The Effect of Imaging Modality on Patient Management in the Evaluation of Pulmonary Thromboembolism
| Autor: | Jonathan G. Goldin, Tyler L. Crawford, Mark Beller, Aletha Emerick, Denise R. Aberle, Chun Yoon, Kenneth Wolfson |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Scintigraphy Ventilation/perfusion ratio Medical Records Risk Factors Outcome Assessment Health Care Ventilation-Perfusion Ratio medicine Humans Radiology Nuclear Medicine and imaging Radionuclide Imaging medicine.diagnostic_test Vascular disease business.industry Medical record Respiratory disease Angiography medicine.disease Pulmonary embolism Cohort Patient Care Radiology Pulmonary Embolism Tomography X-Ray Computed business Algorithms |
| Zdroj: | Journal of Thoracic Imaging. 16:163-169 |
| ISSN: | 0883-5993 |
| DOI: | 10.1097/00005382-200107000-00004 |
| Popis: | A retrospective medical record review was performed to study the differences in clinical risk profiles and the relationships between test results versus management for suspected pulmonary thromboembolism (TE) in patients undergoing either radionuclide ventilation perfusion (V/Q) scans or pulmonary computed tomographic angiography (CTA), as the initial test. Data of 138 consecutive V/Q patients were compared with that of 149 consecutive CTA patients during equivalent 6-month intervals before and after the introduction of CTA. Information on risk factors, signs and symptoms, all diagnostic test results, and the relationships between the test results and ultimate physician management were collected and analyzed. V/Q results predicted physician management in all patients with high probability scans and 91% with normal to low probability scans. There were 35 patients with indeterminate V/Q scans--43% of these patients were managed without any other diagnostic test. CTA results predicted management in all patients with positive studies and 99% of patients with negative studies. In contrast to the V/Q cohort, only seven CTA studies were inconclusive--additional diagnostic tests determined management in all but one case. Compared with V/Q, CTA has fewer indeterminate results, is more directly reflective of management, and reduces the number of patients managed with inconclusive data. |
| Databáze: | OpenAIRE |
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