| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 207, 753-758, Copyright © 1998 by Radiological Society of North America
ARTICLES |
EE Coche, NL Muller, KI Kim, BR Wiggs and JR Mayo
Department of Radiology, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Canada.
PURPOSE: To determine the value of parenchymal findings at contrast material-enhanced spiral computed tomography (CT) in patients suspected to have pulmonary embolism (PE). MATERIALS AND METHODS: Eighty-eight patients suspected to have PE underwent contrast-enhanced spiral CT and ventilation-perfusion scintigraphy. Concordance between CT and scintigraphic results was used to diagnose or exclude PE. Pulmonary angiography was attempted in all patients with discordant CT and scintigraphic results or indeterminate scans. Parenchymal CT scans were assessed by two radiologists who were not aware of the diagnosis and who had access only to lung window images. RESULTS: Twenty-six patients had PE; 62 did not. Wedge-shaped pleural-based consolidation was seen in 16 patients with PE (62%) and 17 patients without PE (27%) (P < .05) (sensitivity, 62%; specificity, 73%). Linear bands were seen in 12 patients with PE (46%) and 13 patients without PE (21%) (P < .05) (sensitivity, 46%; specificity, 79%). There was no statistically significant difference in the frequency of non-wedge-shaped consolidation, areas of decreased attenuation, or atelectasis. Central and lower-lobe segmental pulmonary arteries that contained emboli were enlarged (P < .05). CONCLUSION: Parenchymal findings may suggest further investigations when results of spiral CT are inconclusive in diagnosis of PE.
This article has been cited by other articles:
|
|
 |
|
  H. D. Sostman, P. D. Stein, A. Gottschalk, F. Matta, R. Hull, and L. Goodman Acute Pulmonary Embolism: Sensitivity and Specificity of Ventilation-Perfusion Scintigraphy in PIOPED II Study Radiology, March 1, 2008; 246(3): 941 - 946. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Remy-Jardin, M. Pistolesi, L. R. Goodman, W. B. Gefter, A. Gottschalk, J. R. Mayo, and H. D. Sostman Management of Suspected Acute Pulmonary Embolism in the Era of CT Angiography: A Statement from the Fleischner Society Radiology, November 1, 2007; 245(2): 315 - 329. [Full Text] [PDF]
|
|
|
|
|
|
M.-P. Revel, R. Triki, G. Chatellier, S. Couchon, N. Haddad, A. Hernigou, C. Danel, and G. Frija Is It Possible to Recognize Pulmonary Infarction on Multisection CT Images? Radiology, September 1, 2007; 244(3): 875 - 882. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Matsuoka, Y. Kurihara, K. Yagihashi, H. Niimi, and Y. Nakajima Quantification of Thin-Section CT Lung Attenuation in Acute Pulmonary Embolism: Correlations with Arterial Blood Gas Levels and CT Angiography. Am. J. Roentgenol., May 1, 2006; 186(5): 1272 - 1279. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Castaner, X. Gallardo, J. Rimola, Y. Pallardo, J. M. Mata, J. Perendreu, C. Martin, and D. Gil Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview. RadioGraphics, March 1, 2006; 26(2): 349 - 371. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Mathis, W. Blank, A. Reissig, P. Lechleitner, J. Reuss, A. Schuler, and S. Beckh Thoracic Ultrasound for Diagnosing Pulmonary Embolism: A Prospective Multicenter Study of 352 Patients Chest, September 1, 2005; 128(3): 1531 - 1538. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Heinrich, M. Uder, D. Tscholl, A. Grgic, B. Kramann, and H.-J. Schafers CT Scan Findings in Chronic Thromboembolic Pulmonary Hypertension: Predictors of Hemodynamic Improvement After Pulmonary Thromboendarterectomy Chest, May 1, 2005; 127(5): 1606 - 1613. