| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
State of the Art |
1 From the Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115. Received November 14, 2002; revision requested January 8, 2003; revision received January 22; accepted March 4. Address correspondence to U.J.S. (e-mail: schoepf@bwh.harvard.edu).
In daily clinical routine, computed tomography (CT) has practically become the first-line modality for imaging of pulmonary circulation in patients suspected of having pulmonary embolism (PE). However, limitations regarding accurate diagnosis of small peripheral emboli have so far prevented unanimous acceptance of CT as the reference standard for imaging of PE. The development of multi–detector row CT has led to improved visualization of peripheral pulmonary arteries and detection of small emboli. The finding of a small isolated clot at pulmonary CT angiography, however, may be increasingly difficult to correlate with results of other imaging modalities, and the clinical importance of such findings is uncertain. Therefore, the most realistic scenario to measure efficacy of pulmonary CT angiography when PE is suspected may be assessment of patient outcome. Meanwhile, the high negative predictive value of a normal pulmonary CT angiographic study and its association with beneficial patient outcome has been demonstrated. While the introduction of multi–detector row technology has improved CT diagnosis of PE, it has also challenged its users to develop strategies for optimized contrast material delivery, reduction of radiation dose, and management of large-volume data sets created at those examinations.
Supplemental material: radiology.rsnajnls.org/cgi/content/full/2302021489/DC1
© RSNA, 2004
Index terms: Computed tomography (CT), angiography • Computed tomography (CT), multi–detector row • Embolism, pulmonary, 60.72, 944.77 • Pulmonary arteries, CT, 944.12911, 944.12912, 944.12915, 944.12916, 944.12918 • State of the Art
This article has been cited by other articles:
|
|
 |
|
  V. King, A. A. Vaze, C. S. Moskowitz, L. J. Smith, and M. S. Ginsberg D-Dimer Assay to Exclude Pulmonary Embolism in High-Risk Oncologic Population: Correlation with CT Pulmonary Angiography in an Urgent Care Setting Radiology, June 1, 2008; 247(3): 854 - 861. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. M. Subramaniam, J. Mandrekar, C. Chang, D. Blair, K. Gilbert, P. J. Peller, J. Sleigh, and N. Karalus Pulmonary Embolism Outcome: A Prospective Evaluation of CT Pulmonary Angiographic Clot Burden Score and ECG Score Am. J. Roentgenol., June 1, 2008; 190(6): 1599 - 1604. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. J. Roach, P. Thomas, M. Bajc, and B. Jonson Merits of V/Q SPECT Scintigraphy Compared with CTPA in Imaging of Pulmonary Embolism J. Nucl. Med., January 1, 2008; 49(1): 167 - 168. [Full Text] [PDF]
|
|
|
|
|
|
L. M. Freeman Don't Bury the V/Q Scan: It's as Good as Multidetector CT Angiograms with a Lot Less Radiation Exposure J. Nucl. Med., January 1, 2008; 49(1): 5 - 8. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Glassroth Imaging of Pulmonary Embolism: Too Much of a Good Thing? JAMA, December 19, 2007; 298(23): 2788 - 2789. [Full Text] [PDF]
|
|
|
|
|
|
J. D. MacKenzie, J. Nazario-Larrieu, T. Cai, M. S. Ledbetter, M. A. Duran-Mendicuti, P. F. Judy, and F. J. Rybicki Reduced-Dose CT: Effect on Reader Evaluation in Detection of Pulmonary Embolism Am. J. Roentgenol., December 1, 2007; 189(6): 1371 - 1379. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Strashun A Reduced Role of V/Q Scintigraphy in the Diagnosis of Acute Pulmonary Embolism J. Nucl. Med., September 1, 2007; 48(9): 1405 - 1407. [Full Text] [PDF]
|
|
|
|
|
|
S. Halligan and D. G. Altman Evidence-based Practice in Radiology: Steps 3 and 4--Appraise and Apply Systematic Reviews and Meta-Analyses Radiology, April 1, 2007; 243(1): 13 - 27. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. H. Lee, J. M. Goo, H. J. Lee, K. G. Kim, J.-G. Im, and K. T. Bae Determination of Optimal Timing Window for Pulmonary Artery MDCT Angiography Am. J. Roentgenol., February 1, 2007; 188(2): 313 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. T. Bae, C. Tao, S. Gurel, C. Hong, F. Zhu, T. A. Gebke, M. Milite, and C. F. Hildebolt Effect of Patient Weight and Scanning Duration on Contrast Enhancement during Pulmonary Multidetector CT Angiography Radiology, February 1, 2007; 242(2): 582 - 589. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Dogan, L. J. M. Kroft, M. V. Huisman, R. J. van der Geest, and A. de Roos Right Ventricular Function in Patients with Acute Pulmonary Embolism: Analysis with Electrocardiography-synchronized Multi-Detector Row CT Radiology, December 1, 2006; 242(1): 78 - 84. