癌症患者CT肺动脉造影结果不确定的临床后果。
Clinical consequences of an indeterminate CT pulmonary angiogram in cancer patients.
作者信息
Hayes Sara A, Soff Gerald A, Zabor Emily C, Moskowitz Chaya S, Liu Corinne C, Ginsberg Michelle S
机构信息
Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065.
Department of Medicine, Memorial Sloan-Kettering Cancer Center, 410 East 68th Street, New York, NY 10065.
出版信息
Clin Imaging. 2014 Sep-Oct;38(5):637-40. doi: 10.1016/j.clinimag.2014.04.015. Epub 2014 May 6.
Abstract
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 90 days. 60 patients (23.9%) had a follow-up imaging study within five days. 8 had a positive study for VTE disease within 5 days. 3 patients (1.2%) were placed on anticoagulation therapy based on the limited CT result.
摘要
我们的目的是评估在因评估肺栓塞而行计算机断层扫描肺动脉造影（CTPA）结果不确定的癌症患者中的临床管理及结局。我们回顾了1000例CTPA检查，识别出251例结果受限（不确定）的CTPA。我们检查了后续影像学检查，并回顾了临床管理决策以及随后90天内静脉血栓栓塞性疾病（VTE）的任何阳性诊断。60例患者（23.9%）在5天内进行了后续影像学检查。8例在5天内VTE疾病检查呈阳性。3例患者（1.2%）基于有限的CT结果接受了抗凝治疗。
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