonance imaging (MRI) is helpful to confirm or exclude the diagnosis when Paget-Schroetter disease is highly suspected, but there are no abnormal ultrasound findings. This imaging method could also be used to study other possible etiologies of Subclavian-Axillary vein compression.[4]
- MR angiography is an accurate diagnostic tool capable of :
- Detecting Axillary-Subclavian vein occlusion
- Point stenosis of Axillary-Subclavian vein at level of the first rib[5]
- Determining the presence of dilated collateral veins (could be helpful to determine thrombus chronicity)[6]
- Positional Subclavian vein obstruction (performed at rest with elevated upper limb)[7]
References
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ "StatPearls". 2020. PMID 29494023.
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ Rosa Salazar, Vladimir; Otálora Valderrama, Sonia del Pilar; Hernández Contreras, María Encarnación; García Pérez, Bartolomé; Arroyo Tristán, Andrés del Amor; García Méndez, María del Mar (2015). "Multidisciplinary Management of Paget-Schroetter Syndrome. A Case Series of Eight Patients". Archivos de Bronconeumología (English Edition). 51 (8): e41–e43. doi:10.1016/j.arbr.2015.05.026. ISSN 1579-2129.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.
- ↑ Thompson, Robert (2012). "Comprehensive Management of Subclavian Vein Effort Thrombosis". Seminars in Interventional Radiology. 29 (01): 044–051. doi:10.1055/s-0032-1302451. ISSN 0739-9529.