Correlation of right ventricular dysfunction on acute pulmonary embolism with pulmonary artery computed tomography obstruction index ratio (PACTOIR) and comparison with echocardiography
| Autor: | Emrah Seker, Serdar Berk, Kenan Varol, Hakki Kaya, Mehmet Yilmaz, Selma Yucel, Hasan Yucel, Mehmet Fatih Inci, Cesur Gümüş, Ferhat Sezer |
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| Přispěvatelé: | [Varol, Kenan] Amasya Univ, Div Radiol, SS Educ & Res Hosp, Amasya, Turkey -- [Gumus, Cesur] Cumhuriyet Univ, Sch Med, Dept Radiol, Sivas, Turkey -- [Yucel, Hasan -- Kaya, Hakki -- Yilmaz, Mehmet Birhan] Cumhuriyet Univ, Sch Med, Dept Cardiol, Sivas, Turkey -- [Sezer, Ferhat] Konya State Hosp, Div Radiol, Konya, Turkey -- [Seker, Emrah] Tatvan State Hosp, Div Radiol, Bitlis, Turkey -- [Inci, Mehmet Fatih] Izmir Katip Celebi Univ, Sch Med, Dept Radiol, Izmir, Turkey -- [Yucel, Selma] Numune State Hosp, Div Radiol, Sivas, Turkey -- [Berk, Serdar] Cumhuriyet Univ, Dept Chest Dis, Sivas, Turkey, YILMAZ, Mehmet Birhan -- 0000-0002-8169-8628, YILMAZ, MEHMET BIRHAN -- 0000-0002-8169-8628 |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Ventricular Dysfunction Right Computed tomography Pulmonary Artery Sensitivity and Specificity Acute pulmonary embolism Internal medicine medicine.artery MSCT medicine Humans Radiology Nuclear Medicine and imaging In patient Right ventricular dysfunction Aged Ultrasonography medicine.diagnostic_test business.industry PACTOIR Middle Aged medicine.disease Pulmonary hypertension Predictive value Pulmonary embolism ROC Curve Echocardiography Pulmonary artery Acute Disease Cardiology Female Radiology business Pulmonary Embolism Tomography X-Ray Computed |
| Zdroj: | Japanese journal of radiology. 33(6) |
| ISSN: | 1867-108X |
| Popis: | WOS: 000356273800002 PubMed ID: 25895158 The aim of this study was to determine the pulmonary artery computed tomography obstruction index ratio (PACTOIR) in patients who have been diagnosed with acute pulmonary embolism (APE) with multi-slice computed tomography (MSCT) and to research the predetermination efficiency of right ventricular dysfunction (RVD) compared with echocardiography (ECHO). One hundred patients (50 males, 50 females), who had ECHO findings and were diagnosed with APE, were subsequently examined in this study. Patients who had RVD on ECHO, tricuspid regurgitation, and pulmonary hypertension parameters that were completely positive were accepted to have RVD. RVD was identified in 52 patients (52 %) on echocardiography. The PACTOIR value for patients with RVD were evaluated to be significantly higher than those without RVD (41 +/- A 17 vs 20 +/- A 12 %, p < 0.001). In the ROC analysis, the PACTOIR cut-off value was 37.5 %, the sensitivity value was 67.3 %, and specificity value was 93.7 % (AUC 0.839, 95 % CI 0.752-0.905). We determined that the patients with RVD and PACTOIR values over 37.5 % can be recognized with a 92.1 % positive predictive value. Our conclusions indicated that the PACTOIR rate in RVD diagnosis in patients with APE can recognize the patients with and without RVD. |
| Databáze: | OpenAIRE |
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