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Duplex diagnosis first choice for PAD.

Doctor

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Imaging

Duplex ultrasound is safe, cheap and accurate enough to diagnose most cases of peripheral arterial disease (PAD), according to a Health Technology Assessment Programme review. The review compared the diagnostic accuracy of duplex ultrasound and the more complex and expensive techniques of magnetic resonance angiography (MRA) and computed tomography angiography (CTA) for assessing PAD of the lower limbs. It concluded that contrast-enhanced MRA was better at ruling out stenosis than CTA, and more sensitive than duplex ultrasound. But ultrasound was unlikely to classify a whole limb as ...

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