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 |