====== Fibrin degradation product ====== [[D-dimer]] (a specific fibrin degradation product): high levels are associated with Deep-vein thrombosis and PE ((Ginsberg JS, Wells PS, Kearon C, et al. Sensitivity and Specificity of a Rapid Whole-Blood Assay for D- dimer in the Diagnosis of Pulmonary Embolism. Ann Intern Med. 1998; 129:1006–1011)). ---- [[D-dimer]]: a [[fibrin degradation product]], showed a [[sensitivity]] of 97.1%, [[specificity]] of 91.2%, a [[negative predictive value]] of 99.6%, and a [[positive predictive value]] of 55.7% ((Kosinski CM, Mull M, Schwarz M, et al. Do normal [[D-dimer]] levels reliably exclude [[cerebral]] [[sinus thrombosis]]? Stroke. 2004; 35:2820–2825)) for [[Cerebral venous sinus thrombosis diagnosis]] A normal D-dimer level by a sensitive [[radioimmunoassay]] or [[ELISA]] may help identify patients with a low probability of [[cerebral venous thrombosis]] (Level II). However, if suspicion is high, further evaluation is indicated.