Effects of different morphologic abnormalities on hemodynamics in patients with venous pulsatile tinnitus: A four‐dimensional flow magnetic resonance imaging study
The effects of morphologic abnormalities, including sigmoid sinus wall dehiscence (SSWD), transverse sinus stenosis (TSS), and sigmoid sinus diverticulum (SSD), on hemodynamics in venous pulsatile tinnitus (PT) patients have not been established. The aim of this study was to evaluate the effects of...
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| Veröffentlicht in: | Journal of magnetic resonance imaging 2021-06, Vol.53 (6), p.1744-1751 |
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| creator | Li, Xiaoshuai Qiu, Xiaoyu Ding, Heyu Lv, Han Zhao, Pengfei Yang, Zhenghan Gong, Shusheng Wang, Zhenchang |
| description | The effects of morphologic abnormalities, including sigmoid sinus wall dehiscence (SSWD), transverse sinus stenosis (TSS), and sigmoid sinus diverticulum (SSD), on hemodynamics in venous pulsatile tinnitus (PT) patients have not been established. The aim of this study was to evaluate the effects of SSWD, TSS, and SSD on the hemodynamics of transverse‐sigmoid sinus in venous PT patients. This was a prospective study with 44 venous PT patients and 12 healthy controls. A 3 T/four‐dimensional (4D) flow magnetic resonance imaging with fast field echo was used. Computed tomography arteriography/venography was used to assess ipsilateral SSWD, TSS, and SSD. Maximum velocity (Vmax), average velocity (Vavg), and average flow (Flowavg) were measured. Blood flow patterns were independently assessed by three neuroradiologists. One‐way analysis of variance or Kruskal–Wallis test was also used. On the symptomatic side, all patients had SSWD, 33 patients had TSS, and 22 patients had SSD. Compared with healthy controls, patients with TSS, without TSS, with SSD, and without SSD all showed higher Vmax (all p |
| doi_str_mv | 10.1002/jmri.27503 |
| format | Article |
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Level of Evidence
2
Technical Efficacy Stage
3</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.27503</identifier><identifier>PMID: 33491233</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Abnormalities ; Arteriography ; Average velocity ; Blood flow ; Computational fluid dynamics ; Computed tomography ; Dehiscence ; Flow distribution ; Fluid flow ; four‐dimensional flow magnetic resonance imaging ; Hemodynamics ; Magnetic resonance imaging ; Medical imaging ; Original Research ; pulsatile tinnitus ; Resonance ; Sinuses ; Stenosis ; Tinnitus ; Variance analysis ; Velocity</subject><ispartof>Journal of magnetic resonance imaging, 2021-06, Vol.53 (6), p.1744-1751</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC. on behalf of International Society for Magnetic Resonance in Medicine.</rights><rights>2021 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals LLC. on behalf of International Society for Magnetic Resonance in Medicine.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4483-3bc99e1c9ba0a1fee9683ad0cc450143e6a3383ffa81508ba8c17369baeef8b23</citedby><cites>FETCH-LOGICAL-c4483-3bc99e1c9ba0a1fee9683ad0cc450143e6a3383ffa81508ba8c17369baeef8b23</cites><orcidid>0000-0003-1888-2964 ; 0000-0001-8190-6469 ; 0000-0001-9559-4777</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.27503$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.27503$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33491233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Xiaoshuai</creatorcontrib><creatorcontrib>Qiu, Xiaoyu</creatorcontrib><creatorcontrib>Ding, Heyu</creatorcontrib><creatorcontrib>Lv, Han</creatorcontrib><creatorcontrib>Zhao, Pengfei</creatorcontrib><creatorcontrib>Yang, Zhenghan</creatorcontrib><creatorcontrib>Gong, Shusheng</creatorcontrib><creatorcontrib>Wang, Zhenchang</creatorcontrib><title>Effects of different morphologic abnormalities on hemodynamics in patients with venous pulsatile tinnitus: A four‐dimensional flow magnetic resonance imaging study</title><title>Journal of magnetic resonance imaging</title><addtitle>J Magn Reson Imaging</addtitle><description>The effects of morphologic abnormalities, including sigmoid sinus wall dehiscence (SSWD), transverse sinus stenosis (TSS), and sigmoid sinus diverticulum (SSD), on