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急性和慢性肺栓塞的无创成像

Non-invasive imaging in acute and chronic pulmonary embolism.

作者信息

Mak Sze Mun, Rawal Bhavin, Benedetti Giulia, Eccles Amy, Price Laura, Breen Karen, Padley Simon P G, Karunanithy Narayan

机构信息

Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.

Cardiovascular Imaging Department, King's College London, St Thomas Campus, London, SE1 7AR, United Kingdom.

出版信息

BJR Open. 2025 Apr 10;7(1):tzaf005. doi: 10.1093/bjro/tzaf005. eCollection 2025 Jan.

DOI:10.1093/bjro/tzaf005
PMID:40656514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12254125/
Abstract

Acute pulmonary emboli can manifest as a spectrum of physiological status ranging from an incidental finding to life threatening right heart failure. We discuss the crucial role imaging plays in the accurate and rapid diagnosis. In addition, imaging features are central in assessing the severity of the presentation allowing for appropriate risk stratification and escalation of care. The relative strengths of the various imaging modalities used in the management of chronic thromboembolic pulmonary hypertension are also discussed.

摘要

急性肺栓塞可表现为一系列生理状态,从偶然发现到危及生命的右心衰竭。我们讨论了成像在准确快速诊断中所起的关键作用。此外,成像特征对于评估病情严重程度至关重要,有助于进行适当的风险分层和加强治疗。本文还讨论了用于慢性血栓栓塞性肺动脉高压管理的各种成像方式的相对优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/4dd5dde1cf84/tzaf005f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/09a8e36e3bac/tzaf005f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/efa31237e750/tzaf005f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/7760106041f4/tzaf005f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/6d5e14a3b16b/tzaf005f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/a2e854019d2c/tzaf005f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/1ce0372cb929/tzaf005f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/66579a64e486/tzaf005f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/250b64b77600/tzaf005f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/a14b6737e2da/tzaf005f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/4dd5dde1cf84/tzaf005f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/09a8e36e3bac/tzaf005f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/efa31237e750/tzaf005f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/7760106041f4/tzaf005f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/6d5e14a3b16b/tzaf005f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/a2e854019d2c/tzaf005f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/1ce0372cb929/tzaf005f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/66579a64e486/tzaf005f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/250b64b77600/tzaf005f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/a14b6737e2da/tzaf005f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4836/12254125/4dd5dde1cf84/tzaf005f10.jpg

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An artificial intelligence algorithm for pulmonary embolism detection on polychromatic computed tomography: performance on virtual monochromatic images.一种用于多色 CT 肺动脉栓塞检测的人工智能算法:在虚拟单色图像上的性能。
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Pulmonary ischaemia without pulmonary arterial thrombus in COVID-19 patients receiving extracorporeal membrane oxygenation: a cohort study.COVID-19 患者接受体外膜肺氧合治疗中无肺动脉血栓的肺缺血:一项队列研究。
Clin Radiol. 2020 Oct;75(10):795.e1-795.e5. doi: 10.1016/j.crad.2020.07.006. Epub 2020 Jul 19.
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Prognostic role of PET/MRI hybrid imaging in patients with pulmonary arterial hypertension.PET/MRI 混合成像在肺动脉高压患者中的预后作用。
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Comparison of V/Q SPECT and CT Angiography for the Diagnosis of Chronic Thromboembolic Pulmonary Hypertension.V/Q 单光子发射计算机断层扫描和 CT 血管造影对慢性血栓栓塞性肺动脉高压的诊断比较。
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2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).2019年欧洲心脏病学会(ESC)与欧洲呼吸学会(ERS)合作制定的急性肺栓塞诊断和管理指南。
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