Venous excess doppler ultrasound: What radiologists should know in 2026

doi:10.4329/wjr.119110

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World Journal of Radiology

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1949-8470

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Radiol. Jun 28, 2026; 18(6): 119110
Published online Jun 28, 2026. doi: 10.4329/wjr.119110

Venous excess doppler ultrasound: What radiologists should know in 2026

Chail Shah, Deepak Shah, Abhilash Koratala

Chail Shah, Neurocritical Care, University of Texas Southwestern Medical Center, Dallas, TX 75390, United States

Deepak Shah, Radiology, Dr RM Shah Memorial Center, Mumbai 400050, Maharashtra, India

Abhilash Koratala, Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI 53226, United States

Author contributions: Shah C conceived the manuscript, performed literature review, and drafted the initial manuscript; Shah D contributed radiology expertise and critically revised the manuscript; Koratala A supervised the project, contributed to conceptual development, and provided critical revisions for important intellectual content. All authors reviewed and approved the final manuscript.

AI contribution statement: ChatGPT was used only for minor language editing to improve clarity and readability. It was not used for data analysis, content generation, or interpretation. The manuscript was written by the authors. AI tools did not generate any portion of the scientific content or references. All study design, literature search, and conclusions were developed solely by the authors. Images obtained from external sources have been appropriately credited. AI-assisted tools were used for language refinement and improvement of clarity/grammar in portions of the answering reviewers document. All scientific content, interpretations, manuscript revisions, and responses to reviewer comments were generated, reviewed, and verified by the authors.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Abhilash Koratala, Associate Professor, Senior Researcher, Division of Nephrology, Medical College of Wisconsin, 8701 West Watertown Plank Road, Milwaukee, WI 53226, United States. akoratala@mcw.edu

Received: January 20, 2026
Revised: March 4, 2026
Accepted: May 12, 2026
Published online: June 28, 2026
Processing time: 157 Days and 4.7 Hours

Core Tip

Core Tip: Venous congestion is a dynamic and underrecognized potential contributor to organ dysfunction across cardiovascular and critical care settings. The venous excess ultrasound framework integrates abdominal venous Doppler findings to provide a structured, noninvasive assessment of venous hypertension. Radiologists can play an important role by recognizing signs of congestion on routine imaging, helping educate physicians who are learning point-of-care ultrasound on optimal Doppler acquisition, and incorporating venous excess ultrasound principles into their interpretive reporting.