Efficacy of Shear Wave Elastography in the Differentiation of Acute and Subacute Deep Venous Thrombosis
| Autor: | Fatma Durmaz, Mehmet Ali Gultekin |
|---|---|
| Přispěvatelé: | GÜLTEKİN, MEHMET ALİ |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Deep vein Durmaz F. GÜLTEKİN M. A. -Efficacy of Shear Wave Elastography in the Differentiation of Acute and Subacute Deep Venous Thrombosis- ULTRASOUND QUARTERLY cilt.37 sa.2 ss.168-172 2021 Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans cardiovascular diseases Stage (cooking) Thrombus Ultrasonography Venous Thrombosis 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Ultrasound Area under the curve Middle Aged medicine.disease Thrombosis Venous thrombosis medicine.anatomical_structure ROC Curve Acute Disease Elasticity Imaging Techniques Female Radiology Elastography business |
| Popis: | It is important to know the age of clot formation to determine an appropriate treatment for deep vein thrombosis (DVT). The present study aims to differentiate between acute and subacute DVT using the shear wave elastography (SWE) technique. Patients with complaints no longer than 4 weeks and who were found to have early-stage (acute-subacute) thrombus on ultrasound (US) between January 2020 and May 2020 were included in the study. All of the patients underwent SWE using a Philips Healthcare EPIQ 5 Ultrasound System Inc. device with a high-resolution linear US probe (eL18-4, 22-2 MHz). Included in the study were 50 patients, including 23 with acute DVT and 27 with subacute DVT. Of the patients, 22 were women and 28 were men, and the mean age was 46.32 ± 11.33 years (range: 24-74 years). The mean SWE value was 2.63± 0.16 (2.39-2.96) in patients with acute DVT and 3.34± 0.31 (2.65-3.88) in patients with subacute DVT. The findings were statistically significant in the comparison of the 2 groups using an independent samples t test (P < 0.001). In the receiver operating characteristic analysis, the area under the curve was found to be 97.6%. When the cutoff value was taken as 2.85 according to the area under the curve, sensitivity was found to be 96.3%, and specificity was 91.3%. Thrombus stage plays a critical role in treatment decisions in DVT in the lower extremities. The present study reveals that the shear wave US elastography technique can be used to discriminate between acute and subacute DVT. |
| Databáze: | OpenAIRE |
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