Parole chiave: Humans, Magnetic Resonance Angiography, Methods, Predictive Value Of Tests, Pulmonary Embolism, Diagnosis, Diagnostic Imaging, Pathology, Tomography, X-Ray Computed,
Affiliazioni:
Istituto di Scienze Radiologiche, Universita G. D'Annunzio, Chieti, Italy.,
Riferimenti:
Non disponibile.
The technological progress in Computed Tomography (CT) (spiral and electron beam) and Magnetic Resonance Imaging (MRI fast sequences) has stimulated their interest in the diagnosis of acute and chronic pulmonary embolism (PE). They are noninvasive procedures able to identify thrombi up to the level of segmental pulmonary branches. This result, albeit not ideal, is significant, in view of the lower clinical relevance of peripheral emboli as compared to more central locations, especially in the absence of peripheral venous thrombosis. Spiral CT allows satisfactory assessment of pulmonary branches with high sensitivity (65-100%), specificity (89-96%), positive predictive value (95%) and negative predictive value (80-100%) in the diagnosis of PE. MRI with spin-echo sequences has also a satisfactory sensitivity (75-90%), specificity (up to 100%), positive predictive value (86%) and negative predictive value (85%). Recently, MR angiography was shown to be able to depict smaller pulmonary branches (6th and 7th generation), even if its efficacy in the identification of emboli has not been demonstrated as yet. CT and MRI are bound to play an increasingly relevant role in the diagnosis of PE.
Schutz K, Alecsandru D, Grimbacher B, Haddock J, Bruining A, Driessen G, De Vries E, Van Hagen PM, Hartmann I, Fraioli F, Milito C, Mitrevski M, Quinti I, Serra G, Kelleher P, Loebinger M, Litzman J, Postranecka V, Thon V, Babar J, Condliffe AM, Exley A, Kumararatne D, Screaton N, Jones A, Bondioni MP, Lougaris V, Plebani A, Soresina A, Sirignano C, Spadaro G, Galal N, Gonzalez-granado LI, Dettmer S, Stirling R, Chapel H, Lucas M, Patel S, Farber CM, Meyts I, Banerjee AK, Hackett S, Hurst JR, Warnatz K, Gathmann B, Weidemann J, Berthold D, Baumann U * Correction to: Imaging of Bronchial Pathology in Antibody Deficiency: Data from the European Chest CT Group(5 visite) J Clin Immunol (ISSN: 0271-9142linking), 2019 Feb; 39(2): 225-227. Impact Factor:2.654 DettagliEsporta in BibTeXEsporta in EndNote
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845 Records (771 escludendo Abstract e Conferenze). Impact factor totale: 2646.116 (2421.398 escludendo Abstract e Conferenze). Impact factor a 5 anni totale: 2852.565 (2591.593 escludendo Abstract e Conferenze).
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