Gadolinium-enhanced magnetic resonance angiography, colour duplex and digital subtraction angiography of the lower limb arteries from the aorta to the tibio-peroneal trunk in patients with intermittent claudication.
作者： J.J. Jørgensen , M. Nylænde , M. Abdelnoor , R. Dullerud , E. Gjønnæss
DOI: 10.1016/J.EJVS.2005.09.009
关键词:
摘要: Abstract Objectives To evaluate the sensitivity, specificity, positive and negative predictive value of contrast-enhanced (gadolinium) magnetic resonance imaging (CE-MRA) colour duplex ultrasound (CDU) lower limb arteries. Design Prospective, single centre study. Material methods A consecutive series 58 patients with intermittent claudication (IC) were examined CE-MRA CDU from infrarenal aorta to tibio-peroneal trunk digital subtraction angiography (DSA) as reference. The arterial tree was divided into 15 segments, pooled three regions; suprainguinal, thigh knee. Sensitivity, values for significant obstructions calculated. Cohen Kappa statistics used establish agreement between methods. Results sensitivity (specificity in parentheses) suprainguinal region 96% (94%) 91% (96%) CDU, 92% (95%) 76% (99%) knee 93% 33% (98%) CDU. failed visualize 10% 2% 13% knee-region segments. Conclusions Both are good alternatives DSA suprainguinal- thigh-region. In only can be relied upon an alternative DSA. Imaging by is not suited situations evaluation runoff vessels important.
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