Welcome to Classifications and Online Calculators in Radiology

This site was build along with the Atlas of Radiology Images to support your knowledge in radiology.

You will find here:

that are used in radiology and related fields with free access.

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The concept of this website is based on a previous site that was founded in 2008 and is still up and running. The website is composed as a book, where all sources are properly referenced, according to a good practice in scientific publications.

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    Estimate of stenosis of artery by flow velocity in peripheral arterial occlusive disease

    Severity of a stenosis can be estimated by measuring of peak systolic velocity (PSV) in the stenosis and proximal to it and by the appearance of the waveform.
     

    Luminal narrowing PSV stenosis / PSV proximal Description
    0 - 49% <2 triphasic waveform, spectral broadening, increased enddiastolic flow velocity in stenosis close to 49%
    50 - 74% ≥2 biphasic or monophasic waveform, increased enddiastolice flow velocity, spectral broadening, disturbed or diminished flow distal to the stenosis
    75 - 99% ≥4 monophasic waveform with marked increase of enddiastolic flow velocity; markedly disturbed flow (turbulent flow), spectral broadening and diminished flow distal to the stenosis
    occlusion no flow high-resistance flow proximal to the stenosis

    References:

    1. Weitz JI, Byrne J, Clagett GP, Farkouh ME, Porter JM, Sackett DL, et al. Diagnosis and Treatment of Chronic Arterial Insufficiency of the Lower Extremities: A Critical Review. Circulation. 1996 Dec 1;94(11):3026–49
    2. De Vries SO, Hunink MG, Polak JF. Summary receiver operating characteristic curves as a technique for meta-analysis of the diagnostic performance of duplex ultrasonography in peripheral arterial disease. Acad Radiol. 1996 Apr;3(4):361–9.
    3. Kasapis C, Gurm HS. Current Approach to the Diagnosis and Treatment of Femoral-Popliteal Arterial Disease. A Systematic Review. Curr Cardiol Rev. 2009 Nov;5(4):296–311

    4. Abela GS. Peripheral Vascular Disease: Basic Diagnostic and Therapeutic Approaches. Lippincott Williams & Wilkins; 2004:316
    5. Polak JF. Peripheral Vascular Sonography. Lippincott Williams & Wilkins; 2004.

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