Klok F A, Barco S, Bertoletti L, Bhalla S, Dubois S, Le Gal G, Haramati L B, van Hooidonk E, Humbert M, Konstantinides S V, Lang I M, Murphy W S, Ohno Y, Price S, Prokop M, Pruszczyk P, Rossi A, Thistlethwaite P A, West C, Remy-Jardin M
Department of Medicine-Thrombosis and Hemostasis, Leiden University Medical Center, LUMC Room C-7-68, ALbinusdreef 2, 2300RC Leiden, The Netherlands.
Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Eur Heart J Cardiovasc Imaging. 2025 Jun 30;26(7):1085-1098. doi: 10.1093/ehjci/jeaf050.
Computed tomography angiography (CTA) is the modality used most frequently for diagnosing acute pulmonary embolism (PE). Given the vast amount of information that can be extracted from CTA, the CTA report should be written in a way that conveys all relevant findings using standardized nomenclature and definitions. Broad consensus on a core set of CTA findings that are relevant for all PE patients is not currently available. This clinical consensus statement written by the European Society of Cardiology (ESC) Working Group on Pulmonary Circulation and Right Ventricular Function, the Fleischner Society and the Association for Acute Cardiovascular Care and the European Association of Cardiovascular Imaging of the ESC provides a current update of CTA techniques, a definition of often used nomenclature and recommendations on the proposed content of CTA reports along with a detailed image atlas with instructions on how to assess all relevant CTA findings and a lay language guidance on the meaning of these findings. Ultimately, upon implementation, this document is expected to standardize CTA radiology reports with respect to diagnostic and prognostic CT imaging findings to guide and harmonize management decisions, ultimately improving outcomes of care for PE patients.
计算机断层血管造影（CTA）是诊断急性肺栓塞（PE）最常用的方法。鉴于CTA可提取大量信息，CTA报告应以使用标准化术语和定义传达所有相关发现的方式撰写。目前，对于所有PE患者都相关的一组核心CTA发现尚未达成广泛共识。欧洲心脏病学会（ESC）肺循环和右心室功能工作组、弗莱施纳学会、急性心血管护理协会以及ESC心血管影像学会撰写的这份临床共识声明，提供了CTA技术的最新进展、常用术语的定义、关于CTA报告建议内容的推荐，以及一份详细的图像图谱，其中包含如何评估所有相关CTA发现的说明和这些发现含义的通俗语言指南。最终，在实施后，预计本文件将使CTA放射学报告在诊断和预后CT成像发现方面实现标准化，以指导和协调管理决策，最终改善PE患者的护理结果。
