C W K P Arnoldussen1, I Toonder, C H A Wittens. 1. Academisch Ziekenhuis Maastricht, Department of Radiology and Interventional Radiology, Maastricht University Medical Centre, Limburg, The Netherlands.
Abstract
OBJECTIVES: To present a novel scoring system for lower-extremity venous pathology (the LOVE score) and our experiences using it in our clinical practice to identify venous pathology with duplex ultrasound (DUS) and magnetic resonance venography (MRV). METHOD: A total of 40 patients, 30 suspected of chronic venous disease and 10 with acute deep vein thrombosis (DVT) were examined from the inferior vena cava (IVC) to the popliteal vein using DUS and MRV. The image findings were reported using the LOVE score. RESULTS: The majority of deep veins (368 out of 378 segments) were completely visualized by both our imaging techniques and could be analysed using the LOVE score. Both imaging techniques reported comparable findings with regard to the visualization of thrombus, obstruction, collaterals, trabeculations, anatomic variations and central venous compression (e.g. May-Thurner). CONCLUSIONS: The LOVE score can be used to expand and standardize the documentation of imaging the deep venous system beyond thrombosis, to help identify (optimal) treatment options in patients with venous disease, in both the clinical and research setting. This first assessment shows that both DUS and MRV are capable of systematically identifying a multitude of changes in the venous system.
OBJECTIVES: To present a novel scoring system for lower-extremity venous pathology (the LOVE score) and our experiences using it in our clinical practice to identify venous pathology with duplex ultrasound (DUS) and magnetic resonance venography (MRV). METHOD: A total of 40 patients, 30 suspected of chronic venous disease and 10 with acute deep vein thrombosis (DVT) were examined from the inferior vena cava (IVC) to the popliteal vein using DUS and MRV. The image findings were reported using the LOVE score. RESULTS: The majority of deep veins (368 out of 378 segments) were completely visualized by both our imaging techniques and could be analysed using the LOVE score. Both imaging techniques reported comparable findings with regard to the visualization of thrombus, obstruction, collaterals, trabeculations, anatomic variations and central venous compression (e.g. May-Thurner). CONCLUSIONS: The LOVE score can be used to expand and standardize the documentation of imaging the deep venous system beyond thrombosis, to help identify (optimal) treatment options in patients with venous disease, in both the clinical and research setting. This first assessment shows that both DUS and MRV are capable of systematically identifying a multitude of changes in the venous system.
Authors: Rick de Graaf; Mark de Wolf; Anna M Sailer; Jorinde van Laanen; Cees Wittens; Houman Jalaie Journal: Cardiovasc Intervent Radiol Date: 2015-03-14 Impact factor: 2.740
Authors: Ralph Lm Kurstjens; Fabio S Catarinella; Yee Lai Lam; Mark Af de Wolf; Irwin M Toonder; Cees Ha Wittens Journal: Phlebology Date: 2017-08-10 Impact factor: 1.740
Authors: Carsten W K P Arnoldussen; Yeelai Lam; Nobutake Ito; Bjorn Winkens; M Eline Kooi; Cees H A Wittens; Joachim E Wildberger Journal: Eur Radiol Date: 2017-07-03 Impact factor: 5.315
Authors: Timme Maj van Vuuren; Ralph Lm Kurstjens; Mark Af de Wolf; Jorinde Hh van Laanen; Cees Ha Wittens; Rick de Graaf Journal: Phlebology Date: 2017-11-07 Impact factor: 1.740