Noninvasive Diagnosis of Acute Deep Vein Thrombosis

Watz, Ragnar; Ek, Ianenko; Bygdeman, S

doi:10.1111/j.0954-6820.1979.tb13547.x

Cited by 10 publications

(5 citation statements)

References 11 publications

(9 reference statements)

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“…The specificity of thermography in our study was lower than in previous reports (16,(19)(20)(21)(22). This may be due mainly to two factors: a high incidence of inflammatory conditions simulating DVT, and the unwillingness of some patients with a negative 9 c "plasmin test to undergo phlebography who were thus excluded.…”

Section: Discussioncontrasting

confidence: 83%

“…Several groups have found thermography to be highly sensitive for diagnosing DVT, with sensitivity values of 89-96% (16,(19)(20)(21)(22). The sensitivity of thermography in the present study was only 77% (when score 2 was positive).…”

Section: Discussioncontrasting

confidence: 50%

“…Cooke and Pilcher (16, 17) introduced diagnostic criteria, which were subsequently refined (18). Other investigators have also found thermography useful as a screening method (19)(20)(21)(22). This study has compared the screeening efficiency of thermography, plasmin test and clinical examination with phlebography as the reference method.…”

Section: Diagnosis Deep Venous Thrombosis Gptcm-plasmin Test Thermmentioning

confidence: 99%

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Thermography in the Diagnosis of Deep Venous Thrombosis

Wallin

Albrechtsson

Fagher

et al. 1983

Journal of Internal Medicine

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ABSTRACT. Thermography, clinical examination and 99Tcm‐plasmin test were performed in 112 patients and compared with phlebography. The study population consists of consecutive outpatients with symptoms compatible with deep venous thrombosis, who presented during regular clinic hours. Scoring systems were constructed for the clinical and thermographic evaluation. Both thermography and clinical diagnosis were insufficiently sensitive and specific for screening purposes. Plasmin test had a high sensitivity, 95%, but a low specificity. It is possible that a combination of thermography and clinical diagnostic criteria can provide an acceptable screening procedure. Combining thermography wiht a routine examination by the physician on duty yielded less favourable results.

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Section: Discussioncontrasting

confidence: 83%

Section: Discussioncontrasting

confidence: 50%

Section: Diagnosis Deep Venous Thrombosis Gptcm-plasmin Test Thermmentioning

confidence: 99%

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Thermography in the Diagnosis of Deep Venous Thrombosis

Wallin

Albrechtsson

Fagher

et al. 1983

Journal of Internal Medicine

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“…Historically, traditional contrast venography, based on direct lower leg intravenous contrast injection, was used as the first objective imaging modality and for many years had been considered the "gold standard" for diagnosis of DVT 1037,1038 . Before the modern VUS era, due to limitations concerning other available diagnostic methods, including plethysmography, thermography, continuous wave Doppler examination or isotopic studies, phlebography became another standard diagnostic imaging method to confirm DVT [1039][1040][1041][1042][1043][1044] . The rates of diagnosed DVT by bilateral venography in orthopaedic surgery studies became the reference values for further research on DVT prophylaxis efficacy in orthopaedic surgery.…”

Section: Sofienementioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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“…The combination of thermography and plethysmography increases sensitivity and specificity [97], and this combination has been used for DVT screening after kidney transplantation [98,99].…”

Section: Combination Of Methodsmentioning

confidence: 99%

Diagnosis of deep vein thrombosis

Bergqvist

Bergentz

1990

World j. surg.

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A wide range of clinical symptoms and signs are observed with venous thrombosis. Nonetheless, clinical diagnosis has been found to be unreliable and accurate diagnostic methods must be used before potent therapy such as anticoagulation is instituted, since the complications of treatment themselves can be life-threatening. Phlebography is still the basic reference for evaluation of deep venous disease. While it is felt to be the most accurate, there are still limitations relative to difficulty in separating acute from chronic disease, and in obtaining adequate contrast in certain veins such as calf muscles and in the larger intraabdominal veins. Moreover, it is an uncomfortable invasive test, not without complications of its own. The 125I-fibrinogen uptake test is an excellent test for screening for forming thrombi. The sensitivity of this test is high, particularly in the detection of small calf vein thrombi. The primary drawbacks of this technique are that it is falsely positive in cases where there has been bleeding, inflammation, gross edema, arthritis, or leg ulceration. It is not accurate above mid-thigh because of the high blood flow at the level of the groin and pelvis. Radioactive labeled plasmin which will adhere to the surface of recently formed thrombi can also be used for diagnosis. The limitations are a very short half-life of the radioactive label so that repeated investigation of a patient cannot be performed unless new injections are given. The diagnostic accuracy is comparable to that of radioactive labeled fibrinogen and has the same advantages and disadvantages. Plethysmographic techniques have been used with various modifications.(ABSTRACT TRUNCATED AT 250 WORDS)

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Noninvasive Diagnosis of Acute Deep Vein Thrombosis

Cited by 10 publications

References 11 publications

Thermography in the Diagnosis of Deep Venous Thrombosis

Thermography in the Diagnosis of Deep Venous Thrombosis

Recommendations from the ICM-VTE: General

Diagnosis of deep vein thrombosis

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