Pelvic Congestion MRV
(Updated 12/18/2013) (Reviewed 10/26/2022)
(Updated 12/18/2013) (Reviewed 10/26/2022)
INDICATION: Chronic pelvic pain/pressure, pelvic congestion syndrome.
SEQUENCES
Sag TSE T2 high-res small FOV (~22 cm)
Cor TSE T2 high-res small FOV (~22 cm)
Cor HASTE/SSFSE
Ax in/out of phase FLASH T1
Ax fat sat HASTE/SSFSE
Ax TSE T2 high-res small FOV
Ax 3D VIBE T1 (fat sat) pre
Cor Time resolved MRA/MRV (provide recons/MIPS)
(FOV to include renal arteries to pubic symphysis, ~38 to 40 cm)
Injection rate 2 mL/sec, followed by saline flush
2 to 5 sec intervals, over ~ 120 sec
Ax 3D VIBE T1 (fat sat) post
Example from cor MRV sequence
Lt ovarian vein reflux
CY Kim et al., Time-Resolved MR Angiography as a Useful Sequence for Assessment of Ovarian Vein Reflux. AJR: 193, Nov 2009. p. W458--W463.