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Doppler Sonography of Diabetic Feet: Quantitative Analysis of Blood Flow Volume |
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Young Lan Seo, M.D. Ho Chul Kim, M.D., Chul Soon Choi, M.D., Dae Young Yoon, M.D., Daehee Han, M.D., Jeung Hee Moon, M.D., Sang Hoon Bae, M.D. |
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Department of Radiology, Hallym University College of Medicine |
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PURPOSE : To analyze Doppler sonographic findings of diabetic feet by estimating the quantitative blood flow volume
and by analyzing waveform on Doppler .
MATERIALS and METHODS : Doppler sonography was performed in thirty four patients (10 diabetic patients with foot
ulceration, 14 diabetic patients without ulceration and 10 normal patients as the normal control group) to measure
the flow volume of the arteries of the lower extremities (posterior and anterior tibial arteries, and distal
femoral artery). Analysis of Doppler waveforms was also done to evaluate the nature of the changed blood flow
volume of diabetic patients, and the waveforms were classified into triphasic, biphasic-1, biphasic-2 and
monophasic patterns.
RESULTS : Flow volume of arteries in diabetic patients with foot ulceration was increased with a statistical significance
when compared to that of diabetes patients without foot ulceration or that of normal control group
(p<0.05). Analysis of Doppler waveform revealed that the frequency of biphasic-2 pattern was significantly
higher in diabetic patients than in the normal control group (p<0.05).
CONCLUSION : Doppler sonography in diabetic feet showed increased flow volume and biphasic Doppler waveform,
and these findings suggest neuropathy rather than ischemic changes in diabetic feet. |
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Keyword : Ultrasound(US), Doppler studies Extremities, blood supply Diabetes mellitus |
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pdf파일 : 197-205서영란.pdf
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