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Controversies in Diagnosis of Pulmonary Embolism

Stein, Paul D.; Sostman, H. Dirk; Dalen, James E.; Bailey, Dale L.; Bajc, Marika LU ; Goldhaber, Samuel Z.; Goodman, Lawrence R.; Gottschalk, Alexander; Hull, Russell D. and Matta, Fadi, et al. (2011) In Clinical and Applied Thrombosis/Hemostasis 17(2). p.140-149
Abstract
The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of... (More)
The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) trial, ventilation/perfusion (V/Q) lung scans or perfusion scans alone and single photon emission computed tomography (SPECT) V/Q lung scans are often recommended. The choice depends on the patient's age, gender, and complexity of the findings on the plain chest radiograph. (Less)
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publication status
published
subject
keywords
pulmonary embolism, venous thromboembolism, CT angiography, SPECT, scintigraphy, V/Q scans, venous ultrasound
in
Clinical and Applied Thrombosis/Hemostasis
volume
17
issue
2
pages
140 - 149
external identifiers
  • wos:000288463500004
  • scopus:79952834854
ISSN
1938-2723
DOI
10.1177/1076029610389027
language
English
LU publication?
yes
id
c325c368-02c8-4a8d-94b0-3c753660d108 (old id 1936305)
date added to LUP
2011-05-02 07:53:13
date last changed
2017-05-28 03:21:04
@article{c325c368-02c8-4a8d-94b0-3c753660d108,
  abstract     = {The approach to the diagnosis of acute pulmonary embolism (PE) is under constant revision with advances in technology, noninvasive approaches, and increasing awareness of the risks of ionizing radiation. Optimal approaches in some categories of patients are controversial. Data are insufficient for evidence-based recommendations. Therefore, this survey of investigators in the field was undertaken. Even among experts there were marked differences of opinion regarding the approach to the diagnosis of acute PE. Although CT pulmonary angiography was usually the imaging test of choice, the respondents were keenly aware of the dangers of ionizing radiation. In view of advances in scintigraphic diagnosis since the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) trial, ventilation/perfusion (V/Q) lung scans or perfusion scans alone and single photon emission computed tomography (SPECT) V/Q lung scans are often recommended. The choice depends on the patient's age, gender, and complexity of the findings on the plain chest radiograph.},
  author       = {Stein, Paul D. and Sostman, H. Dirk and Dalen, James E. and Bailey, Dale L. and Bajc, Marika and Goldhaber, Samuel Z. and Goodman, Lawrence R. and Gottschalk, Alexander and Hull, Russell D. and Matta, Fadi and Pistolesi, Massimo and Tapson, Victor F. and Weg, John G. and Wells, Philip S. and Woodard, Pamela K.},
  issn         = {1938-2723},
  keyword      = {pulmonary embolism,venous thromboembolism,CT angiography,SPECT,scintigraphy,V/Q scans,venous ultrasound},
  language     = {eng},
  number       = {2},
  pages        = {140--149},
  series       = {Clinical and Applied Thrombosis/Hemostasis},
  title        = {Controversies in Diagnosis of Pulmonary Embolism},
  url          = {http://dx.doi.org/10.1177/1076029610389027},
  volume       = {17},
  year         = {2011},
}