EANM guideline for ventilation/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond

Autor: Hein J. Verberne, Thomas Grüning, Roberto C. Delgado Bolton, Brian Neilly, Pierre-Yves Le Roux, Ralf W. Bauer, Marika Bajc, Adriano Alatri, Mirza Dilic, Ari Lindqvist, Carl Schümichen, Björn Jonson
Přispěvatelé: HUS Heart and Lung Center, Department of Medicine, Keuhkosairauksien yksikkö, Radiology and Nuclear Medicine, ACS - Amsterdam Cardiovascular Sciences
Jazyk: angličtina
Rok vydání: 2019
Předmět:
DUAL-ENERGY CT
PERFUSION SCINTIGRAPHY
ACUTE KIDNEY INJURY
Single-photon emission computed tomography
Guidelines
Ventilation/perfusion ratio
Chronic pulmonary embolism
030218 nuclear medicine & medical imaging
Pulmonary hypertension
03 medical and health sciences
0302 clinical medicine
P SPECT
ASSESSING CLINICAL PROBABILITY
medicine
Ventilation-perfusion
IODINE-INDUCED HYPERTHYROIDISM
COPD
Radiology
Nuclear Medicine and imaging
CTPA
DEEP-VEIN THROMBOSIS
Lung
medicine.diagnostic_test
Left heart failure
business.industry
Pulmonary embolism
General Medicine
Pneumonia
medicine.disease
3126 Surgery
anesthesiology
intensive care
radiology
EMERGENCY-DEPARTMENT
3. Good health
medicine.anatomical_structure
030220 oncology & carcinogenesis
Heart failure
SPECT
V/Q SPECT
RULE-OUT CRITERIA
Nuclear medicine
business
V/P SPECT/CT
AMERICAN THORACIC SOCIETY/SOCIETY
CT
Zdroj: European journal of nuclear medicine and molecular imaging, 46(12), 2429-2451. Springer Verlag
European Journal of Nuclear Medicine and Molecular Imaging
ISSN: 1619-7070
Popis: These guidelines update the previous EANM 2009 guidelines on the diagnosis of pulmonary embolism (PE). Relevant new aspects are related to (a) quantification of PE and other ventilation/perfusion defects; (b) follow-up of patients with PE; (c) chronic PE; and (d) description of additional pulmonary physiological changes leading to diagnoses of left ventricular heart failure (HF), chronic obstructive pulmonary disease (COPD) and pneumonia. The diagnosis of PE should be reported when a mismatch of one segment or two subsegments is found. For ventilation, Technegas or krypton gas is preferred over diethylene triamine pentaacetic acid (DTPA) in patients with COPD. Tomographic imaging with V/P-SPECT has higher sensitivity and specificity for PE compared with planar imaging. Absence of contraindications makes V/P-SPECT an essential method for the diagnosis of PE. When V/P-SPECT is combined with a low-dose CT, the specificity of the test can be further improved, especially in patients with other lung diseases. Pitfalls in V/P-SPECT interpretation are discussed. In conclusion, V/P-SPECT is strongly recommended as it accurately establishes the diagnosis of PE even in the presence of diseases like COPD, HF and pneumonia and has no contraindications.
Databáze: OpenAIRE
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