two good questions right off the bat from Dr. Simka:
Dr. Simka presenting on "Is consensus on venographic protocol possible?"
Dr. Simka Interpretations of abnormalities inconsistent among IRs, ie degree of narrowing; valves; turbulence
Which narrowings should be treated! Safest and easiest, certainly. Once you get past safe and easy, does it depend on the patient's needs? If it's a hail mary vs a conservative-is-ok?Dr. Simka: Which narrowings s/b treated? Most severe? Easiest? Safest?
Are doctors treating normal valves? Cheer, do you know?Dr. Simka: Some doctors treat normal valves: others do not. We don't know what is better
Dr. Simka: Clinical benefit from additional procedures unclear
Dr. Simka: IRs using IVUS are very optimistic about it
A very good point about the need for protocols in publications. So we can compare apples with apples, and not Doepp ultrasounds with Zamboni ultrasounds, for example (Doepp had used different doppler ultrasound protocols in early work on CCSVI.)Dr. Simka: Any IR publishing needs to put full details on protocols used so IRs can reach consensus faster MS
All of these were very good points.