Table 2.

Imaging Modes Used and Their Risk and Benefits

Diagnostic TestAdvantageDisadvantage
Duplex UltrasoundInexpensive, reproducible, noninvasiveFailure to detect thrombus under clavicle in subclavian vein
CTVessel compression from outside; may define central thrombusContrast required; not validated in entirety
MRIDetects central thrombus with accuracy; good evaluation of collateralsUnsuitable for patients with metal implant or pacemaker; claustrophobia