Muscogiuri Emanuele, De Wever Walter, Gopalan Deepa
Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Department of Radiology, Imperial College Healthcare NHS Trust, London, UK.
Breathe (Sheff). 2024 Mar;20(1):230130. doi: 10.1183/20734735.0130-2023. Epub 2024 Mar 12.
Pulmonary embolism (PE) is a pathological entity characterised by venous thromboembolism in the pulmonary arteries. It is a common entity in daily clinical practice and is the third most common cause of cardiovascular death. Correct diagnostic work-up is pivotal to ensure timely institution of appropriate therapy. This requires recognition of the characteristic imaging findings and awareness of the role and peculiarities of the different imaging techniques involved in the diagnostic and therapeutic process. This review aims to showcase the most commonly encountered imaging findings associated with pulmonary thromboembolism for each imaging modality, outline their advantages and disadvantages, and define the specific role of these techniques in the clinical setting. The latest innovations concerning the diagnostic work-up of PE will be also briefly discussed, yielding a perspective on the future developments and challenges that the radiologist will have to face in the coming years.
肺栓塞(PE)是一种以肺动脉静脉血栓栓塞为特征的病理实体。它在日常临床实践中很常见,是心血管死亡的第三大常见原因。正确的诊断检查对于确保及时进行适当治疗至关重要。这需要识别特征性影像学表现,并了解诊断和治疗过程中所涉及的不同成像技术的作用和特点。本综述旨在展示每种成像方式与肺血栓栓塞相关的最常见影像学表现,概述其优缺点,并确定这些技术在临床环境中的具体作用。还将简要讨论有关PE诊断检查的最新创新,从而对放射科医生在未来几年将面临的未来发展和挑战形成一种观点。