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Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography.

Publication ,  Journal Article
Evans, AJ; Sostman, HD; Witty, LA; Paulson, EK; Spritzer, CE; Hertzberg, BS; Carroll, BA; Tapson, VF; Saltzman, HA; DeLong, DM
Published in: J Magn Reson Imaging
1996

Seventy-five patients (41 women and 34 men, 20-85 years old) with clinically suspected deep venous thrombosis (DVT) were examined with MR imaging and sonography. In 26 patients, the final diagnosis was acute femoropopliteal DVT. The sensitivity of MR imaging for detecting this disease was 100% with a 95% confidence interval (CI) of 87-100%; the specificity was 100% with a CI of 92-100%; and the accuracy was 96% with a CI of 89-99%. The correspond-ing sensitivity of sonography was 77% with a CI of 53-92%; the specificity was 98% with a CI of 89-100%; and the accuracy was 83% with a CI of 72-90%. In four of the 75 patients, MR images revealed thrombus of the pelvis (n = 1) or calf (n = 3) without femoropopliteal involvement. The estimated prevalence of isolated calf and/or pelvic DVT was 5% with a CI of 1-13%. MR imaging is significantly more sensitive (P = .02) and accurate (P < .01) than sonography in the detection of lower extremity DVT, but there was no difference in the specificity of MR imaging and that of sonography (P = .31).

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Published In

J Magn Reson Imaging

DOI

ISSN

1053-1807

Publication Date

1996

Volume

6

Issue

1

Start / End Page

44 / 51

Location

United States

Related Subject Headings

  • Ultrasonography
  • Thrombophlebitis
  • Sensitivity and Specificity
  • Prospective Studies
  • Predictive Value of Tests
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans
 

Citation

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Chicago
ICMJE
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Evans, A. J., Sostman, H. D., Witty, L. A., Paulson, E. K., Spritzer, C. E., Hertzberg, B. S., … DeLong, D. M. (1996). Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography. J Magn Reson Imaging, 6(1), 44–51. https://doi.org/10.1002/jmri.1880060109
Evans, A. J., H. D. Sostman, L. A. Witty, E. K. Paulson, C. E. Spritzer, B. S. Hertzberg, B. A. Carroll, V. F. Tapson, H. A. Saltzman, and D. M. DeLong. “Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography.J Magn Reson Imaging 6, no. 1 (1996): 44–51. https://doi.org/10.1002/jmri.1880060109.
Evans AJ, Sostman HD, Witty LA, Paulson EK, Spritzer CE, Hertzberg BS, et al. Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography. J Magn Reson Imaging. 1996;6(1):44–51.
Evans, A. J., et al. “Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography.J Magn Reson Imaging, vol. 6, no. 1, 1996, pp. 44–51. Pubmed, doi:10.1002/jmri.1880060109.
Evans AJ, Sostman HD, Witty LA, Paulson EK, Spritzer CE, Hertzberg BS, Carroll BA, Tapson VF, Saltzman HA, DeLong DM. Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography. J Magn Reson Imaging. 1996;6(1):44–51.
Journal cover image

Published In

J Magn Reson Imaging

DOI

ISSN

1053-1807

Publication Date

1996

Volume

6

Issue

1

Start / End Page

44 / 51

Location

United States

Related Subject Headings

  • Ultrasonography
  • Thrombophlebitis
  • Sensitivity and Specificity
  • Prospective Studies
  • Predictive Value of Tests
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans