Background: Venous pathology of the lower extremities is a critical public health problem with economic and social consequences. It includes scenarios from minor varicose veins (VVs) and venous static ulcers (SUs) to potentially deadly deep vein thrombosis (DVT)
Methodology: A study was conducted at SSIMS & RC, Davanagere, Karnataka between June 2019 and June 2020, to find the capability of MRI in detecting the incompetent perforators.60 patients (including 24 males and 36 females) reported with clinical diagnosis of varicose veins underwent Colour Doppler examination followed by MRI lower limbs, and TRUEFISP fat sat sequences.
Results and Discussion: In our study 60 patients underwent both Colour Doppler and corroborative MRI. There were 36 females and 24 males. A total of 78 legs were assessed as bilateral legs were evaluated in 18 patients. There were total 162 perforators including 112 incompetent ones and 50 competent ones. All the perforators greater than 1.8 mm were detected in MRI and 77 of them were greater than or equal to 2.0 mm in diameter.
Conclusion: In this study results shows that any perforator more than or equal to 2.8 mm has got a positive predictive value of more than 95 percentage for being incompetent and any perforator more than or equal to 3.4 mm has got a 100 percentage positive predictive value for being incompetent.