Related Experiment Video
Updated: Sep 27, 2025

Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
Published on: February 19, 2021
Incidence of Developmental Venous Anomalies in Patients With Multiple Sclerosis: A 3 Tesla MRI Study
Marton Magyar1, Thomas Gattringer1,2, Christian Enzinger1,2
1Department of Radiology (Division of Neuroradiology, Vascular and Interventional Radiology), Medical University of Graz, Graz, Austria.
Objectives:
There is evidence of involvement of the venous system in multiple sclerosis (MS). If this bears also an association with the frequency and extent of developmental venous anomalies (DVA) still has to be determined. We therefore investigated this in patients with different phenotypes of MS and in comparison, to a control population.
Methods:
We analyzed the contrast-enhanced T1-weighted MR scans of 431 patients (clinically isolated syndrome-CIS, n = 108; MS, n = 323) and of 162 control individuals for the presence of a DVA. We also measured the size of the DVA and draining vein and compared the DVA frequency between MS phenotypes.
Results:
A DVA was found in 38 (8.8 %) of patients with CIS or MS and in 11 (6.8%) controls (p = 0.4). DVA frequency was highest in CIS (14.8%) and lowest in progressive MS (4.0%). The mean cranio-caudal and axial extension of the DVA was significantly lower in MS patients than controls (p < 0.05).
Conclusions:
The frequency of DVA in MS patients is comparable to that in controls. Whether DVA size and appearance may change over time will have to be investigated in a longitudinal manner and with larger sample size.
Insights
Developmental venous anomalies (DVA) occur with similar frequency in multiple sclerosis (MS) patients and controls. However, DVA size was smaller in MS patients compared to controls, suggesting a potential venous system association.
Area of Science:
- Neuroimaging
- Vascular Neurology
- Neuroimmunology
Background:
- The venous system's role in multiple sclerosis (MS) is increasingly recognized.
- The association between MS and developmental venous anomalies (DVA) requires further investigation.
- Understanding DVA in different MS phenotypes is crucial.
Purpose of the Study:
- To determine the frequency and extent of DVA in patients with clinically isolated syndrome (CIS) and MS.
- To compare DVA presence and characteristics between MS phenotypes and a control group.
- To explore potential links between DVA and the venous system in MS.
Main Methods:
- Analysis of contrast-enhanced T1-weighted MR scans from 431 patients (CIS and MS) and 162 controls.
- Identification and measurement of DVA and draining vein size.
- Comparison of DVA frequency and size across different MS phenotypes and controls.
Main Results:
- DVA was found in 8.8% of MS/CIS patients and 6.8% of controls (p=0.4).
- DVA frequency was highest in CIS (14.8%) and lowest in progressive MS (4.0%).
- Mean DVA and draining vein size was significantly smaller in MS patients than controls (p<0.05).
Conclusions:
- DVA frequency in MS patients is comparable to that in the general population.
- The reduced size of DVA in MS patients warrants further investigation.
- Longitudinal studies with larger cohorts are needed to understand DVA changes over time in MS.
Related Concept Videos
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Imaging Studies VII: Vascular Imaging
Magnetic Resonance Imaging
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Imaging Studies IV: Magnetic Resonance Imaging

