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J Vasc Interv Radiol. 2014 Nov;25(11):1785-94.e17. doi: 10.1016/j.jvir.2014.07.024. Epub 2014 Sep 23.

Recommendations for multimodal noninvasive and invasive screening for detection of extracranial venous abnormalities indicative of chronic cerebrospinal venous insufficiency: a position statement of the International Society for Neurovascular Disease.

Author information

1
Department of Neurology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo; Buffalo Neuroimaging Analysis Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo. Electronic address: rzivadinov@bnac.net.
2
Department of Neuroradiology, C. Mondino National Neurological Institute, University of Pavia.
3
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford.
4
Department of Radiology and Section of Interventional Radiology, NorthShore University HealthSystem, Evanston, Illinois.
5
Department of Radiology, Wayne State University, Detroit, Michigan.
6
Department of Radiology, University of Virginia School of Medicine, Charlottesville, Virginia.
7
Applied fMRI Institute, Hubbard Foundation, San Diego, California.
8
Department of Vascular Diagnosis, Euromedic Greece, Athens, Greece.
9
Department of Radiology, Albany Medical Center, Albany.
10
Fresenius Vascular Care and Department of Radiology, State University of New York, Downstate Medical School, Brooklyn, New York.
11
Department of Neurosurgery , School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo.
12
Department of Nursing, College of Applied Sciences, Ruda Śląska, Poland.
13
Vascular Disease Center, University of Ferrara, Ferrara, Italy.

Abstract

Under the auspices of the International Society for Neurovascular Disease (ISNVD), four expert panel committees were created from the ISNVD membership between 2011 and 2012 to determine and standardize noninvasive and invasive imaging protocols for detection of extracranial venous abnormalities indicative of chronic cerebrospinal venous insufficiency (CCSVI). The committees created working groups on color Doppler ultrasound (US), magnetic resonance (MR) imaging, catheter venography (CV), and intravascular US. Each group organized a workshop focused on its assigned imaging modality. Non-ISNVD members from other societies were invited to contribute to the various workshops. More than 60 neurology, radiology, vascular surgery, and interventional radiology experts participated in these workshops and contributed to the development of standardized noninvasive and invasive imaging protocols for the detection of extracranial venous abnormalities indicative of CCSVI. This ISNVD position statement presents the MR imaging and intravascular US protocols for the first time and describes refined color Doppler US and CV protocols. It also emphasizes the need for the use of for noninvasive and invasive multimodal imaging to diagnose adequately and monitor extracranial venous abnormalities indicative of CCSVI for open-label or double-blinded, randomized, controlled studies.

PMID:
25255703
DOI:
10.1016/j.jvir.2014.07.024
[Indexed for MEDLINE]
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