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Comparative Study of Ultrasound Doppler and 128-Multi-Detector CT in Assessment of Upper Extremity Ischemia in High Risk Patients
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Rania Mustafa Abdul Rahman Hassan
Journal:
international journal of research in pharmaceutical sciences jk welfare & pharmascope foundation
Volume:
Keywords :
Comparative Study , Ultrasound Doppler , 128-Multi-Detector , , Assessment
Abstract:
Ischemia at the upper extremity is considered one of the disabling and frequent causes of blind medical care failure. Non- invasive techniques as CTA and Doppler could effectively determine stenosis grades uptoocclusion ofthe upper extremity, particularly if they impact the vessels proximal to the wrist also they can characterize the thrombus characters and recanalization. The study was a prospective study carried out on 30 patients with upper extremity ischemia during the period from April 2019 to April 2020 at the Radiology department of ZagazigUniversity hospitals. All patients presented with signs of ischemia as claudication, color changes, pulselessness and their age ranged between 45 to 70 years. All patients underwent complete history taking and clinical examination,the results were correlated to conventional angiography.Overall, in the present study, Doppler US has sensitivity of 86.6 %, specificity of 100%, PVP of 100% and PVN of 91.3%. CTA has sensitivity of 93.3 %, specificity of 100%, PVP of 100% and PVN of 95.45 %.CTA was more sensitive in milder degrees (Grades I& II) of thromboembolism and stenosis but no significant difference in severe cases (Grades III &IV). Segmental length assessment and collateral circulation were better noted on CT Angiography.
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Department Related Publications
Khaled Ahmed Mohamed Lakoz, "استخدام الرنين المغناطيسي في تصوير اصابات الحزمة الدائريه لاربطة الكتف", المجله المصريه للاشعه والطب النووى, 1998
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Mohamed Alaa El Din Mohamed Tawfiq, "فاعلية الفحص بالموجات فوق الصوتية وتصوير الرنين المغناطيسى فى تشخيص اصابات الغضروف الهلاكى بالركبة", مجلة جامعة الزقازيق الطبية, 2002
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Khaled Mohamed Shawky Amien, "مقارنه دور الاشعه المقطعيه والتصوير بالرنين المغناطيسي في تشخيص حالات الضعف السمع الحسي العصبي", لايوجد, 1900
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Mohamed Alaa El Din Mohamed Tawfiq, "تقييم دور الموجات فوق الصوتيةفى تشخيص امراض ضيق قناة مجرى البول بالمقارنة باشعة الصبغة الصاعدة على قناة مجرى البول", مجلة جامعة الزقازيق الطبية, 1994
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Mohamed Fathy Ahmed Gouda, "مقارنه دور الموجات فوق الصوتيه بالدوبلر الملون القوى في تشخيص تورمات الثدى المتصلبه", مجله الجمعيه المصريه للاشعه والطب النووى, 2003
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