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Multidetector-Row Computed Tomography in Suspected Pulmonary Embolism
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Multidetector-Row Computed Tomography in Suspected Pulmonary Embolism
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Journal Article
Multidetector-Row Computed Tomography in Suspected Pulmonary Embolism
2005
Overview
The role of multidetector-row computed tomography (CT) in the diagnosis of pulmonary embolism remains to be determined. In this study, the combined use of multidetector-row CT and D-dimer assays allowed pulmonary embolism to be excluded without the need for lower-extremity ultrasonography.
The combined use of multidetector-row CT and D-dimer assays allowed pulmonary embolism to be excluded without the need for lower-extremity ultrasonography.
Computed tomography (CT) is increasingly being used as the main thoracic imaging technique in suspected pulmonary embolism.
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First-generation single-detector–row helical CT scanners have a 90 percent specificity but only a 70 percent sensitivity for pulmonary embolism.
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In series in which venous-compression ultrasonography of the lower limbs and single-detector–row helical CT were performed in all patients with clinically suspected pulmonary embolism,
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the proportion of patients with deep venous thrombosis despite findings on CT that were negative for pulmonary embolism was 6 to 9 percent. The implication of this finding is that lower-limb ultrasonography must be combined with CT . . .
Publisher
Massachusetts Medical Society
Subject
/ Anticoagulants - therapeutic use
/ Biological and medical sciences
/ Female
/ Femoral Vein - diagnostic imaging
/ Fibrin Fibrinogen Degradation Products
/ Fibrin Fibrinogen Degradation Products - analysis
/ Humans
/ Male
/ Popliteal Vein - diagnostic imaging
/ Pulmonary Artery - diagnostic imaging
/ Pulmonary Embolism - diagnosis
/ Pulmonary Embolism - diagnostic imaging
/ Pulmonary Embolism - etiology
/ Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
/ Tomography, X-Ray Computed - methods
