Published October 2014 | Version v1
Journal article Metadata-only

Diagnostic strategies for suspected acute pulmonary embolism: Current status and future perspectives of pulmonary ventilation-perfusion scintigraphy

Creators

  • 1. EA3878 (GETBO) IFR 148, service de medecine nucleaire, universite europeenne de Bretagne, universite de Brest, CHRU de la Cavale-Blanche, boulevard Tanguy-Prigent, 29200 Brest (France)
  • 2. EA3878 (GETBO) IFR 148, service de radiologie, universite europeenne de Bretagne, universite de Brest, hopital d'instruction des Armees, rue Colonel-Fonferrier, 29200 Brest (France)
  • 3. Ottawa Hospital Research Institute, University of Ottawa, Ottawa (Canada)
  • 4. Inserm CIC 05-02 IFR148, departement de medecine interne et de pneumologie, universite europeenne de Bretagne, universite de Brest, CHRU de la Cavale-Blanche, boulevard Tanguy-Prigent, 29200 Brest (France)

Description

Diagnostic management of a patient with suspected acute pulmonary embolism is not based on a single and definitive test but on the application of integrated diagnostic strategies including clinical probability assessment, D-dimer, and imaging tests. Currently validated diagnostic algorithm use as cornerstone either computed tomography pulmonary angiography, or planar pulmonary ventilation-perfusion, each with advantages and drawbacks. Pulmonary single photon emission computed tomography provides interesting perspectives to position itself as an ideal alternative to these two diagnostic tests. However, the validation of a diagnostic strategy including pulmonary single photon emission computed tomography is still required. (authors)

Availability note (English)

Available from doi: http://dx.doi.org/10.1016/j.mednuc.2014.08.006

Abstract (French)

La prise en charge diagnostique d'un patient presentant une suspicion d'embolie pulmonaire ne repose pas sur la realisation d'un seul et unique examen, mais sur l'application de strategies diagnostiques, integrant la probabilite clinique, les D-dimeres et des examens d'imagerie. Les algorithmes diagnostiques valides a ce jour utilisent comme pierre angulaire l'angioscanner pulmonaire ou la scintigraphie pulmonaire planaire de ventilation-perfusion, chacun presentant des avantages et des inconvenients. La tomoscintigraphie pulmonaire offre des perspectives interessantes pour se positionner comme une alternative ideale a ces deux examens. La validation d'un algorithme diagnostique integrant la tomoscintigraphie demeure neanmoins necessaire. (auteurs)

Additional details

Additional titles

Original title (French)
Strategies diagnostiques devant une suspicion d'embolie pulmonaire aigue : place actuelle et perspectives de la scintigraphie pulmonaire de ventilation-perfusion

Identifiers

DOI
10.1016/j.mednuc.2014.08.006;

Publishing Information

Journal Title
Medecine Nucleaire. Imagerie Fonctionnelle et Metabolique
Journal Volume
38
Journal Issue
no.5
Journal Page Range
p. 275-282
ISSN
0928-1258
CODEN
MNIMEX

INIS

Country of Publication
France
Country of Input or Organization
France
INIS RN
53085737
Subject category
S62: RADIOLOGY AND NUCLEAR MEDICINE;
Descriptors DEI
ALGORITHMS; BIOMEDICAL RADIOGRAPHY; BLOOD VESSELS; DIMERS; PATIENTS; SCINTISCANNING; SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY
Descriptors DEC
BODY; CARDIOVASCULAR SYSTEM; COMPUTERIZED TOMOGRAPHY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; EMISSION COMPUTED TOMOGRAPHY; MATHEMATICAL LOGIC; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOISOTOPE SCANNING; RADIOLOGY; TOMOGRAPHY

Optional Information

Notes
47 refs.