Bach Andreas Gunter, Beckel Christoph, Schurig Nico, Schramm Dominik, Taute Bettina-Maria, Wienke Andreas, Surov Alexey
Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
Department of Radiology, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle, Germany.
Clin Imaging. 2015 Mar-Apr;39(2):237-42. doi: 10.1016/j.clinimag.2014.09.013. Epub 2014 Oct 16.
The present study sought to estimate the frequency of overseen and unreported (i.e., false negative) pulmonary embolism (PE) events in oncologic patients. In a retrospective analysis, 3270 patients (6780 computed tomography examinations) were reviewed. Unreported PE was found in 74 patients (2.3%). It was particularly frequent in follow-up staging examinations in patients with metastasized malignancies of the lung and kidney. The present data support the thesis that the search error (thrombus was never fixed by the eyes of the reviewer) was the most common reason why PE was overseen.
本研究旨在评估肿瘤患者中被漏诊和未报告（即假阴性）的肺栓塞（PE）事件的发生率。在一项回顾性分析中，对3270例患者（6780次计算机断层扫描检查）进行了评估。发现74例患者（2.3%）存在未报告的PE。在肺和肾转移性恶性肿瘤患者的随访分期检查中尤为常见。目前的数据支持这样一种观点，即搜索错误（审查者从未发现血栓）是PE被漏诊的最常见原因。
