Controversies in Diagnosis of Pulmonary Embolism

被引：17

作者：

Stein, Paul D. ^{[1
,2
,3
]}

Sostman, H. Dirk ^{[4
,5
]}

Dalen, James E. ^{[6
]}

Bailey, Dale L. ^{[7
]}

Bajc, Marika ^{[8
]}

Goldhaber, Samuel Z. ^{[9
]}

Goodman, Lawrence R. ^{[10
]}

Gottschalk, Alexander ^{[11
]}

Hull, Russell D. ^{[12
]}

Matta, Fadi ^{[1
,2
]}

Pistolesi, Massimo ^{[13
]}

Tapson, Victor F. ^{[14
]}

Weg, John G. ^{[15
]}

Wells, Philip S. ^{[16
]}

Woodard, Pamela K. ^{[17
]}

机构：

[1] Michigan State Univ, Coll Osteopath Med, Dept Internal Med, E Lansing, MI 48824 USA

[2] Michigan State Univ, Coll Osteopath Med, Res & Adv Studies Program, E Lansing, MI 48824 USA

[3] St Mary Mercy Hosp, Dept Res, Livonia, MI USA

[4] Weill Cornell Med Coll, Off Dean, Houston, TX USA

[5] Methodist Hosp, Houston, TX 77030 USA

[6] Univ Arizona, Coll Med, Tucson, AZ USA

[7] Univ Sydney, Dept Nucl Med, Sydney, NSW 2006, Australia

[8] Univ Lund Hosp, Dept Clin Physiol, S-22185 Lund, Sweden

[9] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med, Boston, MA 02115 USA

[10] Med Coll Wisconsin, Dept Radiol, Milwaukee, WI 53226 USA

[11] Michigan State Univ, Dept Radiol, E Lansing, MI 48824 USA

[12] Univ Calgary, Dept Med, Calgary, AB, Canada

[13] Univ Florence, Dept Internal Med, Florence, Italy

[14] Duke Univ, Dept Med, Durham, NC USA

[15] Univ Michigan, Dept Med, Ann Arbor, MI 48109 USA

[16] Univ Ottawa, Dept Epidemiol & Community Med, Ottawa, ON, Canada

[17] Washington Univ, Dept Radiol, St Louis, MO USA

来源：

CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS | 2011年 / 17卷 / 02期

关键词：

pulmonary embolism; venous thromboembolism; CT angiography; SPECT scintigraphy; V/Q scans; venous ultrasound; PERFUSION LUNG SCANS; MULTIDETECTOR COMPUTED-TOMOGRAPHY; PRIOR CARDIOPULMONARY DISEASE; BREAST RADIATION-EXPOSURE; VASCULAR ENHANCEMENT; CLINICAL-ASSESSMENT; CT VENOGRAPHY; ANGIOGRAPHY; SCINTIGRAPHY; EQUIVALENT;

D O I：

10.1177/1076029610389027

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) trial, ventilation/perfusion (V/Q) lung scans or perfusion scans alone and single photon emission computed tomography (SPECT) V/Q lung scans are often recommended. The choice depends on the patient's age, gender, and complexity of the findings on the plain chest radiograph.

引用

页码：140 / 149

页数：10

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