Evaluation of Peak Reflux Velocities with Vector Flow Imaging and Spectral Doppler Ultrasound in Varicose Veins

Research output: Contribution to journalJournal articleResearchpeer-review

Thor Bechsgaard, Kristoffer Lindskov Hansen, Andreas Brandt, Ramin Moshavegh, Julie Lyng Forman, Pia Føgh, Lotte Klitfod, Niels Bækgaard, Lars Lönn, Jørgen Arendt Jensen, Michael Bachmann Nielsen

Purpose Spectral Doppler ultrasound (SDUS) is used for quantifying reflux in lower extremity varicose veins. The technique is angle-dependent opposed to the new angle-independent Vector Flow Imaging (VFI) method. The aim of this study was to compare peak reflux velocities obtained with VFI and SDUS in patients with chronic venous disease, i. e., pathological retrograde blood flow caused by incompetent venous valves. Materials and Methods 64 patients with chronic venous disease were scanned with VFI and SDUS in the great or the small saphenous vein, and reflux velocities were compared to three assessment tools for chronic venous disease. A flow rig was used to assess the accuracy and precision of the two methods. Results The mean peak reflux velocities differed significantly (VFI: 47.4 cm/s vs. SDUS: 62.0 cm/s, p<0.001). No difference in absolute precision (p=0.18) nor relative precision (p=0.79) was found. No correlation to disease severity, according to assessment tools, was found for peak reflux velocities obtained with either method. In vitro, VFI was more accurate but equally precise when compared to SDUS. Conclusion Both VFI and SDUS detected the pathologic retrograde flow in varicose veins but measured different reflux velocities with equal precision. VFI may play a role in evaluating venous disease in the future.

Original languageEnglish
JournalUltrasound International Open
Volume4
Issue number3
Pages (from-to)E91-E98
Number of pages8
ISSN2509-596X
DOIs
Publication statusPublished - 2018

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