The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques | ||
| Benha Medical Journal | ||
| Article 24, Volume 38, Issue 1, April 2021, Pages 280-293 PDF (798.74 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2021.38713.1304 | ||
| Authors | ||
| Mahmoud ElShenawy* 1; Islam Mahmoud Elshazly2; Hesham El sayed El sheikh3 | ||
| 1Radiology Department, ElAgouza hospital | ||
| 2Radiodiagnosis department , faculty of medicine , Benha university. | ||
| 3Radiology department, faculty of medicine, Benha university | ||
| Abstract | ||
| Aim: assess the added value of B-flow technique in assessment of lower limb arterial lesions in presence of densely calcified atheromatous plaques. Patients and methods: Our study included 30 cases, all have densely calcified arterial atheromatous plaques. All subjects were examined by CDU with spectral analysis and BFI; and the results were compared to the gold standard CTA. Results: BFI has higher discrimination than CDU in presence of densely calcified plaques at the femoral segments. It is also better in detecting sites of collaterals take-off at the infra-popliteal segments. However, extensively calcified plaques, depth and edema represent major limitations. Conclusion: B-flow has the potential to improve US imaging in patients with PAD. However, it is not free of limitations. As such, we do not encourage the use of B-Flow as a sole ultrasound imaging mode, but as a complementary technique to use in situations where CDU findings are inconclusive or unclear. | ||
| Keywords | ||
| PAD; B-Flow; BFI; dense calcifications; CDU | ||
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