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Journal of Ultrasound in Medicine, Vol 5, Issue 11 625-631, Copyright © 1986 by American Institute of Ultrasound in Medicine
Real-time B-mode ultrasonography for better specificity in the noninvasive diagnosis of deep venous thrombosis
M. M. Dauzat, J. P. Laroche, C. Charras, B. Blin, M. M. Domingo-Faye, P. Sainte-Luce, A. Domergue, F. M. Lopez and C. Janbon
In order to evaluate the usefulness of B-mode ultrasonography in the
diagnosis of deep vein thrombosis, a prospective study was performed on 145
patients. Each patient was examined with occlusive venous plethysmography,
continuous wave Doppler, real-time B-mode ultrasonography, and radiographic
contrast phlebography. The diagnostic sensitivity and specificity versus
phlebography were 91 and 82.1 per cent, respectively, for plethysmography,
92 and 86.6 per cent for Doppler, and 94 and 100 per cent for B-mode
sonographic scanning. The combined noninvasive approach reached a 96 per
cent sensitivity. B-mode ultrasonography demonstrated a mass in eight
cases, and showed a superficial venous thrombosis in four cases, among the
45 patients without deep vein thrombosis. B-mode ultrasonography,
therefore, appears to be very useful in obtaining a better specificity and
differential diagnosis.
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