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Article: Contrast sonovenography – Is this the answer to complex deep vein thrombosis imaging?

TitleContrast sonovenography – Is this the answer to complex deep vein thrombosis imaging?
Authors
Issue Date2016
PublisherManey Publishing. The Journal's web site is located at http://www.maney.co.uk/search?fwaction=show&fwid=440
Citation
Ultrasound, 2016, v. 24 n. 1, p. 17-22 How to Cite?
AbstractBackground: Deep vein thrombosis (DVT) is a potentially fatal condition causing significant morbidity and mortality in the patient population. Ultrasound (USS) is the mainstay for detecting DVT. This can sometimes be difficult in hostile limbs due to factors such as large body habitus and oedema. This pilot study investigated contrast-enhanced ultrasound (CEUS) as a viable method to improve visualisation of the venous system of the lower limb. Methods: Patients at high risk for DVT were selected after an initial negative USS. A follow-up scan was performed 1 week later utilising standard B-mode imaging with a curvilinear 3–5 MHz transducer array. After the fundamental scan, intravenous Sonovue™ contrast was administered and visualisation of the proximal limb veins and visualisation gains in distance were mapped onto a proforma. Results: Twelve patients were selected. Visualisation was not improved in the common femoral vein (CFV) but increases in full visualisation were demonstrated in the femoral vein (FV) and popliteal vein (Pop V) from (n = 8) 67% and (n = 10) 83–100% in both veins, respectively. Significant gains in visualisation distance were observed in the posterior tibial vein (PTV) (p = 0.0005) and peroneal vein (Per V) (p = 0.02) with increased full visualisation of the Per V from (n = 3) 25% to (n = 7) 58%. Conclusion: CEUS is a viable and clinically safe method for increasing visualisation of the deep venous system. It has the potential to improve visualisation of the lower limb venous system, reducing follow-up costs and diagnostic uncertainty for patients and the clinician.
Persistent Identifierhttp://hdl.handle.net/10722/222797
ISSN
2015 SCImago Journal Rankings: 0.205
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorSmith, AGW-
dc.contributor.authorParker, P-
dc.contributor.authorByass, O-
dc.contributor.authorChiu, WHK-
dc.date.accessioned2016-01-29T06:27:48Z-
dc.date.available2016-01-29T06:27:48Z-
dc.date.issued2016-
dc.identifier.citationUltrasound, 2016, v. 24 n. 1, p. 17-22-
dc.identifier.issn1742-271X-
dc.identifier.urihttp://hdl.handle.net/10722/222797-
dc.description.abstractBackground: Deep vein thrombosis (DVT) is a potentially fatal condition causing significant morbidity and mortality in the patient population. Ultrasound (USS) is the mainstay for detecting DVT. This can sometimes be difficult in hostile limbs due to factors such as large body habitus and oedema. This pilot study investigated contrast-enhanced ultrasound (CEUS) as a viable method to improve visualisation of the venous system of the lower limb. Methods: Patients at high risk for DVT were selected after an initial negative USS. A follow-up scan was performed 1 week later utilising standard B-mode imaging with a curvilinear 3–5 MHz transducer array. After the fundamental scan, intravenous Sonovue™ contrast was administered and visualisation of the proximal limb veins and visualisation gains in distance were mapped onto a proforma. Results: Twelve patients were selected. Visualisation was not improved in the common femoral vein (CFV) but increases in full visualisation were demonstrated in the femoral vein (FV) and popliteal vein (Pop V) from (n = 8) 67% and (n = 10) 83–100% in both veins, respectively. Significant gains in visualisation distance were observed in the posterior tibial vein (PTV) (p = 0.0005) and peroneal vein (Per V) (p = 0.02) with increased full visualisation of the Per V from (n = 3) 25% to (n = 7) 58%. Conclusion: CEUS is a viable and clinically safe method for increasing visualisation of the deep venous system. It has the potential to improve visualisation of the lower limb venous system, reducing follow-up costs and diagnostic uncertainty for patients and the clinician.-
dc.languageeng-
dc.publisherManey Publishing. The Journal's web site is located at http://www.maney.co.uk/search?fwaction=show&fwid=440-
dc.relation.ispartofUltrasound-
dc.rightsUltrasound. Copyright © Maney Publishing.-
dc.titleContrast sonovenography – Is this the answer to complex deep vein thrombosis imaging?-
dc.typeArticle-
dc.identifier.emailChiu, WHK: kwhchiu@hku.hk-
dc.identifier.authorityChiu, WHK=rp02074-
dc.identifier.doi10.1177/1742271X15625432-
dc.identifier.pmid27433271-
dc.identifier.pmcidPMC4760606-
dc.identifier.hkuros264743-
dc.identifier.volume24-
dc.identifier.issue1-
dc.identifier.spage17-
dc.identifier.epage22-
dc.publisher.placeUnited Kingdom-

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