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Value of blood flow velocity on color Doppler ultrasonography for optimization of delay in scanning time on computed tomography venography in patients with Budd–Chiari syndrome and inferior vena cava obstruction

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Abstract

Purpose

To prospectively determine the value of blood flow velocity in the inferior vena cava (IVC) on color Doppler ultrasonography for the optimization of the delay in scanning time after contrast injection during computed tomography (CT) venography in patients with Budd–Chiari syndrome (BCS) with IVC obstruction.

Methods

We enrolled 122 consecutive BCS patients with IVC obstruction. All patients underwent color Doppler ultrasonography, CT venography, and digital subtraction angiography (DSA) in that order prior to treatment. The delay in scanning time during CT venography was set at 120, 180, 240, and 300 s after contrast injection. The correlation between delay in CT scanning and IVC blood flow velocity on color Doppler ultrasonography was explored. Image quality was classified as good, moderate, or poor. Patients with good CT image quality were considered to have an optimal delay in scanning time.

Results

Delays in scanning time of 120, 180, 240, and 300 s yielded good-quality images in 2, 7, 49, and 64 patients, respectively. The corresponding IVC blood flow velocities in these patients were 16.10 ± 0.42 cm/s (range 15.8–16.4 cm/s), 12.90 ± 1.58 cm/s (range, 11–15 cm/s), 7.53 ± 1.35 cm/s (range 5–10 cm/s), and 1.95 ± 1.75 cm/s (range 0–5.5 cm/s).

Conclusion

IVC blood flow velocity on color Doppler ultrasonography could serve as a useful tool for the optimization of the delay in scanning time during CT venography to ensure good-quality images for the diagnosis of BCS with IVC obstruction.

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Authors and Affiliations

  1. Department of Interventional Radiology, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, China

    Peng-li Zhou, Lei Yan, Gang Wu, Xin-Wei Han & Wen-Guang Zhang

  2. No.1, East Jian She Road, Zhengzhou, 450052, Henan, China

    Xin-Wei Han

Authors
  1. Peng-li Zhou
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  2. Lei Yan
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  3. Gang Wu
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  4. Xin-Wei Han
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Corresponding author

Correspondence to Xin-Wei Han.

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Conflict of interest statement

Peng-li Zhou declares that he has no conflict of interest.

Gang Wu declares that he has no conflict of interest.

Xin-wei Han declares that he has no conflict of interest.

Lei Yan declares that he has no conflict of interest.

Wen-Guang Zhang declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

L. Yan is the co-first auhtor.

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Zhou, Pl., Yan, L., Wu, G. et al. Value of blood flow velocity on color Doppler ultrasonography for optimization of delay in scanning time on computed tomography venography in patients with Budd–Chiari syndrome and inferior vena cava obstruction. Radiol med 122, 399–404 (2017). https://doi.org/10.1007/s11547-017-0730-1

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  • DOI: https://doi.org/10.1007/s11547-017-0730-1

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