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Research ArticleHEAD & NECK

Prediction of the Jugular Venous Waveform Using a Model of CSF Dynamics

J. Kim, N.A. Thacker, P.A. Bromiley and A. Jackson
American Journal of Neuroradiology May 2007, 28 (5) 983-989;
J. Kim
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N.A. Thacker
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P.A. Bromiley
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A. Jackson
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  • Fig 1.
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    Fig 1.

    The simplified anatomic model on which the electrical equivalence model is based. Boundaries identified by thin lines are considered compliant.

  • Fig 2.
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    Fig 2.

    A, The electrical equivalence model derived for the anatomic model shown in Fig 1.

    B, The simplified equivalent circuit after removal of redundant components.

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    Fig 3.

    Anatomic (A) and arteriographic (B) scout images showing the location of the measurement planes. Subsequent images show the location of regions of interest for the cerebral aqueduct (1), foramen magnum (2), internal carotid arteries and jugular veins (3), basilar artery (4), and superior sagittal and straight sinuses (5).

  • Fig 4.
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    Fig 4.

    Measured flow rates for carotid and basilar arteries combined (CAB), superior sagittal sinus (SSS), and combined straight sinus (STS) and SSS venous outflow (Ven) averaged across 16 subjects compared with the predicted venous outflow I2.

  • Fig 5.
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    Fig 5.

    A, Comparison of the predicted venous outflow (I2) and the combined STS and SSS venous outflow (Ven). The venous outflow has been scaled to have the same integral as I2. The lower curve shows the difference in the waveforms. Note the prominent systolic peak in the difference.

    B, Comparison of the predicted venous outflow (I2) and the jugular venous outflow (JV). The venous outflow has been scaled to have the same integral as I2. The lower curve shows the difference in the waveforms.

  • Fig 6.
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    Fig 6.

    Mean and 95% confidence intervals for flow at each of 16 heart phases for the predicted venous outflow (I2) and the combined STS and SSS venous outflow (Ven). Asterisks indicate significant differences (∗, P < .05; ∗∗, P < .01).

  • Fig 7.
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    Fig 7.

    Mean and 95% confidence intervals for flow at each of 16 heart phases for the predicted venous outflow (I2) and the jugular venous outflow. Asterisks indicate significant differences (∗, P < .05).

Tables

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    Table 1:

    The measured flow volumes and pulsatility indices (PI) from the superior sagittal sinus (SSS), straight sinus (STS), combined venous outflow (SSS + STS = Ven), jugular vein (JV), and arterial inflow (carotid + basilar arteries = CAB), the predicted flow volume for I2 (overall venous outflow in the model), and the predicted indices for I2, I8, and I9

    Volume (ml/min)PI (mean ± SD)
    SSS305.79 ± 53.590.33 ± 0.057
    STS87.23 ± 16.610.28 ± 0.068
    Ven392 ± 61.40.31 ± 0.041
    JV312 ± 1380.51 ± 0.045
    CAB536.21 ± 73.610.81 ± 0.21
    I2536.21 ± 71.140.45 ± 0.16
    I80.0037 ± 0.0013
    I91.91 ± 0.53
    • View popup
    Table 2:

    The estimated relative values for parameters R1–R5 and C1–C4 (Fig. 2) together with their approximate physiologic characteristics

    ParameterPhysical InterpretationValueSE
    R1Impedance of arterial capillaries1.00.0025
    R2Impedance of cerebral aqueduct≈0.0
    R3Impedance of venous capillaries≈0.0
    R5Impedance of arteries0.018 × 1.8−3
    C1Elastic capacitance of arteries≈Large
    C2Elastic capacitance of ventricles4.110.11
    C3Elastic capacitance of capillaries≈0.05 × 10−3
    C4Elastic capacitance of veins271.01718
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American Journal of Neuroradiology: 28 (5)
American Journal of Neuroradiology
Vol. 28, Issue 5
May 2007
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Cite this article
J. Kim, N.A. Thacker, P.A. Bromiley, A. Jackson
Prediction of the Jugular Venous Waveform Using a Model of CSF Dynamics
American Journal of Neuroradiology May 2007, 28 (5) 983-989;

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Prediction of the Jugular Venous Waveform Using a Model of CSF Dynamics
J. Kim, N.A. Thacker, P.A. Bromiley, A. Jackson
American Journal of Neuroradiology May 2007, 28 (5) 983-989;
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