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International Journal of Biomedical Imaging
Volume 2007 (2007), Article ID 54616, 9 pages
http://dx.doi.org/10.1155/2007/54616
Research Article

Multimodality Imaging of the Peripheral Venous System

Unit of Ultrasound, Department of Medical Imaging, Rambam Medical Center and Faculty of Medicine, Technion–Israel Institute of Technology, P.O. Box 9602, Haifa 31096, Israel

Received 17 September 2006; Accepted 28 September 2006

Academic Editor: Haim Azhari

Copyright © 2007 Diana Gaitini. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this article is to review the spectrum of image-based diagnostic tools used in the investigation of suspected deep vein thrombosis (DVT). Summary of the experience gained by the author as well as relevant publications, regarding vein imaging modalities taken from a computerized database, was reviewed. The imaging modalities reviewed include phlebography, color Doppler duplex ultrasonography (CDDUS), computerized tomography angiography (CTA) and venography (CTV), magnetic resonance venography (MRV), and radionuclide venography (RNV). CDDUS is recommended as the modality of choice for the diagnosis of DVT. A strategy combining clinical score and D-dimer test refines the selection of patients. Phlebography is reserved for discrepant noninvasive studies.