CT Angiography for Diagnosis of Pulmonary Embolism: State of the Art

Radiology

Volumn 230, Issue 2, 2004, Pages 329-337

  Schoepf, U Joseph ^a   Costello, Philip ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Computed tomography (CT), angiography; Computed tomography (CT), multidetector row; Embolism, pulmonary; Pulmonary arteries, CT; State of the Art

Indexed keywords

ADULT; AGED; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; FEMALE; HUMAN; LUNG ANGIOGRAPHY; LUNG CIRCULATION; LUNG EMBOLISM; MALE; OUTCOMES RESEARCH; PRIORITY JOURNAL; PULMONARY ARTERY; RADIATION DOSE DISTRIBUTION;

ADULT; AGED; ALGORITHMS; ANGIOGRAPHY; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; IMAGING, THREE-DIMENSIONAL; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PULMONARY ARTERY; PULMONARY EMBOLISM; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, SPIRAL COMPUTED;

EID: 1642458217     PISSN: 00338419     EISSN: None     Source Type: Journal    
DOI: 10.1148/radiol.2302021489     Document Type: Article

References (76)

1. Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med 2001; 135:98-107.
2. Kruip MJ, Slob MJ, Schijen JH, et al. Use of a clinical decision rule in combination with D-dimer concentration in diagnostic workup of patients with suspected pulmonary embolism: a prospective management study. Arch Intern Med 2002; 162:1631-1635.
3. Dunn KL, Wolf JP, Dorfman DM, Fitzpatrick P, Baker JL, Goldhaber SZ. Normal D-dimer levels in emergency department patients suspected of acute pulmonary embolism. J Am Coll Cardiol 2002; 40:1475-1478.
4. Brown MD, Rowe BH, Reeves MJ, et al. The accuracy of the enzyme-linked immunosorbent assay D-dimer test in the diagnosis of pulmonary embolism: a meta-analysis. Ann Emerg Med 2002; 40:133-144.
5. Schluger N, Henschke C, King T, et al. Diagnosis of pulmonary embolism at a large teaching hospital. J Thorac Imaging 1994; 9:180-184.
6. Khorasani R, Gudas TF, Nikpoor N, Polak JF. Treatment of patients with suspected pulmonary embolism and intermediate-probability lung scans: is diagnostic imaging underused? AJR Am J Roentgenol 1997; 169:1355-1357.
7. Crawford T, Yoon C, Wolfson K, et al. The effect of imaging modality on patient management in the evaluation of pulmonary thromboembolism. J Thorac Imaging 2001; 16:163-169.
8. Prologo JD, Glauser J. Variable diagnostic approach to suspected pulmonary embolism in the ED of a major academic tertiary care center. Am J Emerg Med 2002; 20:5-9.
9. Stein PD, Athanasoulis C, Alavi A, et al. Complications and validity of pulmonary angiography in acute pulmonary embolus. Circulation 1992; 85:462-468.
10. Zuckerman DA, Sterling KM, Oser RF. Safety of pulmonary angiography in the 1990s. J Vasc Interv Radiol 1996; 7:199-205.
11. Diffin D, Leyendecker JR, Johnson SP, Zucker RJ, Grebe PJ. Effect of anatomic distribution of pulmonary emboli on interobserver agreement in the interpretation of pulmonary angiography. AJR Am J Roentgenol 1998; 171:1085-1089.
12. Stein PD, Henry JW, Gottschalk A. Reassessment of pulmonary angiography for the diagnosis of pulmonary embolism: relation of interpreter agreement to the order of the involved pulmonary arterial branch. Radiology 1999; 210:689-691.
13. Schibany N, Fleischmann D, Thallinger C, et al. Equipment availability and diagnostic strategies for suspected pulmonary embolism in Austria. Eur Radiol 2001; 11:2287-2294.
14. Leveau P. Diagnostic strategy in pulmonary embolism. National French survey. Presse Med 2002; 31:929-932.
15. Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). The PIOPED investigators. JAMA 1990; 263:2753-2759.
