This study aimed to evaluate a new W-Lan-supported ultrasound mobile technology for the diagnosis of vascular peripheral thrombosis.
MATERIAL and METHODS:
Fifty patients were examined by an experienced reference sonographer using high-end technology and a W-Lan supported device (VScan Air) to evaluate its diagnostic capabilities for peripheral thrombosis.
RESULTS:
Fifty patients were examined (age, 25–88 years; male, n = 27, female n = 23). Thromboses were diagnosed in the neck (n = 1), upper leg (n = 7), lower leg (n = 49), and muscle veins (n = 25). VScan Air technique also allows the diagnosis of circumscribed deep vein thrombosis with a sufficient diagnostic certainty. Moreover, for superficial thrombi that can be well-delineated, a maximum image quality is possible compared to high-end technology.
CONCLUSION:
The mobile VScan technology opens up new possibilities for near-patient and location-independent imaging in cases of deep vein thrombosis.
DGfA-GfG e.V. S2k-Leitlinie zur Diagnostik und Therapie der Venenthrombose und der Lungenembolie. Vasa. 2016;45:1–48. doi: org/10.1024/0301-1526/a000485.
2.
ArningC[Carotid artery screening for stroke prevention], Radiologe.783-90. 2013;53(9):783–90. doi: 10.1007/s00117-012-2442-9.
TranquartF, GrenierN, EderV, PourcelotLClinical use of ultrasound tissue harmonic imaging, Ultrasound Med Biol. 1999;25(6):889–94). doi: 10.1016/s0301-5629(99)00060-5.
5.
ClevertDA, JungEM, PfisterK, StockK, Schulte-AltedorneburgG, FinkCet al. [Modern ultrasound diagnostics of deep vein thrombosis in lung embolism of unknown origin], Radiologe. 2007;47(8):673–84). doi: 10.1007/s00117-007-1530-8.
6.
SchlederS, DendlLM, ErnstbergerA, NerlichM, HoffstetterP, JungEMet al. Diagnostic value of a hand-carried ultrasound device for free intra-abdominal fluid and organ lacerations in major trauma patients, Emerg Med J. 2013;30(3):e20. doi: 10.1136/emermed-2012-201258.
7.
KirkpatrickAW, BreeckK, WongJ, HamiltonDR, McBethPB, SawadskyBet al. The potential of handheld trauma sonography in the air medical transport of the trauma victim, Air Med J. 2005;24(1):34–9). doi: 10.1016/j.amj.2004.10.012.
8.
KirkpatrickAW, SiroisM, LauplandKB, GoldsteinL, BrownDR, SimonsRKet al. Prospective evaluation of hand-held focused abdominal sonography for trauma (FAST) in blunt abdominal trauma, Can J Surg. 2005;48(6):453–60.
9.
PiccoliM, TrambaioloP, SalustriA, CerquetaniE, PosteraroA, PastenaGet al. Bedside diagnosis and follow-up of patients with pleural effusion by a hand-carried ultrasound device early after cardiac surgery, Chest. 2005;128(5):3413–20). doi: 10.1378/chest.128.5.3413.
10.
SchlederS, JungEM, HeissP, StroszczynskiC, SchreyerAGHand-carried and high-end ultrasound systems are equally inferior to abdominal radiography and multidetector computed tomography in the diagnosis of pneumoperitoneum, Rofo. 2014;186(3):219–24). doi: 10.1055/s-0033-1356222.
11.
SchlederS, DorniaC, PoschenriederF, DendlL, CojocaruL, BeinTet al. Bedside diagnosis of pleural effusion with a latest generation hand-carried ultrasound device in intensive care patients, Acta Radiol. 2012;53(5):556–60). doi: 10.1258/ar.2012.110676.
12.
JungEM, DinkelJ, VerlohN, BrandensteinM, StroszczynskiC, JungFet al. Wireless point-of-care ultrasound: First experiences with a new generation handheld device, Clin Hemorheol Microcirc. 2021;79(3):463–74). doi: 10.3233/ch-211197.
13.
StieglerHDickes Bein? So klären Sie den Thromboseverdacht lege artis ab, MMW - Fortschritte der Medizin. 2011;153(38):65–9). doi: 10.1007/BF03371834.
14.
LeMT, VoigtL, NathansonR, MawAM, JohnsonG, DancelRet al. Comparison of four handheld point-of-care ultrasound devices by expert users, Ultrasound J. 2022;14(1):27. doi: 10.1186/s13089-022-00274-6.
15.
HanH, JiZ, DingH, ZhangW, ZhangR, WangWAssessment of blood flow in the hepatic tumors using non-contrast micro flow imaging: Initial experience, Clin Hemorheol Microcirc. 2019;73(2):307–16). doi: 10.3233/ch-180532.
ZhangHJ, ZhengBW, GuSJ, WuT, WuLL, LianYFet al. Doppler ultrasonography and contrast-enhanced ultrasonography to evaluate liver allograft discard: A pilot prospective study, Clin Hemorheol Microcirc. 2021;77(1):107–14). doi: 10.3233/ch-200950.
18.
ShaoS, YaoM, LiX, LiC, ChenJ, LiGet al. Conventional and contrast-enhanced ultrasound features in sclerosing adenosis and correlation with pathology, Clin Hemorheol Microcirc. 2021;77(2):173–81). doi: 10.3233/ch-200943.
