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Pulmonary embolism: is multislice CT the method of choice?

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References

  1. Parker JA, Coleman RE, Siegel BA, Sostman HD, McKusick KA, Royal HD. Procedure guideline for lung scintigraphy: 1.0. Society of Nuclear Medicine. J Nucl Med 1996;37(11):1906–10.

    CAS  PubMed  Google Scholar 

  2. Reinartz P, Schirp U, Zimny M, Sabri O, Nowak B, Schäfer W, et al. Optimizing ventilation-perfusion lung scintigraphy: parting with planar imaging. Nuklearmedizin 2001;40(2):38–43.

    CAS  PubMed  Google Scholar 

  3. Bajc M, Olsson CG, Olsson B, Palmer J, Jonson B. Diagnostic evaluation of planar and tomographic ventilation/perfusion lung images in patients with suspected pulmonary emboli. Clin Physiol Funct Imaging 2004;24:in press.

    Google Scholar 

  4. Bajc M, Bitzen U, Olsson B, Perez de Sa V, Palmer J, Jonson B. Lung ventilation/perfusion SPECT in the artificially embolized pig. J Nucl Med 2002;43:640–7.

    PubMed  Google Scholar 

  5. Blachere H, Latrabe V, Montaudon M, Valli N, Couffinhal T, Raherisson C, et al. Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionuclide lung scanning. Am J Roentgenol 2000;174(4):1041–7.

    CAS  Google Scholar 

  6. PIOPED Investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA 1990;263:2753–9.

    Google Scholar 

  7. Forbes KP, Reid JH, Murchison JT. Do preliminary chest X-ray findings define the optimum role of pulmonary scintigraphy in suspected pulmonary embolism? Clin Radiol 2001;56(5):397–400.

    Google Scholar 

  8. Gottschalk A. New criteria for ventilation-perfusion lung scan interpretation: a basis for optimal interaction with helical CT angiography. Radiographics 2000;20:1206–10.

    CAS  PubMed  Google Scholar 

  9. Nilsson T, Mare K, Carlsson A. Value of structured clinical and scintigraphic protocols in acute pulmonary embolism. J Intern Med 2001;250(3):213–8.

    Article  CAS  PubMed  Google Scholar 

  10. Baile EM, King GG, Muller NL, D’Yachkova Y, Coche EE, Pare PD, Mayo JR. Spiral computed tomography is comparable to angiography for the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 2000;161:1010–5.

    CAS  PubMed  Google Scholar 

  11. Lorut C, Ghossains M, Horellou MH, Achkar A, Fretault J, Laaban JP. A noninvasive diagnostic strategy including spiral computed tomography in patients with suspected pulmonary embolism. Am J Respir Crit Care Med 2000;162(4):1413–8.

    CAS  PubMed  Google Scholar 

  12. Perrier A, Howarth N, Didier D, Loubeyre P, Unger PF, de Moerloose P, et al. Performance of helical computed tomography in unselected outpatients with suspected pulmonary embolism. Ann Intern Med 2000;235(2):88–97.

    Google Scholar 

  13. van Rossum AB, Pattynama PM, Mallens WM, Hermans J, Heijerman HG. Can helical CT replace scintigraphy in the diagnostic process in suspected pulmonary embolism? A retrolective-prolective cohort study focusing on total diagnostic yield. Eur Radiol 1998;8(1):90–6.

    Article  PubMed  Google Scholar 

  14. Schümichen C. V/Q-scanning/SPECT for the diagnosis of pulmonary embolism. Respiration 2003;70;329–42.

    Article  PubMed  Google Scholar 

  15. Schoepf UJ, Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology 2004:230.(2):329–37

    PubMed  Google Scholar 

  16. Mayo JR, Remy-Jardin M, Muller NL, Remy J, Worsley DF, Hossein-Foucher C, et al. Pulmonary embolism: prospective comparison of spiral CT with ventilations-perfusions scintigraphy. Radiology 1997;205(2):447–52.

    CAS  PubMed  Google Scholar 

  17. van Erkel AR, van Rossum AB, Bloem JL, Kievit J, Pattynama PM. Spiral CT angiography for suspected pulmonary embolism: a cost-effectiveness analysis. Radiology 1996;201(1):29–36.

    PubMed  Google Scholar 

  18. Otmani A, Tribouilloy C, Leborgne L, Vermes E, Trojette F, Beckers C, et al. Diagnostic value of echocardiography and thoracic spiral CT angiography in the diagnosis of acute pulmonary embolism. Ann Cardiol Angeiol 1998;47(10):707–15.