16. Blachere H, Latrabe V, Montaudon M, et al. Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionuclide lung scanning. AJR Am J Roentgenol 2000; 174:1041-1047.
17. Stein PD, Relyea B, Gottschalk A. Evaluation of individual criteria for low probability interpretation of ventilation-perfusion lung scans. J Nucl Med 1996; 37:577-581.
18. Stein PD, Gottschalk A. Review of criteria appropriate for a very low probability of pulmonary embolism on ventilation-perfusion lung scans: a position paper. Radiographics 2000; 20:99-105.
19. Palmer J, Bitzen U, Jonson B, Bajc M. Comprehensive ventilation/ perfusion SPECT. J Nucl Med 2001; 42:1288-1294.
20. Bajc M, Bitzen U, Olsson B, et al. Lung ventilation/perfusion SPECT in the artificially embolized pig. J Nucl Med 2002; 43:640-647.
21. Garg K, Welsh CH, Feyerabend AJ, et al. Pulmonary embolism: diagnosis with spiral CT and ventilation-perfusion scanning-correlation with pulmonary angiographic results or clinical outcome. Radiology 1998; 208:201-208.
22. Meaney J, Weg JG, Chenevert TL, Stafford-Johnson D, Hamilton BH, Prince MR. Diagnosis of pulmonary embolism with magnetic resonance angiography. N Engl J Med 1997; 336:1422-1427.
23. Roberts DA, Gefter WB, Hirsch JA, et al. Pulmonary perfusion: respiratory-triggered three-dimensional MR imaging with arterial spin tagging-preliminary results in healthy volunteers. Radiology 1999; 212:890-895.
24. Gupta A, Frazer CK, Ferguson JM, et al. Acute pulmonary embolism: diagnosis with MR angiography. Radiology 1999; 210:353-359.
25. Oudkerk M, van Beek EJ, Wielopolski P, et al. Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 2002; 359:1643-1647.
26. Gurney JW. No fooling around: direct visualization of pulmonary embolism (editorial). Radiology 1993; 188:618-619.
27. Woodard PK. Pulmonary arteries must be seen before they can be assessed (editorial). Radiology 1997; 204:11-12.
28. Hull R, Raskob GE, Ginsberg JS, et al. A noninvasive strategy for the treatment of patients with suspected pulmonary embolism. Arch Intern Med 1994; 154:289-297.
29. van Rossum AB, Pattynama PM, Mallens WM, et al. Can helical CT replace scintigraphy in the diagnostic process in suspected pulmonary embolism? a retrolective-prolective cohort study focusing on total diagnostic yield. Eur Radiol 1998; 8:90-96.
30. van Rossum AB, van Erkel AR, van Persijn van Meerten EL, Ton ER, Rebergen SA, Pattynama PM. Accuracy of helical CT for acute pulmonary embolism: ROC analysis of observer performance related to clinical experience. Eur Radiol 1998; 8:1160-1164.
31. van Erkel AR, van Rossum AB, Bloem JL, Kievit J, Pattynama PN. Spiral CT angiography for suspected pulmonary embolism: a cost-effectiveness analysis. Radiology 1996; 201:29-36.
32. Groell R, Peichel KH, Uggowitzer MM, et al. Computed tomography densitometry of the lung: a method to assess perfusion defects in acute pulmonary embolism. Eur J Radiol 1999; 32:192-196.
33. Schoepf U, Bruening R, Konschitzky H, et al. Pulmonary embolism: comprehensive diagnosis using electron-beam computed tomography for detection of emboli and assessment of pulmonary blood flow. Radiology 2000; 217:693-700.
34. Wildberger JE, Niethammer MU, Klotz E, et al. Multi-slice CT for visualization of pulmonary embolism using perfusion weighted color maps. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 2001; 173:289-294.
35. Remy-Jardin M, Remy J, Wattinne L, Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique-comparison with pulmonary angiography. Radiology 1992; 185:381-387.
36. Teigen CL, Maus TP, Sheedy PF 2nd, et al. Pulmonary embolism: diagnosis with contrast-enhanced electron-beam CT and comparison with pulmonary angiography. Radiology 1995; 194:313-319.
