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疑似肺栓塞通气-灌注闪烁扫描的现状

Current Status of Ventilation-Perfusion Scintigraphy for Suspected Pulmonary Embolism.

作者信息

Metter Darlene, Tulchinsky Mark, Freeman Leonard M

机构信息

1 Department of Radiology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229.

2 Department of Radiology, Division of Nuclear Medicine, Pennsylvania State University Hospital, Hershey, PA.

出版信息

AJR Am J Roentgenol. 2017 Mar;208(3):489-494. doi: 10.2214/AJR.16.17195. Epub 2017 Jan 17.

Abstract

OBJECTIVE

The purpose of this article is to outline recent progress made in ventilation-perfusion (V/Q) scintigraphy imaging techniques and the interpretation systems used for the diagnosis of pulmonary embolism (PE). Various state-of-the-art approaches that can be selected according to the needs dictated by the medical practice environment and specific patient groups are presented.

CONCLUSION

Although advances in tomographic imaging have certainly improved the sensitivity of V/Q scans for the diagnosis of PE, they may lead to overdiagnosis by revealing small and clinically insignificant PEs.

摘要

目的

本文旨在概述通气灌注(V/Q)闪烁扫描成像技术以及用于诊断肺栓塞(PE)的解读系统的最新进展。介绍了各种可根据医疗实践环境和特定患者群体的需求进行选择的先进方法。

结论

尽管断层成像技术的进步无疑提高了V/Q扫描诊断PE的敏感性,但它们可能会因发现小的且临床上无意义的PE而导致过度诊断。

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