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. 2007 Apr 14;334(7597):794–795. doi: 10.1136/bmj.39154.636968.47

Computed tomography (CT) and magnetic resonance (MR) venography in diagnosing cerebral venous thrombosis

CT venography MR venography
Advantages Can be performed immediately after standard computed tomographyQuick (1-2 minutes)Readily availableFewer motion artefactsCan use if patient has cardiac pacemaker or claustrophobiaGood spatial resolutionSensitive test No radiation exposure (consider use in paediatric or pregnant patient)Use where CT contrast medium is contraindicatedSensitive test
Disadvantages Exposure to ionising radiation Use of iodinated contrast medium (increased risk of contrast reactions in patients with asthma, renal failure, and allergy to iodine) Time consuming; image quality more prone to patient movement Not as readily available as CT venographyNeed to be aware of potential technical pitfalls in diagnosisCannot be used if patient has cardiac pacemaker; difficult for claustrophobic patients.
Sensitivity Overall accuracy 90-100%, depending on vein or sinus Comparable to CT venography>90% when various MR sequences are combined with MR venography