Where do we stand? Functional imaging in acute and chronic pulmonary embolism with state-of-the-art CT

被引：10

作者：

Meyer, Mathias ^{[1
,3
]}

Haubenreisser, Holger ^{[1
,3
]}

Sudarski, Sonja ^{[1
,3
]}

Doesch, Christina ^{[2
,3
]}

Ong, Melissa M. ^{[1
]}

Borggrefe, Martin ^{[2
,3
]}

Schoenberg, Stefan O. ^{[1
]}

Henzler, Thomas ^{[1
,3
]}

机构：

[1] Heidelberg Univ, Med Fac Mannheim, Univ Med Ctr Mannheim, Inst Clin Radiol & Nucl Med, D-68167 Mannheim, Germany

[2] Heidelberg Univ, Med Fac Mannheim, Univ Med Ctr Mannheim, Dept Med 1, D-68167 Mannheim, Germany

[3] DZHK German Ctr Cardiovasc Res Partner Site Mannh, Mannheim, Germany

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 2015年 / 84卷 / 12期

关键词：

Pulmonary embolism; Chronic pulmonary embolism; Computed tomography; Dual-energy; Pulmonary perfusion; Right heart failure; DUAL-ENERGY CT; RIGHT-VENTRICULAR DYSFUNCTION; MULTIDETECTOR COMPUTED-TOMOGRAPHY; PERFUSION DEFECT SCORE; BLOOD-VOLUME IMAGES; SEVERITY ASSESSMENT; ANGIOGRAPHY; LUNG; HYPERTENSION; DIAGNOSIS;

D O I：

10.1016/j.ejrad.2015.09.015

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：

Nowadays, CT pulmonary angiography (CTPA) is the diagnostic imaging modality of choice for acute and chronic pulmonary embolism (PE) in order to assess vascular anatomy and parenchymal morphology. Over the past decade, several prognostic CTPA markers associated with an increased risk of adverse clinical events and in-hospital mortality have been evaluated, namely cardiac chamber dimensions, obstruction scores, and visualization of iodinated contrast material in the lung parenchyma by dual-energy (DE) CTPA. This article reviews the current status and potential prognostic advantages of CTPA or DE CTPA with its recent developments for accessing right ventricular dysfunction and the assessment of first pass lung perfusion with DE CTPA in the diagnosis of acute and chronic PE. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

引用

页码：2432 / 2437

页数：6

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