Washington Lacey, Gulsun Meltem
Department of Radiology, Medical College of Wisconsin, Milwaukee, 53226-3596, USA.
Curr Probl Diagn Radiol. 2003 May-Jun;32(3):105-26. doi: 10.1016/s0363-0188(02)00006-3.
Pulmonary embolism (PE) and deep venous thrombosis (DVT) constitute the two clinical manifestations of venous thromboembolic disease (VTE). The recent innovation of computed tomography venography (CTV) in conjunction with CT pulmonary arteriography (CTPA) provides a single noninvasive diagnostic test that can evaluate both components of VTE. PE is often an underestimated, underdiagnosed, and, consequently, undertreated disease entity. Herein, we review the epidemiology of thromboembolic disease, the diagnostic algorithm used in evaluation of patients with suspected VTE, and protocols for performing CTPA and CTV. Interpretation of these examinations is discussed in detail, because CTPA may pose new challenges to the practicing radiologist.
肺栓塞(PE)和深静脉血栓形成(DVT)是静脉血栓栓塞性疾病(VTE)的两种临床表现。计算机断层扫描静脉造影(CTV)与CT肺动脉造影(CTPA)相结合的最新技术提供了一种单一的无创诊断测试,可评估VTE的两个组成部分。PE常常是一种被低估、诊断不足且因此治疗不充分的疾病实体。在此,我们回顾血栓栓塞性疾病的流行病学、用于评估疑似VTE患者的诊断算法以及进行CTPA和CTV的方案。详细讨论了这些检查的解读,因为CTPA可能给执业放射科医生带来新的挑战。