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Semin Vasc Med 2001; 01(2): 155-164
DOI: 10.1055/s-2001-18483
DOI: 10.1055/s-2001-18483
Pulmonary Embolism: Imaging Modalities-V/Q Scan, Spiral (Helical) CT, and MRI
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
16. November 2001 (online)
ABSTRACT
Ventilation-perfusion (V/Q) imaging has been used as the screening test for pulmonary embolism (PE) for many years with diagnostic algorithms developed as a result of the Prospective Investigation of Pulmonary Embolism Diagnosis study. The primary conclusions were that high probability V/Q scans were reliable indicators for PE and normal or near-normal scans were reliable in the exclusion of PE. With the increasing availability of spiral (helical) computed tomography (CT) and many studies showing a high degree of accuracy for PE, there is much support for the replacement of V/Q by spiral CT. This article reviews the literature concerning V/Q scanning, spiral (helical) CT, and the future potential for magnetic resonance in the diagnosis of PE.
KEYWORD
Pulmonary embolism - CT - MR - V/Q imaging
REFERENCES
- 1
PIOPED Investigators.
Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the
prospective investigation of pulmonary embolism diagnosis (PIOPED).
JAMA .
1990;
263
2753-2759
MissingFormLabel
- 2 Gottschalk A, Sostman H D, Coleman R E. Ventilation-perfusion scintigraphy in the PIOPED study. Part II. Evaluation of the scintigraphic criteria and interpretations. J Nucl Med . 1993; 34(7) 1119-1126
- 3 Corbus H F, Seitz J P, Larson R K. Diagnostic usefulness of lung SPET in pulmonary thromboembolism: an outcome study. Nucl Med Commun . 1997; 18(10) 897-906
- 4 Benotti J R, Dalen J E. The natural history of pulmonary embolism. Clin Chest Med . 1984; 5 403-410
- 5 Carson J L, Kelley M A, Duff A. The clinical course of pulmonary embolism. N Engl J Med . 1992; 326 1240-1245
- 6 Jacobson A F, Patel N, Lewis D H. Clinical outcome of patients with intermediate probability lung scans during six-month follow-up. J Nucl Med . 1997; 38(10) 1593-1596
- 7 Stein P D, Henry J W, Relyea B. Untreated patients with pulmonary embolism. Outcome, clinical, and laboratory assessment. Chest . 1995; 107(4) 931-935
- 8 Godwin J D, Webb W R, Gamsu G, Ovenfors C O. Computed tomography of pulmonary embolism. AJR Am J Roentgenol . 1980; 135 691-695
- 9 Vock P, Soucek M, Daepp M, Kalender W A. Lung: spiral volumetric CT with single breath-hold technique. Radiology . 1990; 176 864-867
- 10 Costello P, Dupuy D E, Ecker C P, Tello R. Spiral CT of the thorax with reduced volume of contrast material: a comparative study. Radiology . 1992; 185 663-666
- 11 Remy-Jardin M, Remy J, Wattine L, Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique-comparison with pulmonary angiography. Radiology . 1992; 185 381-387
- 12 Remy-Jardin M, Remy J. Spiral CT angiography of the pulmonary circulation. Radiology . 1999; 212 615-636
- 13 Ferretti G R, Bosson J L, Buffaz P D. Acute pulmonary embolism: role of helical CT in 164 patients with intermediate probability at ventilation-perfusion scintigraphy and normal results at duplex US of the legs. Radiology . 1997; 205 453-458
- 14 Remy-Jardin M, Remy J, Artaud D, Deschildre F, Fribourg M, Beregi J P. Spiral CT of pulmonary embolism: technical considerations and interpretive pitfalls. J Thorac Imaging . 1997; 12 103-117
- 15 Teigen C L, Maus T P, Sheedy P I I F, Johnson C M, Stanson A W, Welch J J. Pulmonary embolism: diagnosis with electron beam CT. Radiology . 1993; 188 839-845
- 16 Greaves S M, Hart E M, Brown K, Young D A, Batra P, Aberle D R. Pulmonary thromboembolism: spectrum of findings on CT. AJR Am J Roentegnol . 1995; 165 1359-1363
