疑似急性肺栓塞的计算机断层扫描血管造影术实施与报告的最佳方法:欧洲心脏病学会肺循环与右心室功能工作组、弗莱施纳学会、急性心血管护理协会(ACVC)以及欧洲心脏病学会欧洲心血管影像协会(EACVI)的临床共识声明,得到欧洲呼吸学会(ERS)、亚洲胸部放射学会(ASTR)、欧洲胸部影像学会(ESTI)和胸部放射学会(STR)认可

Optimal Approach to Performing and Reporting Computed Tomography Angiography for Suspected Acute Pulmonary Embolism: A Clinical Consensus Statement of the ESC Working Group on Pulmonary Circulation & Right Ventricular Function, the Fleischner Society, the Association for Acute Cardiovascular Care (ACVC) and the European Association of Cardiovascular Imaging (EACVI) of the ESC, Endorsed by European Respiratory Society (ERS), Asian Society of Thoracic Radiology (ASTR), European Society of Thoracic Imaging (ESTI), and Society of Thoracic Radiology (STR).

作者信息

Klok Frederikus A, Barco Stefano, Bertoletti Laurent, Bhalla Sanjeev, Dubois Suzanne, Le Gal Grégorie, Haramati L B, van Hooidonk Erica, Humbert Marc, Konstantinides Stavros V, Lang Irene M, Murphy William S, Ohno Yoshiharu, Price Susanna, Prokop Mathias, Pruszczyk Piotr, Rossi Alexia, Thistlethwaite Patricia A, West Carol, Remy-Jardin Martine

机构信息

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.

出版信息

Radiology. 2025 Jun;315(3):e243833. doi: 10.1148/radiol.243833.

Abstract

CT 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 & 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. This article has been co-published with permission in the and . All rights reserved. © The European Society of Cardiology and the Fleischner Society 2025. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citation can be used when citing this article. Pulmonary embolism • Computed tomography • Reference standards • Outcome • Prognosis • Diagnosis.

摘要

CT血管造影(CTA)是诊断急性肺栓塞(PE)最常用的检查方式。鉴于CTA可提取大量信息,CTA报告应以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发现尚无广泛共识。欧洲心脏病学会(ESC)肺循环与右心室功能工作组、弗莱施纳学会、急性心血管护理协会以及ESC心血管影像学会共同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,还有关于这些发现意义的通俗语言指南。最终,在实施后,这份文件有望使CT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患者的护理结局。本文已获授权在 和 上共同发表。保留所有权利。©欧洲心脏病学会和弗莱施纳学会2025年。除了为符合各期刊风格而存在的细微文体和拼写差异外,文章内容完全相同。引用本文时可使用任一引用方式。 肺栓塞•计算机断层扫描•参考标准•结局•预后•诊断

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