Clinical consequences of an indeterminate CT pulmonary angiogram in cancer patients

被引:12
作者
Hayes, Sara A. [1 ]
Soff, Gerald A. [2 ]
Zabor, Emily C. [3 ]
Moskowitz, Chaya S. [3 ]
Liu, Corinne C. [4 ]
Ginsberg, Michelle S. [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Dept Radiol, New York, NY 10065 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY 10065 USA
[4] Winthrop Radiol Associates, Mineola, NY 11501 USA
关键词
Pulmonary embolus; Indeterminate; CT pulmonary angiogram; Computed tomography; NEGATIVE SPIRAL CT; MULTIDETECTOR ROW CT; COMPUTED-TOMOGRAPHY; HELICAL CT; EMBOLISM; DIAGNOSIS; VENOGRAPHY; VALIDITY; OUTCOMES; SCAN;
D O I
10.1016/j.clinimag.2014.04.015
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
Our aim was to evaluate clinical management and outcomes in cancer patients who had an indeterminate Computed Tomographic Pulmonary Angiogram (CTPA) for the assessment of pulmonary embolus. We reviewed 1000 CTPA studies and identified 251 limited (indeterminate) CTPA. We examined follow-up imaging and reviewed clinical management decisions and any positive diagnosis of venous thromboembolic disease (VTE) within the subsequent 90days. 60 patients (23.9%) had a follow-up imaging study within five days. 8 had a positive study for VTE disease within 5days. 3 patients (1.2%) were placed on anticoagulation therapy based on the limited CI' result. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:637 / 640
页数:4
相关论文
共 27 条
[1]   Computed Tomography Pulmonary Angiography: An Assessment of the Radiology Report [J].
Abujudeh, Hani H. ;
Kaewlai, Rathachai ;
Farsad, Khashayar ;
Orr, Esther ;
Gilman, Matthew ;
Shepard, Jo-Anne O. .
ACADEMIC RADIOLOGY, 2009, 16 (11) :1309-1315
[2]   Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism - A Randomized controlled trial [J].
Anderson, David R. ;
Kahn, Susan R. ;
Rodger, Marc A. ;
Kovacs, Michael J. ;
Morris, Tim ;
Hirsch, Andrew ;
Lang, Eddy ;
Stiell, Ian ;
Kovacs, George ;
Dreyer, Jon ;
Dennie, Carol ;
Cartier, Yannick ;
Barnes, David ;
Burton, Erica ;
Pleasance, Susan ;
Skedgel, Chris ;
O'Rouke, Keith ;
Wells, Philip S. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (23) :2743-2753
[3]   Pulmonary embolism revealed on helical CT angiography: Comparison with ventilation-perfusion radionuclide lung scanning [J].
Blachere, H ;
Latrabe, V ;
Montaudon, M ;
Valli, N ;
Couffinhal, T ;
Raherisson, C ;
Leccia, F ;
Laurent, F .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (04) :1041-1047
[4]   Reproducibility of multi-detector spiral computed tomography in detection of sub-segmental acute pulmonary embolism [J].
Brunot, S ;
Corneloup, O ;
Latrabe, V ;
Montaudon, M ;
Laurent, F .
EUROPEAN RADIOLOGY, 2005, 15 (10) :2057-2063
[5]   Diagnosis of acute pulmonary embolism in outpatients: Comparison of thin-collimation multi-detector row spiral CT and planar ventilation-perfusion scintigraphy [J].
Coche, E ;
Verschuren, F ;
Keyeux, A ;
Goffette, P ;
Goncette, L ;
Hainaut, P ;
Hammer, F ;
Lavenne, E ;
Zech, F ;
Meert, P ;
Reynaert, MS .
RADIOLOGY, 2003, 229 (03) :757-765
[6]   Clinical outcomes in patients with suspected acute pulmonary embolism and negative helical computed tomographic results in whom anticoaglution was withheld [J].
Donato, AA ;
Scheirer, JJ ;
Atwell, MS ;
Gramp, J ;
Duszak, R .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (17) :2033-2038
[7]   Fortnightly review - The diagnosis of pulmonary embolism [J].
Fennerty, T .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 314 (7078) :425-429
[8]   Clinical validity of helical CT being interpreted as negative for pulmonary embolism: Implications for patient treatment [J].
Garg, K ;
Sieler, H ;
Welsh, CH ;
Johnston, RJ ;
Russ, PD .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 172 (06) :1627-1631
[9]   Imaging of pulmonary embolism - Too much of a good thing? [J].
Glassroth, Jeffrey .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (23) :2788-2789
[10]   Clinically suspected pulmonary embolism:: is it safe to withhold anticoagulation after a negative spiral CT? [J].
Gottsäter, A ;
Berg, A ;
Centergård, J ;
Frennby, B ;
Nirhov, N ;
Nyman, U .
EUROPEAN RADIOLOGY, 2001, 11 (01) :65-72