Q J Med 2002; 95: 637-638
© 2002 Association of Physicians
Correspondence |
Diagnosing deep-vein thrombosis
1 Department of Radiology 2 Department of Epidemiology 3 Department of Medicine, Bradford Royal Infirmary, Bradford BD9 6RJ, e-mail: sam.chakraverty@tuht.scot.nhs.uk
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Sir,
There is much interest in ward-based screening tests that might avoid the need for imaging in patients presenting with suspected deep venous thrombosis, most of whom prove eventually not to have DVT. To be of use, such a test must have a high negative predictive value. We were interested to read of the experience in Bournemouth with computed strain-gauge plethysmography (CSGP).1 It is now in use in 100 UK hospitals. In Bradford, we had similar results when audited formally against ultrasound, with a negative predictive value of 97%.2 However other centres have reported better