False negative pulmonary artery spiral CT angiography in extensive pulmonary embolism

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Overuse and underuse of pulmonary CT angiography in patients with suspected pulmonary embolism

Background: The aim of the present study was to evaluate the utilization and diagnostic yields of CT pulmonary angiography (CTPA) using the Revised Geneva score and Wells’ criteria, in patients with suspected pulmonary embolism (PE).    Methods: One hundred and twelve adult patients underwent CTPA for suspected PE were participated in this study. The outcome was positive or neg...

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c Right ventricular dysfunction (RVD) is the most common cause of short-term mortality in patients with acute pulmonary embolism (PE).1 Shock and hemodynamic instability, defined as systolic blood pressure below 90mmHg or a fall of more than 40mmHg, is a clinical marker of high risk and identifies patients who may benefit from early thrombolysis.2 However, in PE patients without hemodynamic com...

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Pulmonary rhabdomyosarcoma complicated with pulmonary artery extensive embolism

Rhabdomyosarcoma (RMS) is an uncommon type of soft-tissue malignancy which mainly influences children. Primary pulmonary RMS (PPR) is extremely uncommon. Here, we describe a case of PPR complicated by pulmonary artery extensive embolism. A 41-year-old Chinese woman characterized of repeating cough complained of chest congestion. Despite first diagnosis of pulmonary infection, antibiotic therapy...

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Automated Segmentation of the Pulmonary Vascular Tree in Spiral CT Angiography for Computerized Detection of Pulmonary Embolism

Spiral CT-Angiography (CTA) is increasingly used for the diagnosis of pulmonary embolism. However, radiologists must view more than 50 images in order to detect thrombi in the arteries and distinguish them from artifacts caused by partial volume, heart motion, etc. In this study, we present a new method for automated segmentation of the pulmonary vascular tree in spiral CTA data sets for 3D vis...

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Utilization of CT Pulmonary Angiography in Suspected Pulmonary Embolism in a Major Urban Emergency Department

Objectives. We conducted a study to answer 3 questions: (1) is CT pulmonary angiography (CTPA) overutilized in suspected pulmonary embolism (PE)? (2) What alternative diagnoses are provided by CTPA? (3) Can CTPA be used to evaluate right ventricular dilatation (RVD)? Methods. We retrospectively reviewed the clinical information of 231 consecutive emergency department patients who underwent CTPA...

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ژورنال

عنوان ژورنال: Cor et Vasa

سال: 2006

ISSN: 0010-8650,1803-7712

DOI: 10.33678/cor.2006.071