Spiral CT of pulmonary embolism: diagnostic approach, interpretive pitfalls and current indications
The introduction of spiral CT has recently modified the diagnostic work-up of pulmonary embolism, because it is possible to depict noninvasively endoluminal clots in second-to-fourth-division pulmonary arteries. If this technique is currently considered a powerful imaging alternative for the detecti...
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| Veröffentlicht in: | European radiology 1998-01, Vol.8 (8), p.1376-1390 |
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| creator | Remy-Jardin, M Remy, J Artaud, D Fribourg, M Beregi, J P |
| description | The introduction of spiral CT has recently modified the diagnostic work-up of pulmonary embolism, because it is possible to depict noninvasively endoluminal clots in second-to-fourth-division pulmonary arteries. If this technique is currently considered a powerful imaging alternative for the detection of acute central emboli, it is mainly related to the possibility to obtain a uniform and high degree of arterial enhancement of pulmonary arteries down to 2-3 mm in diameter. Minimal experience in spiral CT angiography is necessary to achieve this goal and requires familiarity with both data acquisition and contrast medium injection. Numerous interpretive pitfalls exist in assessing spiral CT images, and certain caveats have to be heeded. However, their recognition becomes increasingly less problematic as the radiologist gains experience with spiral CT of the pulmonary vasculature. Therefore, the purpose of this article is to review the diagnostic approach to pulmonary embolism with spiral CT, with special emphasis on protocol parameters and scan interpretation. |
| doi_str_mv | 10.1007/s003300050557 |
| format | Article |
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If this technique is currently considered a powerful imaging alternative for the detection of acute central emboli, it is mainly related to the possibility to obtain a uniform and high degree of arterial enhancement of pulmonary arteries down to 2-3 mm in diameter. Minimal experience in spiral CT angiography is necessary to achieve this goal and requires familiarity with both data acquisition and contrast medium injection. Numerous interpretive pitfalls exist in assessing spiral CT images, and certain caveats have to be heeded. However, their recognition becomes increasingly less problematic as the radiologist gains experience with spiral CT of the pulmonary vasculature. 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| subjects | Adult Aged Aged, 80 and over Angiography - methods Contrast Media - administration & dosage Female Humans Injections, Intravenous Male Medical imaging Middle Aged Pulmonary arteries Pulmonary Artery - diagnostic imaging Pulmonary Embolism - diagnostic imaging Reproducibility of Results Tomography, X-Ray Computed - methods |
| title | Spiral CT of pulmonary embolism: diagnostic approach, interpretive pitfalls and current indications |
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