hemodynamics in venous pulsatile tinnitus (PT) patients have not been established. The aim of this study was to evaluate the effects of SSWD, TSS, and SSD on the hemodynamics of transverse‐sigmoid sinus in venous PT patients. This was a prospective study with 44 venous PT patients and 12 healthy controls. A 3 T/four‐dimensional (4D) flow magnetic resonance imaging with fast field echo was used. Computed tomography arteriography/venography was used to assess ipsilateral SSWD, TSS, and SSD. Maximum velocity (Vmax), average velocity (Vavg), and average flow (Flowavg) were measured. Blood flow patterns were independently assessed by three neuroradiologists. One‐way analysis of variance or Kruskal–Wallis test was also used. On the symptomatic side, all patients had SSWD, 33 patients had TSS, and 22 patients had SSD. Compared with healthy controls, patients with TSS, without TSS, with SSD, and without SSD all showed higher Vmax (all p < 0.050), Vavg (all p < 0.050), and Flowavg (all p < 0.050). Patients with TSS showed higher Vmax (p < 0.050) and Vavg (p < 0.050) than those without TSS, and no significant difference in Flowavg was found between the two groups (p = 0.408). No significant differences in Vmax, Vavg, and Flowavg were found between patients with and without SSD (all p = 1.000). Jet‐like flow in the stenosis and downstream of the stenosis was observed in all patients with TSS. Vortex in SSD was observed in 15 patients with SSD (68%). High blood velocity and flow may be characteristic markers of venous PT. SSWD may be a necessary condition for venous PT. TSS may further increase the blood velocity and form a jet‐like flow. SSD may be related to vortex formation but had no significant effect on blood velocity and flow.
Level of Evidence
2
Technical Efficacy Stage
3</description><subject>Abnormalities</subject><subject>Arteriography</subject><subject>Average velocity</subject><subject>Blood flow</subject><subject>Computational fluid dynamics</subject><subject>Computed tomography</subject><subject>Dehiscence</subject><subject>Flow distribution</subject><subject>Fluid flow</subject><subject>four‐dimensional flow magnetic resonance imaging</subject><subject>Hemodynamics</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Original Research</subject><subject>pulsatile tinnitus</subject><subject>Resonance</subject><subject>Sinuses</subject><subject>Stenosis</subject><subject>Tinnitus</subject><subject>Variance analysis</subject><subject>Velocity</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp9kc-KFDEQxhtR3HX14gNIwIsIveZP_0l7EJZl1ZUVQfQc0unKTIZ00ibdO8zNR_AlfDGfxBpnXdSDpxRVP758VV9RPGb0lFHKX2zG5E55W1NxpzhmNeclr2VzF2tai5JJ2h4VD3LeUEq7rqrvF0dCVB3jQhwX3y-sBTNnEi0ZHNYJwkzGmKZ19HHlDNF9iGnU3s0OEAtkDWMcdkGPzmTiApk0TgJKbN28JtcQ4pLJtPiMfQ9kdiG4eckvyRmxcUk_vn4b3Aghuxi0J9bHLRn1KsCMnyXI2A0GiMOeCyuS52XYPSzuWe0zPLp5T4rPry8-nb8trz68uTw_uypNVUlRit50HTDT9ZpqZgG6Rgo9UGOqmrJKQKOFkMJaLVlNZa-lYa1oEAewsufipHh10J2WfoTB4FpJezUldJN2Kmqn_p4Et1areK0kr2TFGhR4diOQ4pcF8qxGlw14rwPgWRRitEUPkiL69B90g9fBkyBV84bxtpJ7wecHyqSYcwJ7a4ZRtU9f7dNXv9JH-Mmf9m_R33EjwA7AFpPZ_UdKvXv_8fIg-hNjusGm</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Li, Xiaoshuai</creator><creator>Qiu, Xiaoyu</creator><creator>Ding, Heyu</creator><creator>Lv, Han</creator><creator>Zhao, Pengfei</creator><creator>Yang, Zhenghan</creator><creator>Gong, Shusheng</creator><creator>Wang, Zhenchang</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1888-2964</orcidid><orcidid>https://orcid.org/0000-0001-8190-6469</orcidid><orcidid>https://orcid.org/0000-0001-9559-4777</orcidid></search><sort><creationdate>202106</creationdate><title>Effects of different morphologic abnormalities on hemodynamics in patients with venous pulsatile tinnitus: A four‐dimensional flow magnetic resonance imaging study</title><author>Li, Xiaoshuai ; Qiu, Xiaoyu ; Ding, Heyu ; Lv, Han ; Zhao, Pengfei ; Yang, Zhenghan ; Gong, Shusheng ; Wang, Zhenchang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4483-3bc99e1c9ba0a1fee9683ad0cc450143e6a3383ffa81508ba8c17369baeef8b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abnormalities</topic><topic>Arteriography</topic><topic>Average velocity</topic><topic>Blood flow</topic><topic>Computational fluid dynamics</topic><topic>Computed tomography</topic><topic>Dehiscence</topic><topic>Flow