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Diagnostic Duplex Ultrasound is a noninvasive ultrasound technique that uses sound waves to obtain a picture, in order to observe the velocity and direction of blood flow within a vein. This painless ultrasound technique determines if the veins are normal or whether the valves within the veins are causing an abnormal reflux of blood in the leg. Performing a diagnostic duplex ultrasound helps determine the best treatment program for leg veins.