Department of Radiology, Montreal Heart Institute, Montreal, QC, Canada.
Departments of Radiology and Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
J Thorac Imaging. 2018 Nov;33(6):346-347. doi: 10.1097/RTI.0000000000000365.
Pulmonary embolism (PE) is a relatively common and potentially fatal pathology. Fear of missing the diagnosis is pervasive for physicians, including radiologists. However, as computed tomography pulmonary angiography technology and utilization have evolved over the years, we have gained an understanding that not all PEs are equal. As such, our interpretations of PE imaging studies must be enriched by this understanding and adapted to patient circumstances. Herein, we shine the light on overdiagnosis of PE, exploring the evidence, impact, costs, and consequences of overdiagnosis on the care of our patients.
肺栓塞（PE）是一种相对常见且可能致命的疾病。医生（包括放射科医生）普遍担心漏诊。然而，随着多年来计算机断层肺动脉造影技术和应用的发展，我们已经了解到并非所有的肺栓塞都是同等的。因此，我们对肺栓塞影像学研究的解读必须建立在这种理解的基础上，并根据患者的具体情况进行调整。在这里，我们重点探讨了肺栓塞的过度诊断，探讨了过度诊断的证据、影响、成本和对患者护理的后果。
