Multidetector CT angiography versus arterial duplex USG in diagnosis of mild lower extremity peripheral arterial disease: Is multidetector CT a valuable screening tool?

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dc.authorid0000-0001-7500-7707
dc.authorscopusid25027835200
dc.authorscopusid25923075100
dc.authorscopusid26425288900
dc.authorscopusid54983797300
dc.authorscopusid24470980000
dc.authorscopusid56169783200
dc.authorscopusid24723731500
dc.authorwosidCimilli, Ahmet Tan/AAC-6411-2022
dc.contributor.authorKayhan, Arda
dc.contributor.authorPalabiyik, Figen
dc.contributor.authorSerinsoz, Serdar
dc.contributor.authorKiris, Adem
dc.contributor.authorBayramoğlu, Sibel
dc.contributor.authorWilliams, Joshua T. B.
dc.contributor.authorCimilli, Tan
dc.date.accessioned2022-05-11T14:40:59Z
dc.date.available2022-05-11T14:40:59Z
dc.date.issued2012
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractObjective: To prospectively compare the efficacy of 40-row multidetector computed tomography angiography (MDCTA) and duplex ultrasonography (DUS) to diagnose mild peripheral arterial occlusive disease (PAOD) in lower leg and to search whether MDCTA can be used as a screening tool. Methods: Forty-three patients with intermittent claudication and leg pain, diagnosed as mild PAOD, had undergone DUS and MDCTA of lower limb. The arteries of lower leg were initially scanned by DUS, followed by MDCTA. Both modalities were compared for detecting the obstructed and stenotic segments. Results: A total of 774 vessel segments were imaged by both modalities. When all arteries were considered, MDCTA detected obstructed or stenotic lesions in 16.8% of arteries, versus 11.1% compared to DUS. When suprapopliteal arteries alone were considered, MDCTA detected lesions in 15.0% of arteries, versus 11.0% with DUS. When infrapopliteal arteries only were considered, MDCTA detected lesions in 19.6% of arteries, versus 11.3% with DUS. MDCTA showed 5.7% (95% CI: [3.5%, 7.9%]) more lesions than DUS when all arteries were considered together, 8.3% (95% CI: [4.6%, 12.0%]) more lesions when only the infrapopliteal arteries were compared, and 4.0% (95% CI: [1.3%, 6.8%]) more lesions when only suprapopliteal arteries were compared (p < 0.01 for all comparisons). Conclusion: 40-row MDCTA may be used as a screening tool in patients with mild lower extremity PAOD as it is a non-invasive and more accurate modality when compared to DUS. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
dc.identifier.doi10.1016/j.ejrad.2011.01.100
dc.identifier.endpage546
dc.identifier.issn0720-048X
dc.identifier.issn1872-7727
dc.identifier.issue3en_US
dc.identifier.pmid21345629
dc.identifier.scopus2-s2.0-84856956288
dc.identifier.scopusqualityQ1
dc.identifier.startpage542
dc.identifier.urihttps://doi.org/10.1016/j.ejrad.2011.01.100
dc.identifier.urihttps://hdl.handle.net/20.500.11776/9009
dc.identifier.volume81
dc.identifier.wosWOS:000300408100064
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKayhan, Arda
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofEuropean Journal of Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPeripheral arterial occlusive disease
dc.subjectDuplex ultrasonography
dc.subjectMDCT angiography
dc.subjectDigital-Subtraction-Angiography
dc.subjectMultislice Spiral Ct
dc.subjectOcclusive Disease
dc.subjectLower-Limb
dc.subjectAbdominal-Aorta
dc.subjectArteriography
dc.subjectComplications
dc.subjectMetaanalysis
dc.subjectAccuracy
dc.subjectSystem
dc.titleMultidetector CT angiography versus arterial duplex USG in diagnosis of mild lower extremity peripheral arterial disease: Is multidetector CT a valuable screening tool?
dc.typeArticle

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