- 17 Coche E E, Muller N L, Kim K I, Wiggs B R, Mayo J R. Acute pulmonary embolism: ancillary findings at spiral CT. Radiology . 1998; 207 753-758
- 18 Goodman L R, Curtin H H, Mewissen M W. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. AJR Am J Roentgenol . 1995; 164 1369-1374
- 19 Remy-Jardin M, Remy J, Deschildre F. Diagnosis of pulmonary embolism with spiral CT: comparison with pulmonary angiography and scintigraphy. Radiology . 1996; 200 699-706
- 20 Teigen C L, Maus T P, Sheedy P I I F. Pulmonary embolism: diagnosis with contrast enhanced electron beam CT and comparison with pulmonary angiography. Radiology . 1995; 194 313-319
- 21 van Rossum B A, Pattynama P M, Ton E R. Pulmonary embolism: validation of spiral CT angiography in 149 patients. Radiology . 1996; 201 467-470
- 22 van Erkel R A, van Rossum B A, Bioem J L, Kievit J, Pattynama P MT. Spiral CT angiography for suspected pulmonary embolism: a cost-effectiveness analysis. Radiology . 1996; 201 29-36
- 23 Drucker E A, Rivitz S M, Shepard J A. Acute pulmonary embolism: assessment of helical CT for diagnosis. Radiology . 1998; 209 235-241
- 24 Mayo J R, Remy-Jardin M, Müller N L. Pulmonary embolism: prospective comparison of spiral CT with ventilation-perfusion scintigraphy. Radiology . 1997; 205 447-452
- 25 Qanadli S D, El Hajjam M, Mesurolle B. Pulmonary embolism detection: prospective evaluation of dual-section helical CT versus selective pulmonary arteriography in 157 patients. Radiology . 2000; 217 447-455
- 26 Garg K, Welsh C H, Feyerabend A J. Pulmonary embolism: diagnosis with spiral CT and ventilation-perfusion scanning-correlation with pulmonary angiographic results or clinical outcome. Radiology . 1998; 208 201-208
- 27 Remy-Jardin M, Remy J, Artaud D. Peripheral pulmonary arteries: optimization of the spiral CT acquisition protocol. Radiology . 1997; 204 157-163
- 28 Ghaye B, Szapiro D, Delannoy V, Mastora I, Remy J, Remy-Jardin M J. How far does multidetector CT allow the analysis of peripheral pulmonary arteries?. <~>A comparative study with thin collimation single detector CT [abstract]. Radiology . 2000; 217(P) 508
- 29 Hull R D, Raskob G E, Ginsberg J S. A noninvasive strategy for the treatment of patients with suspected pulmonary embolism. Arch Intern Med . 1994; 154 289-297
- 30 Cross J JL, Kemp P M, Walsh C G. A randomized trial of spiral CT and ventilation perfusion scintigraphy for the diagnosis of pulmonary embolism. Clin Radiol . 1998; 53 177-182
- 31 Kim K, Muller N L, Mayo J R. Clinically suspected pulmonary embolism: utility of spiral CT. Radiology . 1999; 210 693-697
- 32 Katz D S, Jorgensen M J, Rubin G D. Detection and follow-up of important extra-arterial lesions with helical CT angiography. Clin Radiol . 1999; 54(5) 294-300
- 33 Herold C, Remy-Jardin M, Grenier P H. Prospective evaluation of pulmonary embolism: initial results of the European Multicenter Trial (ESTIPEP) (abstract). Radiology . 1998; 209 235-241
- 34 Blachere H, Latrabe V, Montaudon M. Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionuclide lung scanning. AJR Am J Roentgenol . 2000; 174 1041-1047
- 35 Garg K, Sieler H, Welsh C H. Clinical validity of helical CT being interpreted as negative for pulmonary embolism: implications for patient treatment. AJR Am J Roentgenol . 1999; 172 1627-1631
- 36 Loomis N N, Yoon H C, Moran A G, Miller F J. Clinical outcomes of patients after a negative spiral CT pulmonary arteriogram in the evaluation of acute pulmonary embolism. J Vasc Interv Radiol . 1999; 10(6) 707-712
- 37 Goodman L R. 1999 plenary session: Friday imaging symposium: CT diagnosis of pulmonary embolism and deep venous thrombosis. RadioGraphics . 2000; 20(4) 1201-1205
