Department of Diagnostic Radiology, Montreal Heart Institute, 5000 Belanger St, Montreal, QC H1T 1C8, Canada.
Department of Radiology, Houston Methodist Academic Institute, Houston, TX.
AJR Am J Roentgenol. 2022 Mar;218(3):396-404. doi: 10.2214/AJR.21.26646. Epub 2021 Oct 6.
Pulmonary CTA is a ubiquitous study interpreted by radiologists with different levels of experience in a variety of practice settings. Pulmonary embolism (PE) can range from an incidental and clinically insignificant finding to a clinically significant thrombus that can be managed on an outpatient basis to a potentially fatal condition requiring immediate medical or invasive management. Accordingly, a clear and concise pulmonary CTA report should effectively communicate the most pertinent findings to help the treating medical team diagnose or exclude PE and provide information to guide appropriate management. In this Expert Panel Narrative Review, we discuss the purpose of the radiology report for pulmonary CTA, the optimal report format, and the relevant findings that need to be addressed and their clinical significance.
肺部 CTA 是一种普遍存在的研究，由不同经验水平的放射科医生在各种实践环境中进行解读。肺栓塞 (PE) 可以从偶然的、临床上无意义的发现到临床上有意义的血栓不等，这种血栓可以在门诊进行管理，也可能是一种需要立即进行医疗或介入管理的潜在致命情况。因此，一份清晰简洁的肺部 CTA 报告应该能够有效地传达最相关的发现，以帮助治疗医疗团队诊断或排除 PE，并提供信息以指导适当的管理。在本专家小组叙述性评论中，我们讨论了肺部 CTA 放射学报告的目的、最佳报告格式，以及需要解决的相关发现及其临床意义。
