Sinner W N
Eur J Radiol. 1982 Feb;2(1):8-13.
Twenty-one consecutive cases of clinically suspected pulmonary thromboembolism were investigated by radiographic studies, isotopic lung scans and computed tomography. As early as 1976 in 17 of 21 cases morphological details were found not recognizable on lung radiographs but visualized on CT scans. This included peripheral changes (e.g. wedge-shaped densities with its broad base against a peripheral pleural surface and with its tip pointing to the parahilar area) suggesting pulmonary infarction and central defects consistent with central embolic masses or thrombi in pulmonary arteries of 1st through 3d order. This material is unique since it-to our best knowledge-represents the first indirect and direct visualization of pulmonary thromboembolism and infarction made by CT.
通过影像学研究、同位素肺扫描和计算机断层扫描对连续21例临床疑似肺血栓栓塞病例进行了调查。早在1976年，在21例病例中的17例中，发现肺部X光片上无法辨认形态细节，但在CT扫描中可见。这包括外周改变（如基底靠外周胸膜面、尖端指向肺门旁区域的楔形密度影）提示肺梗死，以及与中央栓子团块或1至3级肺动脉血栓相符的中央缺损。据我们所知，该材料是首例通过CT对肺血栓栓塞和梗死进行间接和直接可视化的独特材料。
