ElShenawy, M., Elshazly, I., El sheikh, H. (2021). The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques. Benha Medical Journal, 38(1), 280-293. doi: 10.21608/bmfj.2021.38713.1304
Mahmoud ElShenawy; Islam Mahmoud Elshazly; Hesham El sayed El sheikh. "The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques". Benha Medical Journal, 38, 1, 2021, 280-293. doi: 10.21608/bmfj.2021.38713.1304
ElShenawy, M., Elshazly, I., El sheikh, H. (2021). 'The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques', Benha Medical Journal, 38(1), pp. 280-293. doi: 10.21608/bmfj.2021.38713.1304
ElShenawy, M., Elshazly, I., El sheikh, H. The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques. Benha Medical Journal, 2021; 38(1): 280-293. doi: 10.21608/bmfj.2021.38713.1304
The Added Value of B-Flow Technique in Assessment of Lower Limb Arterial Lesions with Densely Calcified Atheromatous Plaques
2Radiodiagnosis department , faculty of medicine , Benha university.
3Radiology department, faculty of medicine, Benha university
Abstract
Aim: assess the added value of B-flow technique in assessment of lower limb arterial lesions in presence of densely calcified atheromatous plaques.
Patients and methods: Our study included 30 cases, all have densely calcified arterial atheromatous plaques. All subjects were examined by CDU with spectral analysis and BFI; and the results were compared to the gold standard CTA.
Results: BFI has higher discrimination than CDU in presence of densely calcified plaques at the femoral segments. It is also better in detecting sites of collaterals take-off at the infra-popliteal segments. However, extensively calcified plaques, depth and edema represent major limitations.
Conclusion: B-flow has the potential to improve US imaging in patients with PAD. However, it is not free of limitations. As such, we do not encourage the use of B-Flow as a sole ultrasound imaging mode, but as a complementary technique to use in situations where CDU findings are inconclusive or unclear.