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肺血栓栓塞症:新的诊断成像技术

Pulmonary thromboembolism: new diagnostic imaging techniques.

作者信息

Noschang Julia, Guimarães Marcos Duarte, Teixeira Diogo Fábio Dias, Braga Juliana Cristina Duarte, Hochhegger Bruno, Santana Pablo Rydz Pinheiro, Marchiori Edson

机构信息

MD, Resident in Radiology in the Department of Imaging of the A.C.Camargo Cancer Center, São Paulo, SP, Brazil.

MD, PhD, Radiologist in the Department of Imaging of the A.C.Camargo Cancer Center, São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2018 May-Jun;51(3):178-186. doi: 10.1590/0100-3984.2017.0191.

Abstract

The accurate diagnosis of pulmonary thromboembolism is essential to reducing the morbidity and mortality associated with the disease. The diagnosis of pulmonary thromboembolism is challenging because of the nonspecific nature of the clinical profile and the risk factors. Imaging methods provide the definitive diagnosis. Currently, the imaging method most commonly used in the evaluation of pulmonary thromboembolism is computed tomography. The recent development of dual-energy computed tomography has provided a promising tool for the evaluation of pulmonary perfusion through iodine mapping. In this article, we will review the importance of diagnosing pulmonary thromboembolism, as well as the imaging methods employed, primarily dual-energy computed tomography.

摘要

准确诊断肺血栓栓塞对于降低该疾病相关的发病率和死亡率至关重要。由于临床表现和危险因素的非特异性,肺血栓栓塞的诊断具有挑战性。影像学方法可提供明确诊断。目前,在评估肺血栓栓塞时最常用的影像学方法是计算机断层扫描。双能计算机断层扫描的最新发展为通过碘图评估肺灌注提供了一种有前景的工具。在本文中,我们将回顾诊断肺血栓栓塞的重要性以及所采用的影像学方法,主要是双能计算机断层扫描。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/ee87a20a622a/rb-51-03-0178-g01.jpg

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