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Wittram, M. M. Maher, A. J. Yoo, M. K. Kalra, J.-A. O. Shepard, and T. C. McLoud CT Angiography of Pulmonary Embolism: Diagnostic Criteria and Causes of Misdiagnosis RadioGraphics, September 1, 2004; 24(5): 1219 - 1238. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Castelli, P Tarsia, C Tantardini, G Pantaleo, and A G. F Porro Syncope in patients with pulmonary embolism: comparison between patients with syncope as the presenting symptom of pulmonary embolism and patients with pulmonary embolism without syncope Vascular Medicine, November 1, 2003; 8(4): 257 - 261. [Abstract] [PDF]
|
|
|
|
|
|
I. Kalomenidis, M. Rodriguez, R. Barnette, R. Gupta, M. Hawthorne, K. B. Parkes, and R. W. Light Patient With Bilateral Pleural Effusion: Are the Findings the Same in Each Fluid? Chest, July 1, 2003; 124(1): 167 - 176. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Lichtenstein, Y. Loubieres, A. Reissig, and C. Kroegel Lung Sonography in Pulmonary Embolism Chest, June 1, 2003; 123(6): 2154 - 2155. [Full Text] [PDF]
|
|
|
|
 |
|
 British Thoracic Society guidelines for the management of suspected acute pulmonary embolism Thorax, June 1, 2003; 58(6): 470 - 483. [Full Text] [PDF]
|
|
|
|
|
|
J. P. Kanne, M. B. Gotway, N. Thoongsuwan, and E. J. Stern Six Cases of Acute Central Pulmonary Embolism Revealed on Unenhanced Multidetector CT of the Chest Am. J. Roentgenol., June 1, 2003; 180(6): 1661 - 1664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Beckh, P. L. Bolcskei, and K.-D. Lessnau Real-Time Chest Ultrasonography: A Comprehensive Review for the Pulmonologist Chest, November 1, 2002; 122(5): 1759 - 1773. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Arakawa, Y. Kurihara, K. Sasaka, Y. Nakajima, and W. R. Webb Air Trapping on CT of Patients with Pulmonary Embolism Am. J. Roentgenol., May 1, 2002; 178(5): 1201 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. E. Wood Major Pulmonary Embolism : Review of a Pathophysiologic Approach to the Golden Hour of Hemodynamically Significant Pulmonary Embolism Chest, March 1, 2002; 121(3): 877 - 905. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.J. Herold Spiral computed tomography of pulmonary embolism Eur. Respir. J., February 1, 2002; 19(35_suppl): 13S - 21s. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. K Dixon, R. A. Coulden, and A M. Peters The non-invasive diagnosis of pulmonary embolus BMJ, August 25, 2001; 323(7310): 412 - 413. [Full Text] [PDF]
|
|
|
|
|
|
M. Cohen and S. A. Sahn Resolution of Pleural Effusions Chest, May 1, 2001; 119(5): 1547 - 1562. [Full Text] [PDF]
|
|
|
|
 |
|
 Guidelines on diagnosis and management of acute pulmonary embolism Eur. Heart J., August 2, 2000; 21(16): 1301 - 1336. [PDF]
|
|
|
|
 |
|
 S. W. Rathbun, G. E. Raskob, and T. L. Whitsett Sensitivity and Specificity of Helical Computed Tomography in the Diagnosis of Pulmonary Embolism: A Systematic Review Ann Intern Med, February 1, 2000; 132(3): 227 - 232. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Remy-Jardin and J. Remy Spiral CT Angiography of the Pulmonary Circulation Radiology, September 1, 1999; 212(3): 615 - 636. [Abstract] [Full Text]
|
|
|
|
|
|
A. A. Shah, S. D. Davis, G. Gamsu, and L. Intriere Parenchymal and Pleural Findings in Patients with and Patients without Acute Pulmonary Embolism Detected at Spiral CT Radiology, April 1, 1999; 211(1): 147 - 153. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
