Computed tomography of acute pulmonary embolism: state-of-the-art.

Autor: Zhang LJ; Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, 210002, China, kevinzhlj@163.com., Lu GM, Meinel FG, McQuiston AD, Ravenel JG, Schoepf UJ
Jazyk: angličtina
Zdroj: European radiology [Eur Radiol] 2015 Sep; Vol. 25 (9), pp. 2547-57. Date of Electronic Publication: 2015 Mar 13.
DOI: 10.1007/s00330-015-3679-2
Abstrakt: Multidetector computed tomography (CT) plays an important role in the detection, risk stratification and prognosis evaluation of acute pulmonary embolism. This review will discuss the technical improvements for imaging peripheral pulmonary arteries, the methods of assessing pulmonary embolism severity based on CT findings, a multidetector CT technique for pulmonary embolism detection, and lastly, how to avoid overutilization of CT pulmonary angiography and overdiagnosis of pulmonary embolism. Key Points • We describe clinical prediction rules and D-dimers for pulmonary embolism evaluation. • Overutilization of CT pulmonary angiography and overdiagnosis of pulmonary embolism should be avoided. • We discuss technical improvements for imaging peripheral pulmonary arteries. • Pulmonary embolism severity can be assessed based on CT findings. • We discuss multidetector CT techniques for pulmonary embolism detection.
Databáze: MEDLINE
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