37. Goodman LR, Curtin JJ, Mewissen MW, et al. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. AJR Am J Roentgenol 1995; 164:1369-1374.
38. Remy-Jardin M, Remy J, Deschildre F, et al. Diagnosis of pulmonary embolism with spiral CT: comparison with pulmonary angiography and scintigraphy. Radiology 1996; 200:699-706.
39. Remy-Jardin M, Remy J, Artaud D, et al. Peripheral pulmonary arteries: optimization of the spiral CT acquisition protocol. Radiology 1997; 204:157-163.
40. Qanadli SD, Hajjam ME, Mesurolle B, et al. Pulmonary embolism detection: prospective evaluation of dual-detector row helical CT versus selective pulmonary arteriography in 157 patients. Radiology 2000; 217:447-455.
41. Schoepf UJ, Helmberger T, Holzknecht N, et al. Segmental and subsegmental pulmonary arteries: evaluation with electron-beam versus spiral CT. Radiology 2000; 214:433-439.
42. McCollough CH, Zink FE. Performance evaluation of a multi-slice CT system. Med Phys 1999; 26:2223-2230.
43. Hu H, He HD, Foley WD, Fox SH. Four multidetector-row helical CT: image quality and volume coverage speed. Radiology 2000; 215:55-62.
44. Remy-Jardin M, Tillie-Leblond I, Szapiro D, et al. CT angiography of pulmonary embolism in patients with underlying respiratory disease: impact of multislice CT on image quality and negative predictive value. Eur Radiol 2002; 12:1971-1978.
45. Remy-Jardin M, Remy J, Cauvain O, et al. Diagnosis of central pulmonary embolism with helical CT: role of two-dimensional multiplanar reformations. AJR Am J Roentgenol 1995; 165:1131-1138.
46. Ghaye B, Szapiro D, Mastora I, et al. Peripheral pulmonary arteries: how far in the lung does multi-detector row spiral CT allow analysis? Radiology 2001; 219:629-636.
47. Schoepf U, Holzknecht N, Helmberger TK, et al. Subsegmental pulmonary emboli: improved detection with thin-collimation multi-detector row spiral CT. Radiology 2002; 222:483-490.
48. Baile E, King GG, Muller NL, et al. Spiral computed tomography is comparable to angiography for the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 2000; 161:1010-1015.
49. Gottschalk A, Stein PD, Goodman LR, Sostman HD. Overview of prospective investigation of pulmonary embolism diagnosis II. Semin Nucl Med 2002; 32:173-182.
50. Oser RF, Zuckerman DA, Gutierrez FR, Brink JA. Anatomic distribution of pulmonary emboli at pulmonary angiography: implications for cross sectional imaging. Radiology 1996; 199:31-35.
51. Tetalman MR, Hoffer PB, Heck LL, Kunzmann A, Gottschalk A. Perfusion lung scan in normal volunteers. Radiology 1973; 106:593-594.
52. Novelline R, Baltarowich O, Athanasoulis C, Greenfield A, McKusick K. The clinical course of patients with suspected pulmonary embolism and a negative pulmonary angiogram. Radiology 1978; 126:561-567.
53. Goodman LR, Lipchik RJ, Kuzo RS, et al. Subsequent pulmonary embolism: risk after a negative helical CT pulmonary angiogram-prospective comparison with scintigraphy. Radiology 2000; 215:535-542.
54. Patriquin L, Khorasani R, Polak JF. Correlation of diagnostic imaging and subsequent autopsy findings in patients with pulmonary embolism. AJR Am J Roentgenol 1998; 171:347-349.
55. Garg K, Sieler H, Welsh CH, et al. Clinical validity of helical CT being interpreted as negative for pulmonary embolism: implications for patient treatment. AJR Am J Roentgenol 1999; 172:1627-1631.
56. Gottsater A, Berg A, Centergard J, et al. Clinically suspected pulmonary embolism: is it safe to withhold anticoagulation after a negative spiral CT? Eur Radiol 2001; 11:65-72.
57. Ost D, Rozenshtein A, Saffran L, Snider A. The negative predictive value of spiral computed tomography for the diagnosis of pulmonary embolism in patients with nondiagnostic ventilation-perfusion scans. Am J Med 2001; 110:16-21.
