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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.

DOI:10.1590/0100-3984.2017.0191
PMID:29991840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6034731/
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/6034731/0996ad274295/rb-51-03-0178-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/ee87a20a622a/rb-51-03-0178-g01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/d42ecf5a5d13/rb-51-03-0178-g05.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/0996ad274295/rb-51-03-0178-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/ee87a20a622a/rb-51-03-0178-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/5585f20f9ec9/rb-51-03-0178-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/e91241c3fcb4/rb-51-03-0178-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/e47bb0964297/rb-51-03-0178-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/d42ecf5a5d13/rb-51-03-0178-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/5d728b9a45ce/rb-51-03-0178-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/6034731/0996ad274295/rb-51-03-0178-g07.jpg

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Tomography patterns of lung disease in systemic sclerosis.系统性硬化症肺部疾病的断层扫描模式
Radiol Bras. 2016 Sep-Oct;49(5):316-321. doi: 10.1590/0100-3984.2015.0116.
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Pulmonary infection caused by : findings on computed tomography of the chest.由……引起的肺部感染:胸部计算机断层扫描结果
Radiol Bras. 2016 Jul-Aug;49(4):209-213. doi: 10.1590/0100-3984.2015.0078.
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Hughes-Stovin syndrome: an unusual cause of pulmonary artery aneurysms.休斯-斯托文综合征:肺动脉瘤的一种罕见病因。
Radiol Bras. 2016 May-Jun;49(3):202-3. doi: 10.1590/0100-3984.2015.0048.
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High-resolution computed tomography and histopathological findings in hypersensitivity pneumonitis: a pictorial essay.过敏性肺炎的高分辨率计算机断层扫描和组织病理学表现:图文综述
Radiol Bras. 2016 Mar-Apr;49(2):112-6. doi: 10.1590/0100-3984.2014.0062.
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Pulmonary paracoccidioidomycosis showing reversed halo sign with nodular/coarse contour.肺副球孢子菌病表现为反转晕征,边界呈结节状/粗糙状。
Radiol Bras. 2016 Jan-Feb;49(1):59-60. doi: 10.1590/0100-3984.2015.0071.
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Diagnosis efficiency for pulmonary embolism using magnetic resonance imaging method: a meta-analysis.使用磁共振成像方法诊断肺栓塞的效率:一项荟萃分析。
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