Real-time B-mode venous ultrasound

Sullivan, Eugene D.; Peter, David J.; Cranley, John J.

doi:10.1016/0741-5214(84)90087-9

Cited by 122 publications

(5 citation statements)

References 6 publications

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“…218,219 Although the sensitivity was 100% (95% CI, 78%-100%), the specifi city was only 14% (95% CI, 57%-72%). Moreover, Doppler combined with CUS was used as the reference standard test, making this determination potentially unreliable.…”

Section: D-dimer Testingmentioning

confidence: 99%

“…216,219,[223][224][225][226][227] Only two studies (total of 65 patients) have evaluated the accuracy of a single CUS compared with venography. 216,219 Although the pooled sensitivity and specifi city were 97% (95% CI, 90%-100%) and 94% (95% CI, 80%-99%), respectively, the studies were of low quality and the CIs are wide. No management studies have been undertaken evaluating the safety of single or serial CUS for the exclusion of upper extremity DVT.…”

Section: Ultrasonographymentioning

confidence: 99%

“…Table 11 summarizes the quality of evidence and frequency of potential clinical outcomes for the various diagnostic strategies. [217][218][219][220][221][222][223][224][225][226][227][228] …”

Section: Mrimentioning

confidence: 99%

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Diagnosis of DVT

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Jaeschke

Stevens

et al. 2012

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576

192

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Section: D-dimer Testingmentioning

confidence: 99%

Section: Ultrasonographymentioning

confidence: 99%

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Diagnosis of DVT

Bates

Jaeschke

Stevens

et al. 2012

Chest

576

192

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“…In the mid to late 1980s, both B-mode imaging alone and duplex scanning were shown to be accurate for the diagnosis of deep vein thrombosis in the lower extremities and replaced the indirect tests for venous obstruction. 23,24 Techniques were also developed for assessing peripheral arteries with duplex scanning; however, in this testing area the indirect or physiologic tests have continued to play a significant clinical role. 25,26 Finally, the availability of low frequency convex linear array transducers made it possible to evaluate vessels in the abdomen with duplex scanning, including the renal 27,28 and mesenteric 29,30 arteries.…”

Section: The Beginnings Of the Modern Vascular Laboratorymentioning

confidence: 99%

From Doppler to duplex: A personal early history of the vascular laboratory

Zierler

2021

Vasc Med

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In the mid-1970s, a group of clinicians and bioengineers at the University of Washington, under the direction of Dr D Eugene Strandness, Jr, built a prototype duplex scanner that combined B-mode imaging and pulsed Doppler flow detection in a single instrument. At that time, I was a general surgery resident with an interest in vascular disease, and arrangements were made for me to spend a year in the Strandness laboratory. The prototype duplex system was just being completed when I arrived in 1978, and I immediately became involved in a series of validation studies in which patients with carotid disease were scanned and spectral waveform parameters were correlated with independently read contrast arteriograms. This work resulted in the University of Washington duplex criteria for carotid artery disease, which have been widely adopted and modified. Subsequent advances in ultrasound technology expanded the applications of duplex scanning to the peripheral arteries and veins, as well as the abdominal vessels. In 1984, I joined Dr Strandness on the faculty in the Department of Surgery at the University of Washington where I have remained throughout my career. Over the years, I have had the opportunity to participate in many important developments, described in this article, that have helped to make the vascular laboratory the essential clinical resource that it is today.

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“…[16][17][18][19][20][21][22][23][24]39.40 Studies concerning calf vein thrombosis are missing completely. For this reason, we have completed a study involving a major patient population that examined the potential of ultrasound as a diagnostic imaging technique in suspected acute DVT in the thigh region, as well as in the calf.…”

Section: Introductionmentioning

confidence: 98%

Real-Time Ultrasound in the Diagnosis of Acute Deep Venous Thrombosis of the Lower Extremity

et al. 1990

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One hundred twenty-six patients with clinically suspected acute deep venous thrombosis of the lower extremity (DVT) were examined comparatively with ultrasound and venography. In total, 174 lower extremity venograms were obtained. Ultrasonic examinations were performed on patients in the supine position. The venous segments were evaluated almost exclusively with transversal scanning. In the thigh, the only criterion for DVT was the reduced or absent compressibility of the venous lumen when gently compressed with the transducer. In the calf, normal unobstructed veins can usually not be viewed in the supine patient, whereas thrombotic veins appear as sonolucent, incompressible channels. Eight-three of the 174 lower extremity venograms were positive for DVT. In the majority of cases (53 of 83) the thrombotic process had involved two or more segments in combination. The sites of involvement of the different venous segments were distributed as follows: 24 occlusions of the common femoral vein, 52 of the superficial femoral vein, 56 of the popliteal vein, and 71 of the calf veins. Ultrasound had a sensitivity of 100% for thrombosis of the common femoral vein, 96% for the superficial femoral veins, 98% for the popliteal vein, and 93% for the calf veins. For the entire lower extremity, in regard to the diagnosis of thrombosis, the overall sensitivity was 95%. In 90% the extension of the occlusion was foreseen correctly. In no cases were false-positive results reported. Thus the overall specificity was 100%. The authors conclude that real-time ultrasound is a highly accurate method for the diagnosis of DVT of the lower extremity. It is the only indirect method capable of evaluating the venous system of the thigh, as well as that of the calf, with high accuracy. It should be the first choice of diagnostic imaging method in the diagnosis of deep venous thrombosis of the lower extremity.

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Real-time B-mode venous ultrasound

Cited by 122 publications

References 6 publications

Diagnosis of DVT

Diagnosis of DVT

From Doppler to duplex: A personal early history of the vascular laboratory

Real-Time Ultrasound in the Diagnosis of Acute Deep Venous Thrombosis of the Lower Extremity

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