Karande Gita Yashwantrao, Hedgire Sandeep S, Sanchez Yadiel, Baliyan Vinit, Mishra Vishala, Ganguli Suvranu, Prabhakar Anand M
Department of Radiology, Changi General Hospital, S529889, Singapore.
Division of Cardiovascular Imaging, Massachusetts General Hospital-Harvard Medical School, Boston, MA 02114, USA.
Cardiovasc Diagn Ther. 2016 Dec;6(6):493-507. doi: 10.21037/cdt.2016.12.06.
Deep venous thrombosis (DVT) affecting the extremities is a common clinical problem. Prompt imaging aids in rapid diagnosis and adequate treatment. While ultrasound (US) remains the workhorse of detection of extremity venous thrombosis, CT and MRI are commonly used as the problem-solving tools either to visualize the thrombosis in central veins like superior or inferior vena cava (IVC) or to test for the presence of complications like pulmonary embolism (PE). The cross-sectional modalities also offer improved visualization of venous collaterals. The purpose of this article is to review the established modalities used for characterization and diagnosis of DVT, and further explore promising innovations and recent advances in this field.
影响四肢的深静脉血栓形成(DVT)是一个常见的临床问题。及时的影像学检查有助于快速诊断和适当治疗。虽然超声(US)仍然是检测四肢静脉血栓形成的主要手段,但CT和MRI通常用作解决问题的工具,用于可视化上腔静脉或下腔静脉(IVC)等中心静脉的血栓形成,或检测肺栓塞(PE)等并发症的存在。这些横断面检查方法还能更好地显示静脉侧支。本文的目的是回顾用于DVT特征描述和诊断的既定检查方法,并进一步探索该领域有前景的创新和最新进展。