distribution</topic><topic>Fluid flow</topic><topic>four‐dimensional flow magnetic resonance imaging</topic><topic>Hemodynamics</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Original Research</topic><topic>pulsatile tinnitus</topic><topic>Resonance</topic><topic>Sinuses</topic><topic>Stenosis</topic><topic>Tinnitus</topic><topic>Variance analysis</topic><topic>Velocity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Xiaoshuai</creatorcontrib><creatorcontrib>Qiu, Xiaoyu</creatorcontrib><creatorcontrib>Ding, Heyu</creatorcontrib><creatorcontrib>Lv, Han</creatorcontrib><creatorcontrib>Zhao, Pengfei</creatorcontrib><creatorcontrib>Yang, Zhenghan</creatorcontrib><creatorcontrib>Gong, Shusheng</creatorcontrib><creatorcontrib>Wang, Zhenchang</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Xiaoshuai</au><au>Qiu, Xiaoyu</au><au>Ding, Heyu</au><au>Lv, Han</au><au>Zhao, Pengfei</au><au>Yang, Zhenghan</au><au>Gong, Shusheng</au><au>Wang, Zhenchang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of different morphologic abnormalities on hemodynamics in patients with venous pulsatile tinnitus: A four‐dimensional flow magnetic resonance imaging study</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J Magn Reson Imaging</addtitle><date>2021-06</date><risdate>2021</risdate><volume>53</volume><issue>6</issue><spage>1744</spage><epage>1751</epage><pages>1744-1751</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>The effects of morphologic abnormalities, including sigmoid sinus wall dehiscence (SSWD), transverse sinus stenosis (TSS), and sigmoid sinus diverticulum (SSD), on hemodynamics in venous pulsatile tinnitus (PT) patients have not been established. The aim of this study was to evaluate the effects of SSWD, TSS, and SSD on the hemodynamics of transverse‐sigmoid sinus in venous PT patients. This was a prospective study with 44 venous PT patients and 12 healthy controls. A 3 T/four‐dimensional (4D) flow magnetic resonance imaging with fast field echo was used. Computed tomography arteriography/venography was used to assess ipsilateral SSWD, TSS, and SSD. Maximum velocity (Vmax), average velocity (Vavg), and average flow (Flowavg) were measured. Blood flow patterns were independently assessed by three neuroradiologists. One‐way analysis of variance or Kruskal–Wallis test was also used. On the symptomatic side, all patients had SSWD, 33 patients had TSS, and 22 patients had SSD. Compared with healthy controls, patients with TSS, without TSS, with SSD, and without SSD all showed higher Vmax (all p < 0.050), Vavg (all p < 0.050), and Flowavg (all p < 0.050). Patients with TSS showed higher Vmax (p < 0.050) and Vavg (p < 0.050) than those without TSS, and no significant difference in Flowavg was found between the two groups (p = 0.408). No significant differences in Vmax, Vavg, and Flowavg were found between patients with and without SSD (all p = 1.000). Jet‐like flow in the stenosis and downstream of the stenosis was observed in all patients with TSS. Vortex in SSD was observed in 15 patients with SSD (68%). High blood velocity and flow may be characteristic markers of venous PT. SSWD may be a necessary condition for venous PT. TSS may further increase the blood velocity and form a jet‐like flow. SSD may be related to vortex formation but had no significant effect on blood velocity and flow.
Level of Evidence
2
Technical Efficacy Stage
3</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33491233</pmid><doi>10.1002/jmri.27503</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1888-2964</orcidid><orcidid>https://orcid.org/0000-0001-8190-6469</orcidid><orcidid>https://orcid.org/0000-0001-9559-4777</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Abnormalities Arteriography Average velocity Blood flow Computational fluid dynamics Computed tomography Dehiscence Flow distribution Fluid flow four‐dimensional flow magnetic resonance imaging Hemodynamics Magnetic resonance imaging Medical imaging Original Research pulsatile tinnitus Resonance Sinuses Stenosis Tinnitus Variance analysis Velocity |
| title | Effects of different morphologic abnormalities on hemodynamics in patients with venous pulsatile tinnitus: A four‐dimensional flow magnetic resonance imaging study |
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