Imaging and hemodynamic information are essential in determining the etiology of lower extremity wounds. Ultra- sound offers a noninvasive method of studying vessel walls and measuring blood flow, thereby providing reliable diagnostic data. This article reviews the role of ultrasound in the management of the lower extremity wound.
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References
1.
1. Gottrup F, Holstein P, Jorgensen B, Lohmann M, Karlsmark T. A new concept of a multidisciplinary wound healing centre and a national expert function of wound healing. Arch Surg2001;136:765-771.
2.
2. Sandeman D, Shearman P. Clinical aspects of lower limb ulceration. In: Mani R, Falanga V, Shearman CP, Sandeman D, editors. Chronic wound healing: clinical measurement and basic science. London: Harcourt Brace; 1999. p. 4-25.
3.
3. Strandness D Jr. Ultrasound in the study of atherosclerosis. Ultrasound Med Biol1986;6:453-464.
4.
4. Rofsky NM, Adelman MA. MR angiography in the evaluation of atherosclerotic peripheral vascular disease. Radiology2000;214:325-338.
5.
5. Sheikh K, et al. Comparison of intravascular ultrasound, external ultrasound and digital angiography for evaluation of peripheral artery dimensions and morphology. Am J Cardiol1991;67:817-822.
6.
6. White D. Johann Christian Doppler and his effect—a brief history. Ultrasound Med Biol1982;8:583-591.
7.
7. Sigel B. A brief history of Doppler ultrasound in the diagnosis of peripheral vascular disease. Ultrasound Med Biol1998;24:169-176.
8.
8. Strandness D Jr. Duplex scanning for diagnosis of peripheral arterial disease. Herz1988;13:372-377.
9.
9. Fish P. Doppler ultrasound measurements. In: Physics and instrumentation of diagnostic medical ultrasound. Chichester, UK: John Wiley; 1994. p. 143-164.
10.
10. Baker A, Evans D, Prytherch D. Some failings of pulsatility index and damping factor. Ultrasound Med Biol1986;12:875-881.
11.
11. B-Flow: a new way of visualising blood flow [executive summary]. Ultrasound technology update, GE Ultrasound Europe; 1999.
12.
12. Claudon M. CVI challenges Doppler in vascular pathology. Diagn Imaging Int1991.
13.
13. Drury A, Pilcher J, Kaur K. Colour duplex arterial imaging. RAD Magazine1999;25:39-40.
14.
14. Carter A. Clinical measurement of systolic pressures in limbs with arterial occlusive disease. JAMA1969;207:1869-1874.
15.
15. Laing S, Greenhalgh R. Standard exercise test to assess peripheral arterial disease. BMJ1980;280:13-15.
16.
16. Sumner D. Correlation of lesion configuration with functional significance. In: Bond Get al, editors. Clinical diagnosis of atherosclerosis. New York: Springer-Verlag; 1983. p. 227-257.
17.
17. Seifert K, Jger K. Diagnostic value of duplex scanning in peripheral vascular disease. Vasc Med Rev1990;1:21-33.
18.
18. Baker S, Burnand K, Sommerville K, et al. Comparison of venous reflux assessed by duplex scanning and descending phlebography in chronic venous disease. Lancet1993;341:400-403.
19.
19. Van Bemmelen P, Bedfird G, Beach K, et al. Quantitative segmental evaluation of venous valvular reflux with ultrasonic duplex scanning. J Vasc Surg1989;10:425-431.
20.
20. Beard J, Scott D, Evans J, et al. Pulse-generated runoff: a new method of determining calf vessel patency. Br J Surg1988;75:363.
21.
21. Labropoulos N, Leon M, Nicolaides A, et al. Superficial venous insufficiency: correlation of anatomic extent of reflux with clinical symptoms and signs. J Vasc Surg1994;20:953-958.
22.
22. Roberts G, Hammad L, Collins C, Shearman C, Mani R. Some effects of sustained compression on ulcerated tissues. Angiology. In press 2002.
23.
23. Mani R. Science of measurements in wound healing. Wound Repair Regeneration1999;6:330-334.
24.
24. Coen L, et al. Ultrasonic analysis of the arterial wall in atherosclerosis. Panminerva Medica1997;40:1-7.
25.
25. Collins C, Roberts G, Mani R. Image analysis is necessary for wound healing studies. Wound Repair Regeneration1998; 6:A463.