Susceptibility-weighted imaging of deep medullary veins

CHEN Zheng-zhen QIAO Hui-huang GUO Yu REN Chuan-gen ZHANG Xiao-fen LI Jian-ce CHEN Cheng-chun

Acta Anatomica Sinica ›› 2016, Vol. 47 ›› Issue (6) : 796-801.

PDF(577 KB)
Welcome to visit Acta Anatomica Sinica! Today is Chinese
PDF(577 KB)
Acta Anatomica Sinica ›› 2016, Vol. 47 ›› Issue (6) : 796-801. DOI: 10.16098/j.issn.0529-1356.2016.06.013
Anatomy

Susceptibility-weighted imaging of deep medullary veins

  • CHEN Zheng-zhen1 QIAO Hui-huang2 GUO Yu1 REN Chuan-gen3 ZHANG Xiao-fen1 LI Jian-ce3 CHEN Cheng-chun 1*
Author information +
History +

Abstract

Objective To investigate the caliber, length, distribution and drainage of deep medullary veins by using susceptibility-weighted imaging (SWI). Methods Sixty healthy volunteers were examined using SWI on a 3.0T magnetic resonance system. The raw data were transferred to the Extended MR Workspace 2.6.3.4 workstation. The SWI images were reconstructed by using minimum intensity projections (mIPs) technique in the transverse plane. The SW images were combined with the corresponding images of T1WI by using Photoshop CC (Adobe Systems, USA) to visualize the positional relationship between the course of veins and the cerebral structures. Results Firstly, the caliber of deep medullary veins was basically same and ranged from 0.2-0.3mm. Secondly, according to the position, the deep medullary veins were divided into three area: the anterior, central and posterior. Thirdly, the incidence of the deep medullary veins ranged from 4-10 in the anterior area, 8-19 in the central area, 3-7 in the posterior area. Fourthly, the deep medullary veins in the central area were longer than other areas. Finally, the deep medullary veins in the anterior, central, posterior area were respectively drained into the anterior septal vein and anterior caudate vein, the transverse caudate vein, and the medial atrial vein. Conclusion Our study suggests that SWI of the deep medullary veins is feasible to create the cerebral medullary venous network without using a contrast agent and provides more theories to the classification and mechanism about abnormality of deep medullary veins.

Key words

Deep medullary vein / Venous drainage / Susceptibility-weighted imaging / Human

Cite this article

Download Citations
CHEN Zheng-zhen QIAO Hui-huang GUO Yu REN Chuan-gen ZHANG Xiao-fen LI Jian-ce CHEN Cheng-chun. Susceptibility-weighted imaging of deep medullary veins[J]. Acta Anatomica Sinica. 2016, 47(6): 796-801 https://doi.org/10.16098/j.issn.0529-1356.2016.06.013

