State-of-the-Art Pulmonary CT Angiography for Acute Pulmonary Embolism

Pulmonary CT angiography (CTA) is the imaging modality of choice in suspected acute pulmonary embolism (PE). Current pulmonary CTA techniques involve ever lower doses of contrast medium and radiation along with advanced postprocessing applications to enhance image quality, diagnostic accuracy, and p...

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Veröffentlicht in:American journal of roentgenology (1976) 2017-03, Vol.208 (3), p.495-504
Hauptverfasser: Albrecht, Moritz H, Bickford, Matthew W, Nance, Jr, John W, Zhang, Longjiang, De Cecco, Carlo N, Wichmann, Julian L, Vogl, Thomas J, Schoepf, U Joseph
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container_end_page 504
container_issue 3
container_start_page 495
container_title American journal of roentgenology (1976)
container_volume 208
creator Albrecht, Moritz H
Bickford, Matthew W
Nance, Jr, John W
Zhang, Longjiang
De Cecco, Carlo N
Wichmann, Julian L
Vogl, Thomas J
Schoepf, U Joseph
description Pulmonary CT angiography (CTA) is the imaging modality of choice in suspected acute pulmonary embolism (PE). Current pulmonary CTA techniques involve ever lower doses of contrast medium and radiation along with advanced postprocessing applications to enhance image quality, diagnostic accuracy, and provide added value in patient management. The objective of this article is to summarize these current developments and discuss the appropriate use of state-of-the-art pulmonary CTA. Pulmonary CTA is well established as a fast and reliable means of excluding or diagnosing PE. Continued developments in CT system hardware and postprocessing techniques will allow incremental reductions in radiation and contrast material requirements while improving image quality. Advances in risk stratification and prognostication from pulmonary CTA examinations should further refine its clinical value while minimizing the potential harm from overutilization and overdiagnosis.
doi_str_mv 10.2214/AJR.16.17202
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source American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection
subjects Acute Disease
Algorithms
Computed Tomography Angiography - methods
Contrast Media
Evidence-Based Medicine
Humans
Pattern Recognition, Automated - methods
Pulmonary Embolism - diagnostic imaging
Radiation Exposure - prevention & control
Radiation Protection - methods
Radiographic Image Enhancement - methods
Radiographic Image Interpretation, Computer-Assisted - methods
Reproducibility of Results
Sensitivity and Specificity
title State-of-the-Art Pulmonary CT Angiography for Acute Pulmonary Embolism
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