Ultrasound has long been a cornerstone of modern vein treatment. From initial diagnosis through to image-guided interventions, ultrasound for vein conditions is truly an indispensable tool for vascular specialists. As Dr Haroun Gajraj of the Vein Care Academy puts it, “Ultrasound has revolutionised vein treatment.”

In his recent video (below) Dr Gajraj explains why duplex ultrasound is so critical to vascular work, and how portable devices like the ScanX Air are changing the way we deliver care.

Why Duplex Ultrasound for Vein Conditions Matters

While standard ultrasound provides structural imaging, duplex ultrasound offers a more complete clinical picture. It combines B-mode imaging with Doppler flow analysis, allowing clinicians to assess both the anatomy and function of veins.

“Duplex combines anatomical structural imaging… with blood flow analysis using Doppler,” says Dr Gajraj. “This allows us to see blockages, valve problems, and reflux—those abnormal downflows that lead to varicose veins and complications like eczema, phlebitis, and leg ulcers.”

This depth of information supports everything from diagnosis to procedure planning, and even real-time image guidance during treatments.

From Bulky Machines to Pocket Ultrasound

Twelve years ago, Dr Gajraj was hauling his ultrasound unit to satellite clinics in a wheelie suitcase. It was labelled ‘portable’, but its weight and cost were considerable.

Now? “I can carry around this equipment—with the same capabilities—in my pocket,” he says, referring to the ScanX Air.

This shift from bulky consoles to high-performance handheld devices reflects a new era in vascular imaging—making duplex ultrasound more accessible, affordable, and mobile than ever before.

What Makes the ScanX Air Ideal for Venous Work?

The ScanX Air wireless ultrasound scanner is specifically well-suited to vein work thanks to its high-frequency linear probe. This provides the crisp, detailed images needed to visualise superficial vessels, valve integrity, and flow patterns.

Dr Gajraj demonstrates how he uses ultrasound for vein conditions in practice: by identifying vessels in cross-section, applying light pressure to test for compressibility, and using Doppler overlay to confirm flow direction and velocity. “Veins are low pressure and compress fully… arteries don’t,” he notes. These quick, simple tests are essential for differentiating vessels and spotting abnormalities like thrombus or venous reflux.

Crucially, all of this can be done with a device that fits in the palm of your hand, connecting wirelessly to a phone or tablet. “This is duplex ultrasound… all with this pocket device,” he says.

A Valuable Tool for Everyday Practice

The ScanX Air may not replace high-end, console-based machines in every situation. But as Dr Gajraj explains, it’s more than capable for routine venous diagnostics and image-guided interventions:

“While a high-end system will offer more detailed images, the ScanX Air provides diagnostic quality for vein assessment and intervention.”

For vascular specialists with multiple clinic locations, mobile services, or training needs, the advantages are clear. “It’s ideal for new practitioners, mobile clinics, or anyone seeking cost-effective training and practice,” Dr Gajraj says.

Training and Skill Development

The ScanX Air isn’t just about convenience—it’s also a gateway to skill development. For clinicians learning duplex techniques, it offers an affordable and practical way to build confidence with scanning, interpreting B-mode and Doppler images, and performing ultrasound-guided cannulation.

“Using a machine like this is a great introduction to diagnostic ultrasound,” Dr Gajraj says. “You can practice in your own environment.”

This also makes it appealing for aesthetic practitioners wanting to go beyond handheld Dopplers and incorporate more precise diagnostics into their spider vein or cosmetic vein treatments.

Final Thoughts: Big Impact, Small Package

Portable ultrasound is no longer a compromise. Devices like the ScanX Air deliver the core capabilities needed for effective vein diagnosis and treatment—without the cost, weight, or space requirements of traditional systems.

Dr Gajraj sums it up well:

“To put it simply—this machine is good enough. And the price is very budget-friendly.”

For vascular specialists looking to expand access, reduce costs, or improve flexibility across clinic sites, the ScanX Air represents a smart, forward-thinking choice.

Watch Dr Gajraj’s full video below to see the ScanX Air in action and hear his expert take on how ultrasound continues to transform vein care: