Portal vein thrombosis diagnostic study of choice: Difference between revisions
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=== Diagnostic Criteria === | === Diagnostic Criteria === | ||
* | *Benign portal vein thrombosis may be diagnosed at any time if one or more of the following criteria are met:<ref name="PiscagliaGianstefani2010">{{cite journal|last1=Piscaglia|first1=Fabio|last2=Gianstefani|first2=Alice|last3=Ravaioli|first3=Matteo|last4=Golfieri|first4=Rita|last5=Cappelli|first5=Alberta|last6=Giampalma|first6=Emanuela|last7=Sagrini|first7=Elisabetta|last8=Imbriaco|first8=Grazia|last9=Pinna|first9=Antonio Daniele|last10=Bolondi|first10=Luigi|title=Criteria for diagnosing benign portal vein thrombosis in the assessment of patients with cirrhosis and hepatocellular carcinom for liver transplantation|journal=Liver Transplantation|year=2010|pages=NA–NA|issn=15276465|doi=10.1002/lt.22044}}</ref><ref name="pmid19032223">{{cite journal |vauthors=Ravaioli M, Grazi GL, Piscaglia F, Trevisani F, Cescon M, Ercolani G, Vivarelli M, Golfieri R, D'Errico Grigioni A, Panzini I, Morelli C, Bernardi M, Bolondi L, Pinna AD |title=Liver transplantation for hepatocellular carcinoma: results of down-staging in patients initially outside the Milan selection criteria |journal=Am. J. Transplant. |volume=8 |issue=12 |pages=2547–57 |year=2008 |pmid=19032223 |doi=10.1111/j.1600-6143.2008.02409.x |url=}}</ref> | ||
**Lack of vascularization of the thrombus on contrast-enhanced ultrasound(CEUS) | |||
**Absence of mass-forming features of the thrombus on CT or MRI | |||
* | **Absence of disruption of the walls of veins on CT or MRI | ||
**Absence of evidence of disruption of vessel walls | |||
* | **No features of malignancy in a biopsy sample of the thrombus | ||
* | **Stability or regression of the thrombus during follow-up | ||
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==References== | ==References== | ||
* References should be cited for the material that you have put on your page. Type in <nowiki>{{reflist|2}}</nowiki>.This will generate your references in small font, in two columns, with links to the original article and abstract. | * References should be cited for the material that you have put on your page. Type in <nowiki>{{reflist|2}}</nowiki>.This will generate your references in small font, in two columns, with links to the original article and abstract. | ||
* For information on how to add references into your page, click [[Adding References to Articles|here]]. | * For information on how to add references into your page, click [[Adding References to Articles|here]]. | ||
Revision as of 20:06, 18 December 2017
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Portal vein thrombosis diagnostic study of choice On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
- The page name should be "Diagnostic study of choice for [disease name]", with only the first letter of the title capitalized. Note that the page is called "Diagnostic study of choice."
- Goal:
- To describe the most efficient/sensitive/specific test that is utilized for diagnosis of [disease name].
- To describe the gold standard test for the diagnosis of [disease name].
- To describe the diagnostic criteria, which may be based on clinical findings, physical exam signs, pathological findings, lab findings, findings on imaging, or even findings that exclude other diseases.
- As with all microchapter pages linking to the main page, at the top of the edit box put {{CMG}}, your name template, and the microchapter navigation template you created at the beginning.
- Remember to create links within WikiDoc by placing [[square brackets]] around key words which you want to link to other pages. Make sure you makes your links as specific as possible. For example, if a sentence contained the phrase anterior spinal artery syndrome, the link should be to anterior spinal artery syndrome not anterior or artery or syndrome. For more information on how to create links, click here.
- Remember to follow the same format and capitalization of letters as outlined in the template below.
- You should include the name of the disease in the first sentence of every subsection.
Diagnostic Study of Choice
Template statements
Gold standard/Study of choice:
- [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
- The following result of [gold standard test] is confirmatory of [disease name]:
- Result 1
- Result 2
- The [name of investigation] should be performed when:
- The patient presented with symptoms/signs 1. 2, 3.
- A positive [test] is detected in the patient.
- [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
- The diagnostic study of choice for [disease name] is [name of investigation].
- There is no single diagnostic study of choice for the diagnosis of [disease name].
- There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
- [Disease name] is mainly diagnosed based on clinical presentation.
- Investigations:
- Among patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
- Among patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
- Among patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
The comparison table for diagnostic studies of choice for [disease name]
| Sensitivity | Specificity | |
|---|---|---|
| Test 1 | ✔ | ...% |
| Test 2 | ...% | ✔ |
✔= The best test based on the feature
Diagnostic results
The following result of [investigation name] is confirmatory of [disease name]:
- Result 1
- Result 2
Sequence of Diagnostic Studies
The [name of investigation] should be performed when:
- The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
- A positive [test] is detected in the patient, to confirm the diagnosis.
Diagnostic Criteria
- Benign portal vein thrombosis may be diagnosed at any time if one or more of the following criteria are met:[1][2]
- Lack of vascularization of the thrombus on contrast-enhanced ultrasound(CEUS)
- Absence of mass-forming features of the thrombus on CT or MRI
- Absence of disruption of the walls of veins on CT or MRI
- Absence of evidence of disruption of vessel walls
- No features of malignancy in a biopsy sample of the thrombus
- Stability or regression of the thrombus during follow-up
References
- References should be cited for the material that you have put on your page. Type in {{reflist|2}}.This will generate your references in small font, in two columns, with links to the original article and abstract.
- For information on how to add references into your page, click here.
- ↑ Piscaglia, Fabio; Gianstefani, Alice; Ravaioli, Matteo; Golfieri, Rita; Cappelli, Alberta; Giampalma, Emanuela; Sagrini, Elisabetta; Imbriaco, Grazia; Pinna, Antonio Daniele; Bolondi, Luigi (2010). "Criteria for diagnosing benign portal vein thrombosis in the assessment of patients with cirrhosis and hepatocellular carcinom for liver transplantation". Liver Transplantation: NA–NA. doi:10.1002/lt.22044. ISSN 1527-6465.
- ↑ Ravaioli M, Grazi GL, Piscaglia F, Trevisani F, Cescon M, Ercolani G, Vivarelli M, Golfieri R, D'Errico Grigioni A, Panzini I, Morelli C, Bernardi M, Bolondi L, Pinna AD (2008). "Liver transplantation for hepatocellular carcinoma: results of down-staging in patients initially outside the Milan selection criteria". Am. J. Transplant. 8 (12): 2547–57. doi:10.1111/j.1600-6143.2008.02409.x. PMID 19032223.