Numerical model of deep venous thrombosis detection using venous occlusion strain gauge plethysmography

Strain gauge plethysmography (SGP) is a non-invasive method used in the detection of deep venous thrombosis (DVT). The technique is based on the measurement of calf volume changes in response to venous occlusion by a thigh cuff, the volume changes reflecting the rates of arterial inflow and venous o...

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Veröffentlicht in:Medical & biological engineering & computing 2000-05, Vol.38 (3), p.348-355
Hauptverfasser: Turner, I C, McNally, M A, O'Connell, B M, Cooke, E A, Kernohan, W G, Mollan, R A
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container_end_page 355
container_issue 3
container_start_page 348
container_title Medical & biological engineering & computing
container_volume 38
creator Turner, I C
McNally, M A
O'Connell, B M
Cooke, E A
Kernohan, W G
Mollan, R A
description Strain gauge plethysmography (SGP) is a non-invasive method used in the detection of deep venous thrombosis (DVT). The technique is based on the measurement of calf volume changes in response to venous occlusion by a thigh cuff, the volume changes reflecting the rates of arterial inflow and venous outflow. A numerical model of the blood circulation within the limb and the response of this to a SGP test has been derived, based on treating the different parts of the circulatory system in the leg as resistance and capacitance elements. The simulation results were compared with clinical studies and support the ability of SGP to detect non-occlusive clots of more than 50-60% of the lumen, as well detecting calf vein occlusion. The non-linear behaviour of the venous compliance with intra-luminal pressure appears to be a particularly important factor within the model. In addition, increases in venous tone due to post-operative venospasm were shown to be a potential source of false positive results.
doi_str_mv 10.1007/BF02347057
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language eng
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source MEDLINE; SpringerLink Journals
subjects Circulatory system
Humans
Leg - blood supply
Models, Cardiovascular
Plethysmography
Regional Blood Flow
Strain gauges
Thrombosis
Venous Thrombosis - diagnosis
title Numerical model of deep venous thrombosis detection using venous occlusion strain gauge plethysmography
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