References

[1]Hooshmand I, Rosenbaum AE, Stein RL. Radiographic anatomy of normal cerebral deep medullary veins: criteria for distinguishing them from their abnormal counterparts[J]. Neuroradiology, 1974, 7 (2): 75-84.
[2]Huang YP, Wolf BS. Veins of the white matter of the cerebral hemispheres (the medullary veins)[J]. Am J Roentgenol Radium Ther Nucl Med, 1964, 92: 739-755.
[3]Nakagawa I, Taoka T, Wada T, et al. The use of susceptibility-weighted imaging as an indicator of retrograde leptomeningeal venous drainage and venous congestion with dural arteriovenous fistula: diagnosis and follow-up after treatment[J]. Neurosurgery, 2013, 72 (1): 47-54, 55.
[4]Faure M, Voormolen M, Van der Zijden T, et al. Developmental venous anomaly: MR and angiographic features[J]. JBR-BTR, 2014, 97 (1): 17-20.
[5]Zeng C, Chen X, Li Y, et al. Cerebral vein changes in relapsing-remitting multiple sclerosis demonstrated by three-dimensional enhanced T (2)-weighted angiography at 3.0 T[J]. Eur Radiol, 2013, 23 (3): 869-878.
[6]Yan S, Wan J, Zhang X, et al. Increased visibility of deep medullary veins in leukoaraiosis: a 3-T MRI study[J]. Front Aging Neurosci, 2014, 6: 144.
[7]Zhang XF, Li JC, Wen CY, et al. Visualization of the thalamostriate vein and its tributaries on susceptibility-weighted imaging[J]. Acta Anatomica Sinica, 2016, 47 (1): 72-79. (in Chinese)
张小芬,李建策,闻彩云,等. 丘纹静脉及其属支的可视化磁敏感加权成像[J]. 解剖学报, 2016, 47 (1): 72-79.
[8]Cai M, Zhang XF, Qiao HH, et al. Susceptibility-weighted imaging of the venous networks around the brain stem[J]. Neuroradiology, 2015, 57 (2): 163-169.
[9]Ishizaka K, Kudo K, Fujima N, et al. Detection of normal spinal veins by using susceptibility-weighted imaging[J]. J Magn Reson Imaging, 2010, 31 (1): 32-38.
[10]Mucke J, Mohlenbruch M, Kickingereder P, et al. Asymmetry of deep medullary veins on susceptibility weighted MRI in patients with acute MCA stroke is associated with poor outcome[J]. PLoS One, 2015, 10 (4): e120801.
[11]Amemiya S, Aoki S, Takao H. Venous congestion associated with developmental venous anomaly: findings on susceptibility weighted imaging[J]. J Magn Reson Imaging, 2008, 28 (6): 1506-1509.
[12]Wycliffe ND, Choe J, Holshouser B, et al. Reliability in detection of hemorrhage in acute stroke by a new three-dimensional gradient recalled echo susceptibility-weighted imaging technique compared to computed tomography: a retrospective study [J]. J Magn Reson Imaging, 2004, 20 (3): 372-377.
[13]Okudera T, Huang YP, Fukusumi A, et al. Micro-angiographical studies of the medullary venous system of the cerebral hemisphere[J]. Neuropathology, 1999, 19 (1): 93-111.
[14]Kaplan HA. The transcerebral venous system. An anatomical study [J]. Arch Neurol, 1959, 1: 148-152.
[15]Wang L, Ling SY, Fu XM, et al. Neuronavigation-assisted endoscopic unilateral cyst fenestration for treatment of symptomatic septum pellucidum cysts[J]. J Neurol Surg A Cent Eur Neurosurg, 2013, 74 (4): 209-215.
[16]Park DJ, Kim YH, Han JH, et al. Primary intracranial germ cell tumor originating from septum pellucidum that mimics central neurocytoma[J]. J Clin Oncol, 2012, 30 (27): e274-e277.
[17]Hicdonmez T, Turan SH, Butuc R, et al. Treatment of a large and symptomatic septum pellicidum cyst with endoscopic fenestration in a child—case report and review of the literature[J]. Clin Neurol Neurosurg, 2012, 114 (7): 1052-1056.
[18]Hirsch JF, Zouaoui A, Renier D, et al. A new surgical approach to the third ventricle with interruption of the striothalamic vein[J]. Acta Neurochir (Wien), 1979, 47 (3-4): 135-147.
[19]Elhammady MS, Heros RC. Cerebral veins: to sacrifice or not to sacrifice, that is the question[J]. World Neurosurg, 2015, 83 (3): 320-324.
[20]Horie N, Morikawa M, Nozaki A, et al. “Brush Sign” on susceptibility-weighted MR imaging indicates the severity of moyamoya disease[J]. AJNR Am J Neuroradiol, 2011, 32(9): 1697-1702.
[21]Tong KA, Ashwal S, Obenaus A, et al. Susceptibility-weighted MR imaging: a review of clinical applications in children[J]. AJNR Am J Neuroradiol, 2008, 29 (1): 9-17.
[22]Reichenbach JR, Jonetz-Mentzel L, Fitzek C, et al. High-resolution blood oxygen-level dependent MR venography (HRBV): a new technique[J]. Neuroradiology, 2001, 43 (5): 364-369.
[23]Mohammed W, Xunning H, Haibin S, et al. Clinical applications of susceptibility-weighted imaging in detecting and grading intracranial gliomas: a review[J]. Cancer Imaging, 2013, 13(2): 186-195.
[24]Davidson L, Mccomb JG. The safety of the intraoperative sacrifice of the deep cerebral veins[J]. Childs Nerv Syst, 2013, 29(2): 199-207.
[25]Hassler O. Deep cerebral venous system in man. A microangiographic study on its areas of drainage and its anastomoses with the superficial cerebral veins[J]. Neurology, 1966, 16(5): 505-511.

PDF(577 KB)

Accesses

Citation

Detail

Sections
Recommended

/