Current and future perspectives in imaging of venous thromboembolism

J Thromb Haemost. 2016 Sep;14(9):1696-710. doi: 10.1111/jth.13403. Epub 2016 Aug 17.

Abstract

Several thrombus imaging techniques for the diagnosis of venous thromboembolism (VTE) are available. The most prevalent forms of VTE are deep vein thrombosis of the lower extremities and pulmonary embolism. However, VTE may also occur at unusual sites such as deep veins of the upper extremity and the splanchnic and cerebral veins. Currently, the imaging techniques most widely used in clinical practice are compression ultrasonography and computed tomography (CT) pulmonary angiography. Moreover, single-photon emission CT, CT venography, positron emission tomography, and different magnetic resonance imaging (MRI) techniques, including magnetic resonance direct thrombus imaging, have been evaluated in clinical studies. This review provides an overview of the technique, diagnostic accuracy and potential pitfalls of these established and emerging imaging modalities for the different sites of venous thromboembolism.

Keywords: diagnostic imaging; magnetic resonance imaging; multidetector computed tomography; ultrasonography; venous thromboembolism.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Algorithms
  • Angiography
  • Animals
  • Cerebral Veins / pathology
  • Diagnostic Imaging / methods*
  • Diagnostic Imaging / trends
  • Disease Models, Animal
  • Female
  • Humans
  • Lung / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Positron-Emission Tomography
  • Reproducibility of Results
  • Splanchnic Circulation
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed
  • Venous Thromboembolism / diagnostic imaging*
  • Venous Thrombosis / diagnostic imaging*