THE VALUE OF LUNG SCINTIGRAPHY IN THE DIAGNOSIS OF PULMONARY-EMBOLISM

被引:42
作者
VANBEEK, EJR [1 ]
TIELVANBUUL, MMC [1 ]
BULLER, HR [1 ]
VANROYEN, EA [1 ]
TENCATE, JW [1 ]
机构
[1] UNIV AMSTERDAM,ACAD MED CTR,DEPT NUCL MED,1105 AZ AMSTERDAM,NETHERLANDS
来源
EUROPEAN JOURNAL OF NUCLEAR MEDICINE | 1993年 / 20卷 / 02期
关键词
PULMONARY EMBOLISM; LUNG SCINTIGRAPHY; NONINVASIVE TESTS; VENOUS THROMBOEMBOLISM; D-DIMER; B-MODE ULTRASONOGRAPHY;
D O I
10.1007/BF00168880
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The role of lung scintigraphy in the diagnostic management of patients with clinically suspected pulmonary embolism is reviewed. Evidence is provided that a normal perfusion scan excludes clinically relevant pulmonary embolism, and that a high probability lung scan, defined as a segmental perfusion defect with locally normal ventilation, sufficiently confirms the presence of pulmonary embolism in the majority of these patients. Furthermore, this review assesses the possibility of non-invasive tests for the diagnosis or exclusion of venous thromboembolic disease as a means of avoiding pulmonary angiography in patients with lung scan outcomes that are neither normal nor high probability.
引用
收藏
页码:173 / 181
页数:9
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