Document Detail


Ultrasonographic screening for arterial occlusive disease in the pelvis and lower extremities.
MedLine Citation:
PMID:  9929140     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the accuracy of pulsed Doppler ultrasound (PDUS) and color Doppler ultrasound (CDUS) for the screening of arterial occlusive disease in the pelvis and lower extremities. METHODS: We studied 52 patients with intermittent claudication or lower extremity "coolness." Pulsed Doppler waveforms were measured in the inguinal and popliteal regions and were classified according to their pattern. Patients with abnormal waveforms underwent subsequent CDUS evaluation from the aortic bifurcation to the popliteal arteries. All patients also underwent conventional angiography. RESULTS: All stenoses (> 50%) and occlusions on angiography were detected by PDUS. The combination of PDUS and CDUS allowed detection of 78.0% of stenotic lesions (> 50% narrowing) and 96.6% of occlusive lesions in the iliofemoral regions and in 100% of stenotic lesions (> 50% narrowing) and occlusive lesions in the femoropopliteal regions. PDUS required approximately 3 min. About more 5 min are required when CDUS was added. CONCLUSION: Combined PDUS and CDUS appears to be a rapid, highly sensitive means of screening for arterial occlusive disease in the pelvis and lower extremities.
Authors:
T Hirai; H Ohishi; K Kichikawa; H Yoshimura; H Uchida
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Radiation medicine     Volume:  16     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:    1998 Nov-Dec
Date Detail:
Created Date:  1999-04-13     Completed Date:  1999-04-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  411-6     Citation Subset:  IM    
Affiliation:
Department of Oncoradiology, Nara Medical University, Kashihara, Japan.
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MeSH Terms
Descriptor/Qualifier:
Angiography
Arterial Occlusive Diseases / physiopathology,  radiography,  ultrasonography*
Blood Flow Velocity
Femoral Artery / radiography,  ultrasonography*
Follow-Up Studies
Humans
Iliac Artery / radiography,  ultrasonography*
Image Processing, Computer-Assisted
Leg / blood supply
Observer Variation
Pelvis / blood supply
Popliteal Artery / radiography,  ultrasonography*
Reproducibility of Results
Sensitivity and Specificity
Ultrasonography, Doppler, Color*
Ultrasonography, Doppler, Pulsed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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