EANM guidelines for ventilation/perfusion scintigraphy
| Autor: | Marika Bajc, Massimo Miniati, Björn Jonson, C Schuemichen, J. B. Neilly, Michel Meignan |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Scintigraphy Effective dose (radiation) Ventilation/perfusion ratio Pregnancy Ventilation-Perfusion Ratio Humans Medicine Radiology Nuclear Medicine and imaging In patient cardiovascular diseases Medical diagnosis Aged Aged 80 and over Tomography Emission-Computed Single-Photon medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Pulmonary embolism Absorbed dose cardiovascular system Female Radiology Radiopharmaceuticals Pulmonary Embolism Tomography X-Ray Computed business Nuclear medicine Perfusion Algorithms |
| Zdroj: | European Journal of Nuclear Medicine and Molecular Imaging. 36:1528-1538 |
| ISSN: | 1619-7089 1619-7070 |
| DOI: | 10.1007/s00259-009-1169-y |
| Popis: | As emphasized in Part 1 of these guidelines, the diagnosis of pulmonary embolism (PE) is confirmed or refuted using ventilation/perfusion scintigraphy (V/P(SCAN)) or multidetector computed tomography of the pulmonary arteries (MDCT). To reduce the costs, the risks associated with false-negative and false-positive diagnoses, and unnecessary radiation exposure, preimaging assessment of clinical probability is recommended. Diagnostic accuracy is approximately equal for MDCT and planar V/P(SCAN) and better for tomography (V/P(SPECT)). V/P(SPECT) is feasible in about 99% of patients, while MDCT is often contraindicated. As MDCT is more readily available, access to both techniques is vital for the diagnosis of PE. V/P(SPECT) gives an effective radiation dose of 1.2-2 mSv. For V/P(SPECT), the effective dose is about 35-40% and the absorbed dose to the female breast 4% of the dose from MDCT performed with a dose-saving protocol. V/P(SPECT) is recommended as a first-line procedure in patients with suspected PE. It is particularly favoured in young patients, especially females, during pregnancy, and for follow-up and research. |
| Databáze: | OpenAIRE |
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