https://imedsciences.com/ editor_ijims@hotmail.com
ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.102

Type of Article: Original Research

Volume 3; Issue 1: January 2016

Page No.: 221-223

DOI: 10.16965/ijims.2016.102

 

Comparison of Diagnostic Accuracies of Color Flow Doppler Ultrasonogrphy with Contrast Enhanced Magnetic Resonance Angiography in Patients with Obstructive Arterial Disease of Lower Limbs

Sandeep. Naik 1, Santosh B. Chikaraddi 2, Pangi Ashok 2,  Anurshetru Shivappa 2, Pavan P. Havaldar 3 , Shaik Hussain Saheb *4.

1 Assistant Professor of Surgery, SDM College of Medical Sciences & Hospital, Dharwad, Karnataka, India.

2 Department of General Surgery &  Cardiothoracic Surgery, KLE`S Dr Prabhakar Kore Hospital and Medical Research Centre,      Belgaum, Karnataka, India.

3 Associate Professor of Anatomy, GIMS, Gadag, Karnataka, India.

*4 Assistant Professor of Anatomy, JJMMC, Davangere, Karnataka, India.

CORRESPONDING AUTHOR ADDRESS: Shaik Hussain Saheb, Assistant Professor of Anatomy, JJMMC, Davangere, Karnataka, India. Mobile: +91-9242056660 E-Mail: anatomyshs@gmail.com

ABSTRACT

Introduction:  Contrast enhanced Magnetic Resonance(MR) angiography has been considered the gold standard for the investigation of obstructive arterial disease of lower limbs. The development of color flow doppler (CFD) ultrasonography has extended the scope of non-invasive assessment of lower limb arterial disease.  Comparative study is undertaken for the diagnostic accuracy of color flow doppler with magnetic resonance angiography in detecting hemodynamically significant lesions in  obstructive arterial disease of lower limbs.

Materials and Methods: 30 clinically diagnosed patients of obstructive arterial disease of lower limbs evaluated with color flow doppler ultrasonography and contrast enhanced magnetic resonance angiography.

Results: Sensitivity and specificity of CFD ultrasonography were 70-90% and 100% in different arterial segments respectively. Sensitivity and specificity of contrast enhanced magnetic resonance angiography were 90-95% and 100% in different arterial segments respectively.

Conclusion: Obstructive arterial disease is more prevalent in males over 50 years. Color flow doppler ultrasonography has grown from an ancillary diagnostic aid to a critical component in non-invasive diagnostic work up for obstructive arterial disease of lower limbs, as initial investigation of choice compared to contrast enhanced MR angiography.

KEY WORDS: Peripheral arterial occlusive disease, Color flow doppler, Magnetic resonance angiography.

REFERENCES

  1. Hirsch AT, Criqui MH, Treat-Jacobson D, et al. Peripheral arterial disease detection, awareness, and treatment in primary care. 2001; 286:1317-1324.
  2. Ruehm SG, Goyen M, Barkhausen J, et al. Rapid magnetic resonance angiography for detection of atherosclerosis. Lancet 2001; 357:1086– 91.
  3. Rubin GD, Schmidt AJ, Logan LJ, et al. Multi-detector row CT angiography of lower extremity arterial inflow and runoff: initial experience. Radiology 2001; 221(1):146-58.
  4. Hirsch AT, Hiatt WR. PAD awareness, risk and treatment: New resources for survival. (PARTNERS Programme). Vasc Med 2001; 6 : 9-12.
  5. Juergens JL, Barker NW, Hines EA. Arteriosclerosis obliterans: Review of 520 cases with special reference to pathogenic and prognostic factors. Circulation 1998; 21:188-195.
  6. Jelnes R, Gaardsting O, Hougaard Jansen k. Fate in intermittent claudication: Outcome and risk factors. BMJ 1996; 293:1137-1140.
  7. Vogt MT, Cauley JA, Newman AB. Decreased ankle/arm blood pressure index and mortality in elderly women. JAMA 1993; 270:465-469.
  8. Leng GC, Whyman MR, Donnan PT. Accuracy and reproducibility of duplex ultrasonography in grading femoropopliteal stenosis. J Vasc Surg 1993; 17:510-517.

 

Download Full Text TOC