58. Tillie-Leblond I, Mastora I, Radenne F, et al. Risk of pulmonary embolism after a negative spiral CT angiogram in patients with pulmonary disease: 1-year clinical follow-up study. Radiology 2002; 223:461-467.
59. Swensen SJ, Sheedy PF 2nd, Ryu JH, et al. Outcomes after withholding anticoagulation from patients with suspected acute pulmonary embolism and negative computed tomographic findings: a cohort study. Mayo Clin Proc 2002; 77:130-138.
60. Kirchner J, Kickuth R, Laufer U, et al. Optimized enhancement in helical CT: experiences with a real-time bolus tracking system in 628 patients. Clin Radiol 2000; 55:368-373.
61. Hopper KD, Mosher TJ, Kasales CJ, et al. Thoracic spiral CT: delivery of contrast material pushed with injectable saline solution in a power injector. Radiology 1997; 205:269-271.
62. Haage P, Schmitz-Rode T, Hubner D, et al. Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax. AJR Am J Roentgenol 2000; 174:1049-1053.
63. Bae K, Heiken JP, Brink JA. Aortic and hepatic peak enhancement at CT: effect of contrast medium injection rate-pharmacokinetic analysis and experimental porcine model. Radiology 1998; 206:455-464.
64. Fleischmann D, Rubin GD, Bankier AA, Hittmair K. Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 2000; 214:363-371.
65. Schoepf UJ, Becker CR, Bruening RD, et al. Electrocardiographically gated thin-section CT of the lung. Radiology 1999; 212:649-654.
66. Flohr T, Prokop M, Becker C, et al. A retrospectively ECG-gated multislice spiral CT scan and reconstruction technique with suppression of heart pulsation artifacts for cardio-thoracic imaging with extended volume coverage. Eur Radiol 2002; 12:1497-1503.
67. Schoepf U, Bruening RD, Hong C, et al. Multislice helical CT imaging of focal and diffuse lung disease: comprehensive diagnosis with reconstruction of contiguous and high-resolution CT sections from a single thin-collimation scan. AJR Am J Roentgenol 2001; 177:179-184.
68. Flohr T, Stierstorfer K, Bruder H, et al. New technical developments in multislice CT. 1. Approaching isotropic resolution with sub-millimeter 16-slice scanning. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 2002; 174:839-845.
69. Kalender WA, Wolf H, Suess C, et al. Dose reduction in CT by on-line tube current control: principles and validation on phantoms and cadavers. Eur Radiol 1999; 9:323-328.
70. Gies M, Kalender WA, Wolf H, Suess C. Dose reduction in CT by anatomically adapted tube current modulation. I. Simulation studies. Med Phys 1999; 26:2235-2247.
71. Kalender WA, Wolf H, Suess C. Dose reduction in CT by anatomically adapted tube current modulation. II. Phantom measurements. Med Phys 1999; 26:2248-2253.
72. Greess H, Nomayr A, Wolf H, et al. Dose reduction in CT examination of children by an attenuation-based on-line modulation of tube current (CARE dose). Eur Radiol 2002; 12:1571-1576.
73. Wildberger JE, Mahnken AH, Schmitz-Rode T, et al. Individually adapted examination protocols for reduction of radiation exposure in chest CT. Invest Radiol 2001; 36:604-611.
74. Remy J, Remy-Jardin M, Artaud D, Fribourg M. Multiplanar and three-dimensional reconstruction techniques in CT: impact on chest diseases. Eur Radiol 1998; 8:335-351.
75. Gruden JF, Ouanounou S, Tigges S, et al. Incremental benefit of maximum-intensity-projection images on observer detection of small pulmonary nodules revealed by multidetector CT. AJR Am J Roentgenol 2002; 179:149-157.
76. Schoepf UJ, Das M, Schneider AC, Anderson A, Wood SA, Costello P. Computer aided detection (CAD) of segmental and subsegmental pulmonary emboli on 1-mm multidetector-row CT (MDCT) studies (abstr). Radiology 2002; 225(P):384.