- 38 Hatabu H, Gefter W B, Kressel H Y, Axel, Lenkinski R E. Pulmonary vasculature: high-resolution MR imaging. Work in progress. Radiology . 1989; 171(2) 391-395
- 39 Grist T M, Sostman H D, MacFall J R. Pulmonary angiography with MR imaging: preliminary clinical experience. Radiology . 1993; 189(2) 523-530
- 40 Rubin G D, Herfkens R J, Pelc N J. Single breath-hold pulmonary magnetic resonance angiography. Optimization and comparison of three imaging strategies. Invest Rad . 1994; 29(8) 766-792
- 41 Isoda H, Ushimi T, Masui T. Clinical evaluation of pulmonary 3D time-of-flight MRA with breath holding using contrast media. J Comput Assist Tomogr . 1995; 19(6) 911-919
- 42 Meaney J F, Weg J G, Chenevert T L, Stafford-Johnson D, Hamilton B H, Prince M R. Diagnosis of pulmonary embolism with magnetic resonance angiography. New Engl J Med . 1997; 336(20) 1422-1427
- 43 Prince M R, Arnoldus C, Frisoli J K. Nephrotoxicity of high dose gadolinium compared with iodinated contrast. J Magn Reson Imaging . 1996; 6 162-166
- 44 Hatabu H, Gaa J, Kim D, Li W, Prasad P V, Edelman R R. Pulmonary perfusion: qualitative assessment with dynamic contrast-enhanced MRI using ultra-short TE and inversion recovery turbo FLASH. Magn Reson Med . 1966; 36(4) 503-508
- 45 Bergin C J, Glover G M, Pauly J. Magnetic resonance imaging of lung parenchyma. J Thorac Imaging . 1993; 8(1) 12-17
- 46 Mayo J R, MacKay A, Muller N L. MR imaging of the lungs: value of short TE spin-echo pulse sequences. AJR Am J Roentgenol . 1992; 159(5) 951-956
- 47 Bergin C J, Pauly J M, Macovski A. Lung parenchyma: projection reconstruction MR imaging. Radiology . 1991; 179(3) 777-781
- 48 Hatabu H, Tadamura E, Levin D L. Quantitative assessment of pulmonary perfusion with dynamic contrast-enhanced MRI. Magn Reson Med . 1999; 42(6) 1033-1038
- 49 Berthezene Y, Croisille P, Wiart M. Prospective comparison of MR lung perfusion and lung scintigraphy. J Magn Reson Imaging . 1999; 9(1) 61-68
- 50 Berthezene Y, Vexler V, Clement O. Contrast-enhanced MR imaging of the lung: assessments of ventilation and perfusion. Radiology . 1992; 183(3) 667-672
- 51 Albert M S, Cates G D, Driehuys B. Biological magnetic resonance imaging using laser-polarized 129Xe. Nature . 1994; 370(6486) 199-201
- 52 Middleton H, Black R D, Saam B. MR imaging with hyperpolarized 3He gas. Magn Reson Med . 1995; 33(2) 271-275
- 53 Edelman R R, Hatabu H, Tadamura E, Li W, Prasad P V. Noninvasive assessment of regional ventilation in the human lung using oxygen-enhanced magnetic resonance imaging. Nat Med . 1996; 2(11) 1236-1239
- 54 Chen Q, Jakob P M, Griswold M A, Levin D L, Hatabu H, Edelman R R. Oxygen enhanced MR ventilation imaging of the lung. Magma . 1998; 7(3) 153-161
- 55 Evans A J, Sostman H D, Witty L A. Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography. J Magn Reson Imaging . 1996; 6(1) 44-51
- 56
Evans A J, Sostman H D, Knelson M H.
Detection of deep venous thrombosis: prospective comparison of MR imaging with contrast
venography.
AJR Am J Roentgenol .
1993;
161(1)
131-139
MissingFormLabel
- 57 Bluemke D A, Wolf R L, Tani I, Tachiki S, McVeigh E R, Zerhouni E A. Extremity veins: evaluation with fast-spin-echo MR venography. Radiology . 1997; 204(2) 562-565
- 58 Gotway M B, Edinburgh K J, Feldstein V A, Lehman J, Reddy G P, Webb W R. Imaging evaluation of suspected pulmonary embolism. Curr Probl Diagn Radiol . 1999; 28(5) 129-184
- 59 Moody A R, Pollock J G, O'Connor A R, Bagnall M. Lower-limb deep venous thrombosis: direct MR imaging of the thrombus. Radiology . 1998; 209(2) 349-355
- 60 Ruehm S G, Wiesner W, Debatin J F. Pelvic and lower extremity veins: contrast-enhanced three-dimensional MR venography with a dedicated vascular coil-initial experience. Radiology . 2000; 215(2) 421-427