Abstract
To evaluate the ability of color Doppler flow imaging (CDFI) to detect deep venous thrombosis (DVT), which is difficult to diagnose clinically, 67 limbs of 60 patients who presented with clinical signs strongly indicative of DVT during the period between June 1988 and June 1992, were examined. The iliac, common femoral, and superficial femoral veins were assessed with the patient in the supine position, and the popliteal vein was examined with the patient prone. Gentle but firm compression with the transducer probe was used to test for the presence of DVT. Ascending contrast venograms were also obtained within 24 h after the ultrasound procedure, with venography being used as the standard for comparison with CDFI. DVT was identified in 63 limbs by contrast venography and in 62 limbs by CDFI. The sensitivity and specificity of CDFI were 98.4% and 100%, respectively, while the positive and negative predictive values were 100% and 80%, respectively. The thromboses were classified into three patterns: the filling type, the local type, and mural thrombus, detected in 63%, 27%, and 10%, of the limbs respectively, with the filling type being the most common in this series. The results of our study illustrated that CDFI is highly sensitive and specific for detecting symptomatic DVT and that it should be gradually substituted for venography in such patients.
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O'Donnell JA, Lipp J, Hobson RW II (1978) New methods of testing for deep venous thrombosis. Am Surg 44:121–132
Salzman EW (1986) Venous thrombosis made easy. N Engl J Med 314:847–848
Nicolaides AN, Kakkar VV, Field ES, Renney JTG (1971) The origin of deep venous thrombosis: a venographic study. Br J Radiol 44:653–663
Rose SC, Zwiebel WJ, Nelson BD, Priset DL, Knighton RA, Brown JW, Lawrence PF, Stults BM, Reading JC, Miller FJ (1990) Symptomatic lower extremity deep venous thrombosis: accuracy, limitations, and role of color duplex flow imaging in diagnosis. Radiology 175:639–644
Baxter GM, McKechrie S, Duffy D (1990) Colour Doppler ultrasound in deep venous thrombosis: a comparison with venography. Clin Radiol 42:32–36
Albrechtsson U, Olsson CG (1976) Thrombotic side-effects of lower limb phlebography. Lancet 1:723–724
Bettmann MA, Paulin S (1977) Leg phlebography: The incidence, nature and modification of undesirable side effects. Radiology 122:101–104
Strandness Jr DE, Schultz RD, Summer DS, Rushmer RF (1967) Ultrasound flow detection. A useful technic in the evaluation of peripheral vascular disease. Am J Surg 113:311–320
Sumner DS, Baker DW, Strandness Jr DE (1968) The ultrasonic velocity detector in a clinical study of venous disease. Arch Surg 97:75–80
Langsfeld M, Hershey FB, Thorpe L, Auer AI, Binnington HB, Harley JJ, Woods JJ (1987) Duplex B-mode imaging for the diagnosis of deep venous thrombosis. Arch Surg 122:587–591
Polak JF, Culter SS, O'Leary DH (1989) Deep veins of the calf: Assessment with color Doppler flow imaging. Radiology 171:481–485
Cronan JJ, Froehlich JA, Dorfman GS (1991) Image-directed Doppler ultrasound: A screening technique for patients at high risk to develop deep vein thrombosis. J Clin Ultrasound 19:133–138
Davidson BL, Elliott CG, Lensing AWA (1992) Low accuracy of color Doppler ultrasound in the detection of proximal leg vein thrombosis in asymptomatic high-risk patients. Ann Intern Med 117:735–738
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Zhang, GJ., Adachi, I., Duan, Z. et al. The accuracy of color doppler flow imaging for the detection of symptomatic deep venous thrombosis in Chinese patients. Surg Today 26, 683–687 (1996). https://doi.org/10.1007/BF00312084
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DOI: https://doi.org/10.1007/BF00312084