Procedure guideline for lung scintigraphy: 1.0

Journal of Nuclear Medicine

Volumn 37, Issue 11, 1996, Pages 1906-1910

  Parker, J Anthony ^b   Coleman, R Edward ^b   Siegel, Barry A ^b   Sostman, H Dirk ^b   McKusick, Kenneth A ^b   Royal, Henry D ^b   Wilson, Joanna ^a  

^a Society of Nuclear Medicine   (United States)

^b NONE

Author keywords

lung scintigraphy; practice guidelines; pulmonary embolism

Indexed keywords

KRYPTON 81M; MACROSALB TC 99M; PENTETATE TECHNETIUM TC 99M; RADIOPHARMACEUTICAL AGENT; RUBIDIUM 81; XENON 133;

AEROSOL; ARTICLE; COLLIMATOR; DIAGNOSTIC ACCURACY; DOSIMETRY; HEART RIGHT LEFT SHUNT; HUMAN; IMAGE QUALITY; INHALATIONAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; LUNG BLOOD FLOW; LUNG EMBOLISM; LUNG SCINTISCANNING; LUNG VENTILATION; NEBULIZER; PRACTICE GUIDELINE; PRIORITY JOURNAL; THORAX RADIOGRAPHY;

ADULT; CHILD; CHILD, PRESCHOOL; HUMANS; LUNG; PULMONARY EMBOLISM; RADIONUCLIDE IMAGING;

EID: 0029864541     PISSN: 01615505     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (8)

1. PIOPED Investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA 1990;263:2753-2759. The PIOPED criteria for interpretation of lung scintigraphy (see IV.H.1) were tested prospectively.
2. Gottschalk A, Sostman HD, Coleman RE, et al. Ventilation-perfusion scintigraphy in the PIOPED study. Part II. Evaluation of the scintigraphic criteria and interpretations. J Nucl Med 1993;34:1119-1126. The PIOPED database was reviewed retrospectively and modified PIOPED criteria were developed.
3. Sostman HD, Coleman RE, DeLong DM, et al. Evaluation of revised criteria for ventilation-perfusion scintigraphy in patients with suspected pulmonary embolism. Radiology 1994;193:103-107. The revised PIOPED criteria were tested prospectively. The gestalt interpretation of lung scintigraphy by experienced observers outperformed both the PIOPED and modified PIOPED criteria.
4. Lee ME, Biello DR, Kumar B, et al. "Low-probability" ventilation perfusion scintigrams: clinical outcomes in 99 patients. Radiology 1985;156:497-500. Smith R, Maher JM, Miller RI, et al. Clinical outcomes of patients with suspected pulmonary embolism and low-probability aerosol-perfusion scintigrams. Radiology 1987;164:731-733.
5. Lee ME, Biello DR, Kumar B, et al. "Low-probability" ventilation perfusion scintigrams: clinical outcomes in 99 patients. Radiology 1985;156:497-500. Smith R, Maher JM, Miller RI, et al. Clinical outcomes of patients with suspected pulmonary embolism and low-probability aerosol-perfusion scintigrams. Radiology 1987;164:731-733.
6. Kahn D, Bushnell DL, Dean R, et al. Clinical outcome of patients with a "low probability" of pulmonary embolism on ventilation-perfusion lung scan. Arch Intern Med 1989;149:377-379. Patients without documented thromboembolic disease who have low likelihood results from their lung scintigraphy have little thromboembolic disease in follow-up.
7. Tourassi GD, Floyd CE, Sostman HD, et al. Acute pulmonary embolism: Artificial neural network approach for diagnosis. Radiology 1993;189:555-558. Neural network analysis of reader derived parameters outperformed readers in diagnosis of pulmonary embolism.
8. Worsley DF, Alavi A. Comprehensive analysis of the results of the PIOPED study. J Nucl Med 1995;36:2380-2387. Other findings such as the "stripe sign" may assist in the diagnosis in some patients.