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Updated: Aug 14, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
[Guidelines for the diagnostics of deep pelvic/lower limb vein thrombosis]
H Stiegler1, W Habscheid, M Ludwig
1Angiologie, Städtisches Krankenhaus Schwabing, München, Germany.
Insights
Compression sonography is now preferred over phlebography for diagnosing deep vein thrombosis (DVT). This ultrasound technique offers high safety and accuracy, especially for proximal limb thrombosis, and is recommended for distal limb evaluation.
Area of Science:
- Vascular Ultrasound
- Diagnostic Imaging
Background:
- Compression sonography has shifted thrombosis examination from proof (phlebography) to exclusion via ultrasound.
- Ultrasound's non-invasiveness and availability have driven this diagnostic paradigm change.
Framework:
- The study provides guidelines for deep vein thrombosis (DVT) diagnosis by the Section of Vascular Ultrasound of DEGUM.
- It details examination techniques and documentation standards for vascular ultrasound.
Implementation:
- Compression sonography demonstrates equal sensitivity and specificity to phlebography for proximal limb thrombosis.
- For distal limb thrombosis, ultrasound shows >90% specificity with 50-95% sensitivity, necessitating its recommendation.
Implications:
- Compression sonography offers high safety and accuracy in diagnosing DVT, supported by treatment studies.
- The guidelines include a diagnostic algorithm for DVT based on current treatment research.
- Recommended for distal limb thrombosis, ultrasound enhances diagnostic capabilities in vascular ultrasound.
Abstract:
As a result of availability and failing invasiveness the technique of compression sonography led to a change in the indication of thrombosis examination - from the proof of thrombosis shown by phlebography to exclusion of thrombosis by ultrasound. Compression sonography showed the same sensitivity and specificity as phlebography for proximal limb thrombosis and reaches high safety due to actual treatment studies in the diagnosis of deep vein thrombosis. For the distal limb the compression sonography has provided > 90 % specificity, with an examinator dependent sensitivity of 50 to 95 %, and hence examination of the distal limb must be recommended. These guidelines for the diagnosis of deep vein thrombosis are recommendations by the Section of Vascular Ultrasound of DEGUM for examination technique and documentation. It also contains an algorithm of diagnosis for thrombosis as a result of the actual treatment studies.
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