The diagnostic accuracy of magnetic resonance venography in the detection of deep venous thrombosis: a systematic review and meta-analysis

Abdalla, Gamal; Matuk, R. Fawzi; Venugopal, Vidya; Verde, Franco; Magnuson, Thomas; Schweitzer, Michael; Steele, Kimberley E.

doi:10.1016/j.crad.2015.04.007

Cited by 35 publications

(21 citation statements)

References 39 publications

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“…Doppler ultrasound is the initial imaging exam of choice for suspected DVT 9 10. In spite of the limited use of MR venography as a screening tool, it remains the most sensitive and specific imaging modality 11. Molecular genetic testing is important to rule out underlying coagulopathies 6.…”

Section: Discussionmentioning

confidence: 99%

Varicella complicated by cellulitis and deep vein thrombosis

et al. 2017

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We report a 16-month-old girl with varicella complicated by cellulitis, invasive Group A (GAS) infection and deep vein thrombosis. She presented with varicella lesions, fever and a painful firm tumefaction on the right lower leg (RLL). Ultrasound showed a local subcutaneous tissue thickening suggestive of cellulitis and antibiotics were initiated. Further swelling of the RLL motivated a second ultrasound that showed an obstructive thrombus for which she was started on enoxaparin. The blood culture confirmed GAS infection leading to directed antibiotherapy. Additional studies showed positive lupus anticoagulant, decreased protein S and antithrombin. She completed a 2-week course of intravenous antibiotics and anticoagulation therapy with clinical and laboratory markers improvement. However, 3 days later, a recrudescence of symptoms occurred and the ultrasound revealed a local abscess. Further amoxicillin treatment resulted on a complete resolution of symptoms. Doppler ultrasound after 1 month showed markedly increased vein patency.

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Section: Discussionmentioning

confidence: 99%

Varicella complicated by cellulitis and deep vein thrombosis

et al. 2017

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“…15,16 Noncontrast studies have limited the ability to visualize subacute and chronic clot. 17 Meta-analyses of these studies 18,19 have not yielded sufficient evidence for replacement of ultrasound approaches by MRI as standard of care.…”

Section: Imaging In the Detection And Management Of Dvtmentioning

confidence: 99%

“…While ultrasound is widely available, patient body habitus can provide a significant limitation in use of ultrasound techniques. 2,19 Additionally, ultrasound based techniques are not reliable in cases of suspected proximal DVT. 20 In these cases, Magnetic Resonance Venography as well as CT approaches can provide an alternative mean to diagnose and define the extent of thrombus.…”

Section: Imaging In the Detection And Management Of Dvtmentioning

confidence: 99%

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

Rahaghi

Minhas

Heresi

2018

Clinics in Chest Medicine

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Imaging continues to be the modality of choice for the diagnosis of venous thromboembolic disease, particularly when incorporated into diagnostic algorithms. Improvement in imaging techniques as well as new imaging modalities and processing methods have improved diagnostic accuracy and additionally are being leveraged in prognostication and decision making for choice of intervention. In this article, we review the role of imaging in diagnosis and prognostication of venous thromboembolism. We also discuss emerging imaging approaches that may in the near future find clinical usefulness in improving diagnosis and prognostication as well as differentiating disease phenotypes.

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“…В журнале Clinical Radiology (2015) опубликован метаанализ диагностической точности МРФ в об наружении тромбоза глубоких вен, проведенный G. Abdalla и соавт. [9]. В анализ было включено 16 исследований.…”

Section: рис 4 пациентка н мр-флебограмма (5-кратное увеличение)unclassified

The Detection of the Embologenic Gigantic Floating Thrombus in the Inferior Vena Cava by Non-Contrast Enhanced Magnetic Resonance Phlebography Under the Outpatient Conditions: a Clinical Case

Maizashvili¹,

Zor'kin²,

Pendyurin³

et al. 2018

Flebol.

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Цель исследования-представить опыт обнаружения флотирующего тромба нижней полой вены методом магнитно-резонансной флебографии (МРФ) в амбулаторных условиях. Материал и методы. Пациентка 65 лет обратилась амбулаторно во флебологический центр с жалобами на отек, боли распирающего характера, чувство тяжести в правой нижней конечности. Симптоматика появилась 5 дней назад. Пациентка страдала злокачественным новообразованием головного мозга. При ультразвуковом дуплексном сканировании вен нижних конечностей выявлен тотальный тромбоз всего глубокого венозного русла правой нижней конечности. Верхнюю часть тромба определить было невозможно ввиду плохой визуализации вен забрюшинного пространства. Результаты. При МРФ обнаружен флотирующий тромб длиной 25 см в нижней полой вене. Верхушка тромба находилась в инфраренальном отделе. Место прикрепления тромба выявлено в правой наружной подвздошной вене. В месте фиксации его основание было истончено, в самом узком месте ширина прикрепления составляла 1,5 мм. Заключение. Данный случай демонстрирует возможности МРФ в визуализации нижней полой вены и ее притоков проксимальнее пупартовой складки у амбулаторных больных. МРФ не требует специальной подготовки пациента и госпитализации в стационар при подозрении на венозный тромбоз. Ключевые слова: тромбоз глубоких вен, флотирующий тромб, нижняя полая вена, магнитно-резонансная флебография.

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The diagnostic accuracy of magnetic resonance venography in the detection of deep venous thrombosis: a systematic review and meta-analysis

Cited by 35 publications

References 39 publications

Varicella complicated by cellulitis and deep vein thrombosis

Varicella complicated by cellulitis and deep vein thrombosis

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

The Detection of the Embologenic Gigantic Floating Thrombus in the Inferior Vena Cava by Non-Contrast Enhanced Magnetic Resonance Phlebography Under the Outpatient Conditions: a Clinical Case

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