[The informativeness of ultrasonic scanning methods in obliterating diseases of the arteries of the lower extremities]. 1991

V M Koshkin, and A R Zubarev, and S I Larin, and I G Maliutina

The authors studied the diagnostic possibilities of ultrasonic angiography and doppler sonography as compared to digital subtraction angiography. A total of 506 arterial segments was examined in 116 males suffering from various degree of atherosclerosis obliterans of the lower limb vessels. The coincidence of and disparity in the diagnosis were analysed on the aortoiliac and femoropopliteal levels according to three criteria: normal vessel, stenosis, occlusion. The diagnostic efficacy was appraised with the use of the Kapp index (K), the percentage of absolute coincidence of the diagnoses, sensitivity, and specificity. The precision of doppler sonography was found to be comparable with that of digital subtraction angiography. On the aortoiliac level K-0.68 +/- 0.06, on the femoropopliteal level K = 0.78 +/- 0.05. The diagnostic possibilities of ultrasonic angio-scanning were significantly lower. Thus, on the aortoiliac level K = 0.28 +/- 0.07, on the femoropopliteal level K = 0.4 +/- 0.05. Doppler sonography is therefore a reliable noninvasive method in the diagnosis of obliterating diseases of arteries of the lower limbs.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001162 Arteriosclerosis Obliterans Common occlusive arterial disease which is caused by ATHEROSCLEROSIS. It is characterized by lesions in the innermost layer (ARTERIAL INTIMA) of arteries including the AORTA and its branches to the extremities. Risk factors include smoking, HYPERLIPIDEMIA, and HYPERTENSION. Obliterans, Arteriosclerosis
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D015901 Angiography, Digital Subtraction A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues. Digital Subtraction Angiography,Subtraction Angiography, Digital

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