Department of Thoracic Imaging, Hospital Calmette, CHRU et Université de Lille 2, Nord de France, Lille, France.
J Thorac Imaging. 2018 Nov;33(6):348-349. doi: 10.1097/RTI.0000000000000366.
Diagnosis of acute pulmonary embolism currently relies on computed tomography angiography which is acknowledged as a powerful, noninvasive tool. The concept of overdiagnosis is counterbalanced by a series of unanswered questions regarding the natural history of acute pulmonary embolism and the missing links between acute and chronic thromboembolic disease. For numerous reasons, it is less than certain that this concept will survive.
目前,急性肺栓塞的诊断依赖于计算机断层血管造影术,该方法被公认为一种强大的、非侵入性的工具。过度诊断的概念受到急性肺栓塞自然史和急性与慢性血栓栓塞性疾病之间缺失环节的一系列未解决问题的制约。由于诸多原因,该概念不太可能成立。