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 |
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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 |
format | Article |
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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 <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 & 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 >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 <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 & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3976-4062</orcidid></search><sort><creationdate>202102</creationdate><title>Diagnostic utility of superb microvascular imaging in depiction of corkscrew collaterals in Buerger's disease</title><author>Nas, Omer Fatih ; Kandemirli, Sedat Giray ; Erdemli Gursel, Basak ; Bilgin, Cem ; Korkmaz, Baris ; Yolgosteren, Atif ; Inecikli, Mehmet Fatih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4230-f678f8cc3da59cde5811fe831ef9d59d757a24371b14c9a260332408808dc653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Angiography</topic><topic>Angiography, Digital Subtraction</topic><topic>Blood vessels</topic><topic>Buerger's disease</topic><topic>Color</topic><topic>Continuity</topic><topic>corkscrew collateral</topic><topic>Diagnostic systems</topic><topic>Doppler effect</topic><topic>Doppler ultrasonography</topic><topic>Evaluation</topic><topic>Female</topic><topic>Helical flow</topic><topic>Humans</topic><topic>Imaging techniques</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Microvasculature</topic><topic>Microvessels - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>superb microvascular imaging</topic><topic>Thromboangiitis Obliterans - diagnostic imaging</topic><topic>Thromboangiitis Obliterans - physiopathology</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & 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 >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 <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 & 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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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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