Critical review of SPECT imaging in pulmonary embolism

被引：6

作者：

Stein P.D. ^{[1
,3
]}

Sostman H.D. ^{[2
]}

Matta F. ^{[1
]}

机构：

[1] Department of Osteopathic Medical Specialties, Michigan State University College of Osteopathic Medicine, East Lansing, MI

[2] Department of Radiology, Weill Cornell Medical College, New York, NY

[3] Michigan State University College of Osteopathic Medicine, 4707 St Antoine, Box 402, Detroit, 48201, MI

来源：

Clinical and Translational Imaging | 2014年 / 2卷 / 5期

关键词：

Pulmonary embolism; Single-photon emission computed tomography; Venous thromboembolism;

D O I：

10.1007/s40336-014-0079-6

中图分类号：

学科分类号：

摘要：

Outcome studies have shown that pulmonary embolism can be safely excluded in patients with negative ventilation/perfusion (V/Q) single-photon emission computed tomography (SPECT). The effective radiation dose of V/Q SPECT is much less than with computed tomographic (CT) pulmonary angiography, which would make it preferable to CT angiography in many young female patients. The accuracy of V/Q SPECT, however, is difficult to assess, because most published investigations are limited by incorporation bias or partial verification bias, as well as other limitations in study design and reporting. Consequently, the accuracy of V/Q SPECT relative to planar V/Q scintigraphy or CT angiography has not been definitively determined. There is need for a prospective investigation of the accuracy of V/Q SPECT with consecutive patients, blinded interpretations, and an independent reference standard, or independent composite reference standard. © 2014, Italian Association of Nuclear Medicine and Molecular Imaging.

引用

页码：379 / 390

页数：11

共 60 条

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