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. HARRIS and N. E. BOLUS Pulmonary Embolism Imaging Radiol. Technol., July 1, 2006; 77(6): 478 - 489. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kluge, W. Luboldt, and G. Bachmann Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. Am. J. Roentgenol., July 1, 2006; 187(1): W7 - 14. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. K. Yousefzadeh, M. B. Ward, and C. Reft Internal Barium Shielding to Minimize Fetal Irradiation in Spiral Chest CT: A Phantom Simulation Experiment. Radiology, June 1, 2006; 239(3): 751 - 758. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Ghaye, A. Ghuysen, V. Willems, B. Lambermont, P. Gerard, V. D'Orio, P. A. Gevenois, and R. F. Dondelinger Severe Pulmonary Embolism:Pulmonary Artery Clot Load Scores and Cardiovascular Parameters as Predictors of Mortality Radiology, June 1, 2006; 239(3): 884 - 891. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. D. Raptopoulos, P. B. Boiselle, N. Michailidis, J. Handwerker, A. Sabir, J. A. Edlow, I. Pedrosa, and J. B. Kruskal MDCT Angiography of Acute Chest Pain: Evaluation of ECG-Gated and Nongated Techniques Am. J. Roentgenol., June 1, 2006; 186(6_Supplement_2): S346 - S356. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. F. Bruzzi, M. Remy-Jardin, D. Delhaye, A. Teisseire, C. Khalil, and J. Remy Multi-Detector Row CT of Hemoptysis RadioGraphics, January 1, 2006; 26(1): 3 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Ghaye, A. Ghuysen, P.-J. Bruyere, V. D'Orio, and R. F. Dondelinger Can CT Pulmonary Angiography Allow Assessment of Severity and Prognosis in Patients Presenting with Pulmonary Embolism? What the Radiologist Needs to Know RadioGraphics, January 1, 2006; 26(1): 23 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kitamura, S. M. Ascher, C. Cooper, S. J. Allison, R. C. Jha, P. A. Flick, and J. B. Spies Imaging Manifestations of Complications Associated with Uterine Artery Embolization RadioGraphics, October 1, 2005; 25(suppl_1): S119 - S132. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Studler, T. Gluecker, G. Bongartz, J. Roth, and W. Steinbrich Image Quality from High-Resolution CT of the Lung: Comparison of Axial Scans and of Sections Reconstructed from Volumetric Data Acquired Using MDCT Am. J. Roentgenol., September 1, 2005; 185(3): 602 - 607. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. M. Bonel, L. Jager, K. A. Frei, S. Galiano, S. K. Srivastav, T. Flohr, M. F. Reiser, and H.-P. Dinkel Optimization of MDCT of the Wrist to Achieve Diagnostic Image Quality with Minimum Radiation Exposure Am. J. Roentgenol., September 1, 2005; 185(3): 647 - 654. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. T. Bae, G. N. Mody, D. M. Balfe, S. Bhalla, D. S. Gierada, F. R. Gutierrez, C. O. Menias, P. K. Woodard, J. M. Goo, and C. F. Hildebolt CT Depiction of Pulmonary Emboli: Display Window Settings Radiology, August 1, 2005; 236(2): 677 - 684. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Asai, N. Urabe, K. Yajima, K. Suzuki, and T. Kazui Right Upper Lobe Venous Drainage Posterior to the Bronchus Intermedius: Preoperative Identification by Computed Tomography Ann. Thorac. Surg., June 1, 2005; 79(6): 1866 - 1871. [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]
|
|
|
|
|
|
M. P. Revel, D. Petrover, A. Hernigou, C. Lefort, G. Meyer, and G. Frija Diagnosing Pulmonary Embolism with Four-Detector Row Helical CT: Prospective Evaluation of 216 Outpatients and Inpatients Radiology, January 1, 2005; 234(1): 265 - 273. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Eng, J. A. Krishnan, J. B. Segal, D. T. Bolger, L. J. Tamariz, M. B. Streiff, M. W. Jenckes, and E. B. Bass Accuracy of CT in the Diagnosis of Pulmonary Embolism: A Systematic Literature Review Am. J. Roentgenol., December 1, 2004; 183(6): 1819 - 1827. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. J. Schoepf, N. Kucher, F. Kipfmueller, R. Quiroz, P. Costello, and S. Z. Goldhaber Right Ventricular Enlargement on Chest Computed Tomography: A Predictor of Early Death in Acute Pulmonary Embolism Circulation, November 16, 2004; 110(20): 3276 - 3280. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Quiroz, N. Kucher, U. J. Schoepf, F. Kipfmueller, S. D. Solomon, P. Costello, and S. Z. Goldhaber Right Ventricular Enlargement on Chest Computed Tomography: Prognostic Role in Acute Pulmonary Embolism Circulation, May 25, 2004; 109(20): 2401 - 2404. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
