Assessment of the inferior petrosal sinus on T1‑weighted contrast‑enhanced magnetic resonance imaging

Karthikram Raghuram, Aditya Durgam, Stephen Sartin

Research output: Contribution to journalArticle

Abstract

Context: Skull base venous anatomy. Aims: While prior studies have focused on the efficacy of conventional fluoroscopic venography and multidetector computed tomography venography to evaluate the inferior petrosal sinus (IPS) before image‑guided intervention (such as dural venous sinus sampling), we believe that routine magnetic resonance imaging (MRI) may provide reliable structural information helpful for planning without the need for further imaging. Settings and Design: Retrospective review of brain MRI. Materials and Methods: Retrospective analysis was carried out on IPSs on contrast‑enhanced T1‑weighted MR images. Qualitative measurements were made regarding the grade of patency of the IPS, variation in IPS drainage pattern, and grading of the ipsilateral transverse and sigmoid sinuses (TS and SS). Statistical Analysis Used: Pearson's product‑moment correlation. Results: Evaluation of a total of 148 IPSs revealed that 91% of cases were grade 3 or grade 2 (either fully or mostly visualized), with 65% of cases demonstrating “typical” (type A) drainage directly into the internal jugular vein and no statistically significant correlation between the patency of the IPS and the dominance of the ipsilateral TS/SS. A bilateral concordance rate of 77% was also observed. Conclusions: Our analysis indicates that routine thin‑slice contrast‑enhanced T1‑weighted MRI can provide sufficient anatomic detail to identify typical drainage pattern of the IPS in a majority of cases. In cases where routine drainage was not identified, spatial resolution was not sufficient to further delineate complex drainage anatomy. No correlation was observed between the TS/SS dominance and patency of the ipsilateral IPS.

Original languageEnglish (US)
Article number234657
JournalJournal of Clinical Imaging Science
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2018

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Drainage
Magnetic Resonance Imaging
Phlebography
Anatomy
Transverse Sinuses
Multidetector Computed Tomography
Jugular Veins
Skull Base
Sigmoid Colon
Brain

Keywords

  • Brain
  • Dural venous sinuses
  • Inferior petrosal sinus
  • Magnetic resonance imaging
  • Skull base
  • Veins

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Assessment of the inferior petrosal sinus on T1‑weighted contrast‑enhanced magnetic resonance imaging. / Raghuram, Karthikram; Durgam, Aditya; Sartin, Stephen.

In: Journal of Clinical Imaging Science, Vol. 8, No. 1, 234657, 01.01.2018.

Research output: Contribution to journalArticle

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abstract = "Context: Skull base venous anatomy. Aims: While prior studies have focused on the efficacy of conventional fluoroscopic venography and multidetector computed tomography venography to evaluate the inferior petrosal sinus (IPS) before image‑guided intervention (such as dural venous sinus sampling), we believe that routine magnetic resonance imaging (MRI) may provide reliable structural information helpful for planning without the need for further imaging. Settings and Design: Retrospective review of brain MRI. Materials and Methods: Retrospective analysis was carried out on IPSs on contrast‑enhanced T1‑weighted MR images. Qualitative measurements were made regarding the grade of patency of the IPS, variation in IPS drainage pattern, and grading of the ipsilateral transverse and sigmoid sinuses (TS and SS). Statistical Analysis Used: Pearson's product‑moment correlation. Results: Evaluation of a total of 148 IPSs revealed that 91{\%} of cases were grade 3 or grade 2 (either fully or mostly visualized), with 65{\%} of cases demonstrating “typical” (type A) drainage directly into the internal jugular vein and no statistically significant correlation between the patency of the IPS and the dominance of the ipsilateral TS/SS. A bilateral concordance rate of 77{\%} was also observed. Conclusions: Our analysis indicates that routine thin‑slice contrast‑enhanced T1‑weighted MRI can provide sufficient anatomic detail to identify typical drainage pattern of the IPS in a majority of cases. In cases where routine drainage was not identified, spatial resolution was not sufficient to further delineate complex drainage anatomy. No correlation was observed between the TS/SS dominance and patency of the ipsilateral IPS.",
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