    CAS  Google Scholar 

  19. Kettner BI, Einzweiler C, Sandrock D, Reisinger I, Munz DL. Electron beam computed tomography and ventilation perfusion scintigraphy in the diagnosis of pulmonary embolism. Eur J Nucl Med Mol Imaging 2002;29(5):585–90.

    Article  PubMed  Google Scholar 

  20. Reinarzt P, Wildberger JE, Schäfer W, Nowak B, Wieres FJ, Setani K, Büll U. Die SPECT-Technik in der Diagnostik pulmonaler Embolien: Vergleich zwischen V/Q-Lungenszintigraphie und Mehrschicht-Spiral-CT. Nuklearmedizin 2003;42(2):A70.

    Google Scholar 

  21. Goodman LR, Lipchik RJ, Kuzo RS, Liu Y, McAuliffe TL, O’Brien DJ. Subsequent pulmonary embolism: risk after a negative helical CT pulmonary angiogram-prospective comparison with scintigraphy. Radiology 2000;215:535–42.

    CAS  Google Scholar 

  22. Tillie-Leblond I, Mastora I, Radenne F, Paillard S, Tonnel AB, Remy J, Remy-Jardin M. Risk of pulmonary embolism after a negative spiral CT angiogram in patients with pulmonary disease: 1-year clinical follow-up study. Radiology 2002;223(2):461–7.

    PubMed  Google Scholar 

  23. Swensen SJ, Sheedy PF II, Ryu JH, Pickett DD, Schleck CD, Ilstrup DM, Heit JA. Outcomes after withholding anticoagulation from patients with suspected acute pulmonary embolism and negative computed tomographic findings: a cohort study. Mayo Clin Proc 2002;77(2):130–138.

    PubMed  Google Scholar 

  24. Henry JW, Relyea B, Stein PD. Continuing risk of thromboemboli among patients with normal pulmonary angiograms. Chest 1995;107(5):1375–8.

    CAS  PubMed  Google Scholar 

  25. Schümichen C. Leitlinien für die Lungenszintigraphie. Nuklearmedizin 1999;38(6a):233–6.

    PubMed  Google Scholar 

  26. Nishizawa K, Matsumoto M, Iwai K, Tonari A, Yoshida T, Takayama M. Dose evaluation and effective dose estimation from multi detector CT. Igaku Butsuri 2002;22(3):152–8.

    PubMed  Google Scholar 

  27. Mahesh M, Scatariger JC, Cooper J, Fishmann EK. Dose and pitch relationship for a particular multislice CT scanner. Am J Roentgenol 2001;177(6):11273–5.

    Google Scholar 

  28. Land CE, Tokunaga M, Tokuoka S, Nakamura N. Early-onset breast cancer in A-bomb survivors. Lancet 1993;342(8865):237.

    Article  CAS  Google Scholar 

  29. Hopper KD, King SH, Lobell ME, TenHave TR, Weaver JS. The breast: in plane X-ray protection during diagnostic thoracic CT-shielding with bismuth radioprotective garments. Radiology 1997;205:853–8.

    CAS  PubMed  Google Scholar 

  30. Valentin J. Radiation dose to patients from radiopharmaceuticals. Addendum 2 to ICRP Publication 53. ICRP Publication 80. Ann ICRP 1998;28(3):1.

    Article  Google Scholar 

  31. Greess H, Lutz J, Nomayr A, Wolf H, Hothorn T, Kalender WA, Bautz W. Dose reduction in subsecond multislice spiral CT examination of children by online tube current modulation. Eur Radiol 2004;14(6):995–9.

    CAS  Google Scholar 

  32. Greess H, Wolf H, Suess C, Kalender WA, Bautz W, Baum U. Automatic exposure control to reduce the dose in subsecond multislice spiral CT: phantom measurements and clinical results. Röfo 2004;176(6):862–9.

    CAS  Google Scholar 

  33. Mastora I, Remy-Jardin M, Delannoy V, Duhamel A, Scherf C, Suess C, Remy J. Multi-detector row spiral CT angiography of the thoracic outlet: dose reduction with anatomically adapted online tube current modulation and preset dose savings. Radiology 2004;230(1):116–24.

    PubMed  Google Scholar 

  34. Thomsen HS, Morcos SK. Management of acute adverse reactions to contrast media. Eur Radiol 2004;14:476–81.

    Article  PubMed  Google Scholar 

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  1. Clinic for Nuclear Medicine, University Hospital Rostock, Gertrudenplatz 1, 18057, Rostock, Germany

    Carl Schuemichen

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  1. Carl Schuemichen
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Correspondence to Carl Schuemichen.

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Schuemichen, C. Pulmonary embolism: is multislice CT the method of choice?. Eur J Nucl Med Mol Imaging 32, 107–112 (2005). https://doi.org/10.1007/s00259-004-1679-6

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