Carotid stenosis — velocity criteria?

Per SRU (Society of Radiologists in Ultrasound, 2003), stenosis 230 cm/s. Confirm with ICA/CCA ratio and residual diameter.

DVT — when to repeat a negative study?

With high clinical probability and negative US, consider repeat in 5–7 days or CT angiography. With low probability and negative D-dimer, DVT is generally excluded without repeat.

Superficial venous reflux — threshold?

Reflux time > 0.5 s in superficial veins (GSV/SSV, tributaries) and > 1.0 s in deep veins, with Valsalva or distal compression.

Report template — Ultrasound of arterial and venoso of membros inferiores

When to use

Vascular Doppler evaluates patency, direction and velocity of arterial and venous flow. Indicated for suspected DVT, venous insufficiency, peripheral arterial disease, carotid stenosis and post-revascularization follow-up.

What to evaluate

Segmental venous compressibility (DVT — loss of compressibility).
Venous waveform: respiratory phasicity, distal augmentation.
Arterial spectral Doppler: morphology, peak systolic, indices.
Venous reflux > 0.5 s (superficial) or > 1.0 s (deep).
Stenoses: velocity ratio, jet and plaque morphology.

Interactive template

Fill the blanks0/2

Sistema arterial: Artérias femorais, poplíteas, tibiais e fibulares pérvias, de trajetos e calibres normais, sem espessamentos ou calcificações parietais. Ateromatose discreta difusa, com placas parietais parcialmente calcificadas esparsas, sem determinar estenoses hemodinamicamente significativas. Ao estudo Doppler, o padrão espectral e as velocidades estão preservados. Sistema venoso profundo: Veias femorais, poplíteas, tibiais e fibulares pérvias, com calibres normais e parede e compressibilidade preservadas, sem tromboses. Crossas das veias safenas magnas e parvas pérvias, sem tromboses. Ao estudo Doppler, o padrão espectral e as velocidades estão preservados. Conclusão: - Artérias e veias analisadas com aspecto ultrassonográfico e ao Doppler dentro dos limites da normalidade.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Carotid stenosis — velocity criteria?: Per SRU (Society of Radiologists in Ultrasound, 2003), stenosis < 50%: PSV < 125 cm/s; 50–69%: PSV 125–230 cm/s; ≥ 70%: PSV > 230 cm/s. Confirm with ICA/CCA ratio and residual diameter.
DVT — when to repeat a negative study?: With high clinical probability and negative US, consider repeat in 5–7 days or CT angiography. With low probability and negative D-dimer, DVT is generally excluded without repeat.
Superficial venous reflux — threshold?: Reflux time > 0.5 s in superficial veins (GSV/SSV, tributaries) and > 1.0 s in deep veins, with Valsalva or distal compression.

References

Grant EG et al., Radiology 2003 (SRU carotid criteria).
Bates SM et al., Chest 2012 (CHEST guideline on DVT).