Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease

Purpose To evaluate the corkscrew collaterals in Buerger's disease by superb microvascular imaging (SMI) and power Doppler ultrasonography (PDU). Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtractio...

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Veröffentlicht in:Journal of clinical ultrasound 2021-02, Vol.49 (2), p.129-134
Hauptverfasser: Nas, Omer Fatih, Kandemirli, Sedat Giray, Erdemli Gursel, Basak, Bilgin, Cem, Korkmaz, Baris, Yolgosteren, Atif, Inecikli, Mehmet Fatih
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container_end_page 134
container_issue 2
container_start_page 129
container_title Journal of clinical ultrasound
container_volume 49
creator Nas, Omer Fatih
Kandemirli, Sedat Giray
Erdemli Gursel, Basak
Bilgin, Cem
Korkmaz, Baris
Yolgosteren, Atif
Inecikli, Mehmet Fatih
description Purpose To evaluate the corkscrew collaterals in Buerger's disease by superb microvascular imaging (SMI) and power Doppler ultrasonography (PDU). Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtraction angiography (DSA). Corkscrew collaterals were classified on DSA and PDU based on their size and morphology. Results A total of 17 vascular regions of collateral vessel formation were assessed. Based on DSA classification, there were three cases of type I collaterals (arterial diameter of >2 mm with large helical pattern), seven cases of type III collaterals (arterial diameter of 1‐1.5 mm with small helical pattern), and seven cases of type IV collaterals (arterial diameter of
doi_str_mv 10.1002/jcu.22880
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Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtraction angiography (DSA). Corkscrew collaterals were classified on DSA and PDU based on their size and morphology. Results A total of 17 vascular regions of collateral vessel formation were assessed. Based on DSA classification, there were three cases of type I collaterals (arterial diameter of &gt;2 mm with large helical pattern), seven cases of type III collaterals (arterial diameter of 1‐1.5 mm with small helical pattern), and seven cases of type IV collaterals (arterial diameter of &lt;1 mm with tiny helical pattern). On PDU, all type I collaterals on DSA appeared as “large snake” images, all type III collaterals on DSA appeared as “small snake” images, and all type IV collaterals on DSA appeared as dots. SMI imaging, both in color and monochrome mode, provided superior demonstration of the continuity of the vessel of large or small “snake” images. In cases appearing as dot pattern on PDU, color SMI was able to show continuity of the flow signal as a helical pattern. Discussion SMI is a promising new Doppler imaging technique that is superior to conventional power Doppler imaging in depiction and identification of corkscrew collaterals in Buerger's disease.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.22880</identifier><identifier>PMID: 32557645</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Angiography ; Angiography, Digital Subtraction ; Blood vessels ; Buerger's disease ; Color ; Continuity ; corkscrew collateral ; Diagnostic systems ; Doppler effect ; Doppler ultrasonography ; Evaluation ; Female ; Helical flow ; Humans ; Imaging techniques ; Male ; Medical imaging ; Microvasculature ; Microvessels - diagnostic imaging ; Middle Aged ; Morphology ; superb microvascular imaging ; Thromboangiitis Obliterans - diagnostic imaging ; Thromboangiitis Obliterans - physiopathology ; Ultrasonic imaging ; Ultrasonography, Doppler</subject><ispartof>Journal of clinical ultrasound, 2021-02, Vol.49 (2), p.129-134</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><rights>2021 Wiley Periodicals, LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4230-f678f8cc3da59cde5811fe831ef9d59d757a24371b14c9a260332408808dc653</citedby><cites>FETCH-LOGICAL-c4230-f678f8cc3da59cde5811fe831ef9d59d757a24371b14c9a260332408808dc653</cites><orcidid>0000-0002-3976-4062</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.22880$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.22880$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32557645$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nas, Omer Fatih</creatorcontrib><creatorcontrib>Kandemirli, Sedat Giray</creatorcontrib><creatorcontrib>Erdemli Gursel, Basak</creatorcontrib><creatorcontrib>Bilgin, Cem</creatorcontrib><creatorcontrib>Korkmaz, Baris</creatorcontrib><creatorcontrib>Yolgosteren, Atif</creatorcontrib><creatorcontrib>Inecikli, Mehmet Fatih</creatorcontrib><title>Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Purpose To evaluate the corkscrew collaterals in Buerger's disease by superb microvascular imaging (SMI) and power Doppler ultrasonography (PDU). Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtraction angiography (DSA). Corkscrew collaterals were classified on DSA and PDU based on their size and morphology. Results A total of 17 vascular regions of collateral vessel formation were assessed. Based on DSA classification, there were three cases of type I collaterals (arterial diameter of &gt;2 mm with large helical pattern), seven cases of type III collaterals (arterial diameter of 1‐1.5 mm with small helical pattern), and seven cases of type IV collaterals (arterial diameter of &lt;1 mm with tiny helical pattern). On PDU, all type I collaterals on DSA appeared as “large snake” images, all type III collaterals on DSA appeared as “small snake” images, and all type IV collaterals on DSA appeared as dots. SMI imaging, both in color and monochrome mode, provided superior demonstration of the continuity of the vessel of large or small “snake” images. In cases appearing as dot pattern on PDU, color SMI was able to show continuity of the flow signal as a helical pattern. Discussion SMI is a promising new Doppler imaging technique that is superior to conventional power Doppler imaging in depiction and identification of corkscrew collaterals in Buerger's disease.</description><subject>Adult</subject><subject>Angiography</subject><subject>Angiography, Digital Subtraction</subject><subject>Blood vessels</subject><subject>Buerger's disease</subject><subject>Color</subject><subject>Continuity</subject><subject>corkscrew collateral</subject><subject>Diagnostic systems</subject><subject>Doppler effect</subject><subject>Doppler ultrasonography</subject><subject>Evaluation</subject><subject>Female</subject><subject>Helical flow</subject><subject>Humans</subject><subject>Imaging techniques</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Microvasculature</subject><subject>Microvessels - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>superb microvascular imaging</subject><subject>Thromboangiitis Obliterans - diagnostic imaging</subject><subject>Thromboangiitis Obliterans - physiopathology</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Doppler</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10U9LwzAYBvAgis7pwS8gBQ_qoVuSNm1z1PmfgZd5Lln6tmS2TU0ax769mZ0eBE9vID8eXp4XoTOCJwRjOl1JN6E0y_AeGhHM0xBjnuyjkR8kpCkjR-jY2hXGOGGMHaKjiDKWJjEboeZOiarVtlcycL2qVb8JdBlY14FZBo2SRn8KK10tTKAaUam2ClQbFNAp2SvdbrHU5t1KA2v_qmvRgxG13apbB6YCc2mDQlkQFk7QQen_4HQ3x2jxcL-YPYXz18fn2c08lDGNcFgmaVZmUkaFYFwWwDJCSsgiAiUvGC9SlgoaRylZklhyQRMcRTTGvoCskAmLxuhqiO2M_nBg-7xRVoLfrQXtbE5jwijnNCWeXvyhK-1M65fzylfECabcq-tB-TqsNVDmnfFtmE1OcL49Qe5PkH-fwNvzXaJbNlD8yp_OPZgOYK1q2PyflL_M3obIL2qbkHM</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Nas, Omer Fatih</creator><creator>Kandemirli, Sedat Giray</creator><creator>Erdemli Gursel, Basak</creator><creator>Bilgin, Cem</creator><creator>Korkmaz, Baris</creator><creator>Yolgosteren, Atif</creator><creator>Inecikli, Mehmet Fatih</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nas, Omer Fatih</au><au>Kandemirli, Sedat Giray</au><au>Erdemli Gursel, Basak</au><au>Bilgin, Cem</au><au>Korkmaz, Baris</au><au>Yolgosteren, Atif</au><au>Inecikli, Mehmet Fatih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2021-02</date><risdate>2021</risdate><volume>49</volume><issue>2</issue><spage>129</spage><epage>134</epage><pages>129-134</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose To evaluate the corkscrew collaterals in Buerger's disease by superb microvascular imaging (SMI) and power Doppler ultrasonography (PDU). Methods We evaluated with SMI and PDU 14 patients with Buerger's disease in whom corkscrew collaterals had been identified on digital subtraction angiography (DSA). Corkscrew collaterals were classified on DSA and PDU based on their size and morphology. Results A total of 17 vascular regions of collateral vessel formation were assessed. Based on DSA classification, there were three cases of type I collaterals (arterial diameter of &gt;2 mm with large helical pattern), seven cases of type III collaterals (arterial diameter of 1‐1.5 mm with small helical pattern), and seven cases of type IV collaterals (arterial diameter of &lt;1 mm with tiny helical pattern). On PDU, all type I collaterals on DSA appeared as “large snake” images, all type III collaterals on DSA appeared as “small snake” images, and all type IV collaterals on DSA appeared as dots. SMI imaging, both in color and monochrome mode, provided superior demonstration of the continuity of the vessel of large or small “snake” images. In cases appearing as dot pattern on PDU, color SMI was able to show continuity of the flow signal as a helical pattern. Discussion SMI is a promising new Doppler imaging technique that is superior to conventional power Doppler imaging in depiction and identification of corkscrew collaterals in Buerger's disease.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32557645</pmid><doi>10.1002/jcu.22880</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3976-4062</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Angiography
Angiography, Digital Subtraction
Blood vessels
Buerger's disease
Color
Continuity
corkscrew collateral
Diagnostic systems
Doppler effect
Doppler ultrasonography
Evaluation
Female
Helical flow
Humans
Imaging techniques
Male
Medical imaging
Microvasculature
Microvessels - diagnostic imaging
Middle Aged
Morphology
superb microvascular imaging
Thromboangiitis Obliterans - diagnostic imaging
Thromboangiitis Obliterans - physiopathology
Ultrasonic imaging
Ultrasonography, Doppler
title Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease
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