[Lung scintigraphy].
| Autor: | Schümichen C, Schmidt M, Krause T |
|---|---|
| Jazyk: | němčina |
| Zdroj: | Nuklearmedizin. Nuclear medicine [Nuklearmedizin] 2018 Jun; Vol. 57 (3), pp. 74-91. Date of Electronic Publication: 2018 Jun 05. |
| DOI: | 10.1055/s-0038-1649553 |
| Abstrakt: | The S1 guideline for lung scintigraphy has been updated and extended in order to emphasize the advantages oft the method in detecting acute pulmonary embolism (PE) in the periphery oft the lung (subsegmental PE), in underlying subacute and chronic pulmonary disorders, as well as in detecting chronic LE (CTEPH). Method of choice is ventilation / perfusion (V/P) SPECT or V/P SPECT/CT with even higher specificity. Because of its high sensitivity, a threshold (V/P mismatch in at least one segment or two subsegments) is introduced to avoid overtreatment. In case of a change in the therapeutic approach (observation only instead of anticoaculation) the threshold can be omitted. New data concerning the clinical and therapeutical impact of subsegmental PE are included, the chapters open questions have been extented. Other indications for V/P SPECT (secondary diagnoses, abnormalities in pulmonary perfusion, prediction of postoperative lung function) are presented with new data. Competing Interests: Disclosure The authors report no conflicts of interest in this work. (Schattauer GmbH.) |
| Databáze: | MEDLINE |
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