Tags

Type your tag names separated by a space and hit enter

Color Doppler ultrasound imaging of lower-extremity venous disease.
AJR Am J Roentgenol. 1989 Feb; 152(2):371-6.AA

Abstract

A color Doppler ultrasound imaging device was used to evaluate 475 patients with suspected lower-extremity venous thrombosis. Occlusive and nonocclusive femoral and popliteal thrombi were detected in 200 studies (42%). In phase 1 of the study (240 examinations), peripheral augmentation with the use of periodic calf compression was required to show color flow throughout the femoropopliteal venous segment. In phase 2 (235 examinations), with a software upgrade to enhance detectability of slow flow, spontaneous flow could be appreciated in the normal, partly thrombosed, and recanalized femoral popliteal veins without augmentation. Augmentation was often necessary to view tibioperoneal veins. Of the total study group, conventional venography was performed for correlation in 47 patients. In the other patients, clinicians relied on the color Doppler test for the definitive diagnosis of the presence or absence of femoral popliteal venous thrombosis and treated these patients on the basis of the color Doppler test result. In the femoral veins, color Doppler studies and venography agreed in all 12 positive and 35 negative cases. In the popliteal veins, there was agreement in five isolated popliteal thromboses and in 10 femoral popliteal thromboses; there were two false-negative color Doppler studies of isolated popliteal thromboses. In four patients, Doppler studies detected nonocclusive thrombus not evident on venography. Color Doppler imaging is easy to perform and does not require augmentation to view color flow in the femoropopliteal venous segment. Eccentric thrombus and partially canalized thrombus can be shown. Initial experience suggests color Doppler imaging may be useful in the detection of tibioperoneal venous thrombosis.

Authors+Show Affiliations

Foley WD
Department of Radiology, Medical College of Wisconsin, Milwaukee 53226.
Middleton WD
No affiliation info available
Lawson TL
No affiliation info available
Erickson S
No affiliation info available
Quiroz FA
No affiliation info available
Macrander S
No affiliation info available

MeSH

Femoral VeinHumansImage EnhancementPhlebographyPopliteal VeinSoftwareThrombosisUltrasonicsUltrasonography

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

2643266

Citation

Foley, W D., et al. "Color Doppler Ultrasound Imaging of Lower-extremity Venous Disease." AJR. American Journal of Roentgenology, vol. 152, no. 2, 1989, pp. 371-6.
Foley WD, Middleton WD, Lawson TL, et al. Color Doppler ultrasound imaging of lower-extremity venous disease. AJR Am J Roentgenol. 1989;152(2):371-6.
Foley, W. D., Middleton, W. D., Lawson, T. L., Erickson, S., Quiroz, F. A., & Macrander, S. (1989). Color Doppler ultrasound imaging of lower-extremity venous disease. AJR. American Journal of Roentgenology, 152(2), 371-6.
Foley WD, et al. Color Doppler Ultrasound Imaging of Lower-extremity Venous Disease. AJR Am J Roentgenol. 1989;152(2):371-6. PubMed PMID: 2643266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Color Doppler ultrasound imaging of lower-extremity venous disease. AU - Foley,W D, AU - Middleton,W D, AU - Lawson,T L, AU - Erickson,S, AU - Quiroz,F A, AU - Macrander,S, PY - 1989/2/1/pubmed PY - 1989/2/1/medline PY - 1989/2/1/entrez SP - 371 EP - 6 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 152 IS - 2 N2 - A color Doppler ultrasound imaging device was used to evaluate 475 patients with suspected lower-extremity venous thrombosis. Occlusive and nonocclusive femoral and popliteal thrombi were detected in 200 studies (42%). In phase 1 of the study (240 examinations), peripheral augmentation with the use of periodic calf compression was required to show color flow throughout the femoropopliteal venous segment. In phase 2 (235 examinations), with a software upgrade to enhance detectability of slow flow, spontaneous flow could be appreciated in the normal, partly thrombosed, and recanalized femoral popliteal veins without augmentation. Augmentation was often necessary to view tibioperoneal veins. Of the total study group, conventional venography was performed for correlation in 47 patients. In the other patients, clinicians relied on the color Doppler test for the definitive diagnosis of the presence or absence of femoral popliteal venous thrombosis and treated these patients on the basis of the color Doppler test result. In the femoral veins, color Doppler studies and venography agreed in all 12 positive and 35 negative cases. In the popliteal veins, there was agreement in five isolated popliteal thromboses and in 10 femoral popliteal thromboses; there were two false-negative color Doppler studies of isolated popliteal thromboses. In four patients, Doppler studies detected nonocclusive thrombus not evident on venography. Color Doppler imaging is easy to perform and does not require augmentation to view color flow in the femoropopliteal venous segment. Eccentric thrombus and partially canalized thrombus can be shown. Initial experience suggests color Doppler imaging may be useful in the detection of tibioperoneal venous thrombosis. SN - 0361-803X UR - https://www.unboundmedicine.com/medline/citation/2643266/Color_Doppler_ultrasound_imaging_of_lower_extremity_venous_disease_ DB - PRIME DP - Unbound Medicine ER -