scholarly journals Doppler Ultrasound and Contrast-Enhanced Ultrasound in Detection of Stent Stenosis After Iliac Vin Stenting

Author(s):  
H. Liu ◽  
J. Wang ◽  
Y. Zhao ◽  
Z. Chen ◽  
D. Wang ◽  
...  
2020 ◽  
Author(s):  
Hong Liu ◽  
Jing Wang ◽  
Yu. Zhao ◽  
Zheng Chen ◽  
Dong Wang ◽  
...  

Abstract Background: To compare the diagnostic accuracy of Doppler ultrasound (DUS) with contrast-enhanced ultrasound (CEUS) for detection of iliac vein stent stenosis using multidetector computed tomography venography (MDCTV) as the reference method.Methods: Patients with iliac vein obstructive disease treated with nitinol stents between January 2016 and December 2017 were consecutively included in this study. DUS, CEUS, and MDCTV were carried out in all patients within one week of each other at one year post stenting to investigate the presence of stent compression and in-stent restenosis (ISR). Results: The study included 139 patients (87 females; mean age 58 ± 15 years). For detecting stent compression, the kappa coefficient between the ultrasound modality of gray-scale imaging and MDCTV was 0.901, indicating very good agreement between these two modalities. ISR was detected in 50, 61, and 65 patients by DUS, CEUS, and MDCTV, respectively. DUS and CEUS (kappa=0.449) and DUS and MDCTV (kappa=0.516) had moderate agreement for ISR diagnosis, while for which CEUS and MDCTV (kappa 0.884) had very good agreement. The sensitivity, specificity, positive and negative predictive values of DUS and CEUS for diagnosing ISR were 63.1% and 90.8%, 87.8% and 97.3%, 82.0% and 96.7%, and 73.0% and 92.3%, respectively.Conclusions: CEUS is superior to DUS in terms of diagnostic accuracy for the follow-up of patients with iliac vein stent stenosis.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hong Liu ◽  
Jing Wang ◽  
Yu Zhao ◽  
Zheng Chen ◽  
Dong Wang ◽  
...  

Abstract Background To compare the diagnostic accuracy of Doppler ultrasound (DUS) with contrast-enhanced ultrasound (CEUS) for detection of iliac vein stent stenosis using multidetector computed tomography venography (MDCTV) as the reference method. Methods Patients with iliac vein obstructive disease treated with nitinol stents (Smart Control, Cordis, USA) between January 2016 and December 2017 were consecutively included in this study. DUS, CEUS, and MDCTV were carried out in all patients within one week of each other at 1 year post stenting to investigate the presence of stent compression and in-stent restenosis (ISR). Results The study included 139 patients (87 females; mean age 58 ± 15 years). For detecting stent compression, the kappa coefficient between the ultrasound modality of gray-scale imaging and MDCTV was 0.901, indicating very good agreement between these two modalities. ISR was detected in 50, 61, and 65 patients by DUS, CEUS, and MDCTV, respectively. DUS and CEUS (kappa = 0.449) and DUS and MDCTV (kappa = 0.516) had moderate agreement for ISR diagnosis, while for which CEUS and MDCTV (kappa 0.884) had very good agreement. The sensitivity and specificity of DUS and CEUS for diagnosing ISR were 63.1% and 90.8%, 87.8% and 97.3%, respectively. Conclusions CEUS is probably superior to DUS in terms of diagnostic accuracy for the follow-up of patients with iliac vein stent stenosis.


2018 ◽  
Vol 34 (4) ◽  
pp. 250-267 ◽  
Author(s):  
Emilio Quaia ◽  
Jean Michel Correas ◽  
Maithili Mehta ◽  
John T. Murchison ◽  
Antonio Giulio Gennari ◽  
...  

2015 ◽  
Vol 88 (4) ◽  
pp. 433-437 ◽  
Author(s):  
Ciprian Mihaita Pop ◽  
Dan Mihu ◽  
Radu Badea

AbstractUltrasound is the reference imaging procedure used for the exploration of endometrial pathology. As medical procedures improve and the requirements of modern medicine become more demanding, gray-scale ultrasound is insufficient in establishing gynecological diagnosis. Thus, more complex examination techniques are required: Doppler ultrasound, contrast-enhanced ultrasound (CEUS), 3D ultrasound, etc. Contrast-enhanced ultrasound is a special examination technique that gains more and more ground. This allows a detailed real-time evaluation of microcirculation in a certain territory, which is impossible to perform by Doppler ultrasound. The aim of this review is to synthesize current knowledge regarding CEUS applications in endometrial pathology, to detail the technical aspects of endometrial CEUS and the physical properties of the equipment and contrast agents used, as well as to identify the limitations of the method.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yanhua Cui ◽  
Quanbin Zhang ◽  
Jiping Yan ◽  
Ji Wu

Objective. This study is aimed at exploring the accuracy of contrast-enhanced ultrasound (CEUS) in grading renal artery stenosis. Methods. 122 renal arteries with suspected renal artery stenosis were selected. DSA, DUS, and CEUS were performed for all patients with suspected renal artery stenosis in the research. DSA was selected as the gold standard. The sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) of CEUS or Doppler ultrasound (DUS) in the diagnosis of renal artery stenosis were analyzed. The consistency between CEUS and digital subtraction angiography (DSA) was compared. The accuracy of DUS or CEUS in grading renal artery stenosis was assessed by the area under the receiver operating characteristic (ROC) curves and compared between groups. Results. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of CEUS in the diagnosis of renal artery stenosis were 88.9%, 87.8%, 88.5%, 93.5%, and 80.0%, respectively. There was no significant difference in grading renal artery stenosis between CEUS and DSA (X2=0.643, P=0.424). 77 of the 122 renal arteries were diagnosed with the stenosis rate more than 30% by CEUS. Compared with the results of DSA, the kappa value of CEUS was 0.749 (P<0.05). Conclusion. CEUS is accurate in grading renal artery stenosis, and it may represent the method of choice in diagnosing renal artery stenosis.


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