Quantification of thin-section CT lung attenuation in acute pulmonary embolism: Correlations with arterial blood gas levels and CT angiography

American Journal of Roentgenology

Volumn 186, Issue 5, 2006, Pages 1272-1279

  Matsuoka, Shin ^a   Kurihara, Yasuyuki ^a   Yagihashi, Kunihiro ^a   Niimi, Hiroshi ^a   Nakajima, Yasuo ^a  

^a ST MARIANNA UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

CT; CT angiography; Embolism; Lung

Indexed keywords

ADULT; AGED; ARTERIAL GAS; ARTICLE; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; FEMALE; HUMAN; HYPOXEMIA; LUNG ARTERY PRESSURE; LUNG EMBOLISM; MALE; PRIORITY JOURNAL; PULMONARY ARTERY OCCLUSION; ACUTE DISEASE; ANGIOGRAPHY; BLOOD; BLOOD GAS ANALYSIS; METHODOLOGY; MIDDLE AGED; PERIPHERAL OCCLUSIVE ARTERY DISEASE; RADIOGRAPHY; RETROSPECTIVE STUDY;

ACUTE DISEASE; ADULT; AGED; AGED, 80 AND OVER; ANGIOGRAPHY; ARTERIAL OCCLUSIVE DISEASES; BLOOD GAS ANALYSIS; FEMALE; HUMANS; MALE; MIDDLE AGED; PULMONARY EMBOLISM; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 33745578649     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.05.0047     Document Type: Article

References (36)

1. Qanadli SD, El Hajjam M, Vieillard-Baron A, et al. New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography. AJR 2001; 176:1415-1420
2. Bankier AA, Janata K, Fleischmann D, et al. Severity assessment of acute pulmonary embolism with spiral CT: evaluation of two modified angiographic scores and comparison with clinical data. J Thorac Imaging 1997; 12:150-158
3. Dantzker DR, Wagner PD, Tornabene VW, Alazraki NP, West JB. Gas exchange after pulmonary thromboembolization in dogs. Circ Res 1978; 42:92-103
4. Altemeier WA, Robertson HT, McKinney S, Glenny RW Pulmonary embolization causes hypoxemia by redistributing regional blood flow without changing ventilation. J Appl Physiol 1998; 85:2337-2343
5. Gurewich V, Thomas D, Stein M, Wessler S. Bronchoconstriction in the presence of pulmonary embolism. Circulation 1963; 27:339-345
6. Robinson AE, Puckett CL, Green JD, Silver D. In vivo demonstration of small-airway bronchoconstriction following pulmonary embolism. Radiology 1973; 109:283-286
7. Sasahara AA, Cannilla JE, Morse RL, Sidd JJ, Tremblay GM. Clinical and physiologic studies in pulmonary thromboembolism. Am J Cardiol 1967; 20:10-20
8. Hyers TM, Fowler AA, Wicks AB. Focal pulmonary edema after massive pulmonary embolism. Am Rev Respir Dis 1981; 123:232-233
9. Horvath G, Noma S, Moskowitz GW, Khan A, Balazs G, Herman PG. Experimental pulmonary infarction in a pig model. Invest Radiol 1992; 27:829-835
10. Dalen JE, Haffajee CI, Alpert III JS, Howe JP, Ockene IS, Paraskos JA. Pulmonary embolism, pulmonary hemorrhage and pulmonary infarction. N Engl J Med 1977; 296:1431-1435
11. Groell R, Peichel KH, Uggowitzer MM, Schmid F, Hartwagner K. Computed tomography densitometry of the lung: a method to assess perfusion defects in acute pulmonary embolism. Eur J Radiol 1999; 32:192-196
12. Geraghty JJ, Stanford W, Landas SK, Galvin JR. Ultrafast computed tomography in experimental pulmonary embolism. Invest Radiol 1992; 27:60-63
13. Screaton NJ, Coxson HO, Kalloger SE, et al. Detection of lung perfusion abnormalities using computed tomography in aporcine model of pulmonary embolism. J Thorac Imaging 2003; 18:14-20
14. Schoepf UJ, Bruening R, Konschitzky H, et al. Pulmonary embolism: comprehensive diagnosis by using electron-beam CT for detection of emboli and assessment of pulmonary blood flow. Radiology 2000; 217:693-700
15. Im JG, Choi YW, Kim HD, Jeong YK, Han MC. Thin-section CT findings of the lungs: experimentally induced bronchial and pulmonary artery obstruction in pigs. AJR 1996; 167:631-636
16. Herold CJ, Wetzel RC, Robotham JL, Herold SM, Zerhouni EA. Acute effects of increased intravascular volume and hypoxia on the pulmonary circulation: assessment with high-resolution CT. Radiology 1992; 183:655-662
17. Slutsky RA, Long S, Peck WW, Higgins CB, Mattrey R. Pulmonary density distribution in experimental noncardiac canine pulmonary edema evaluated by computed transmission tomography. Invest Radiol 1984; 19:168-173
18. Austin JH, Sagel SS. Alterations of airway caliber after pulmonary embolization in the dog. Invest Radiol 1972; 7:135-139
19. Santolicandro A, Prediletto R, Fornai E, et al. Mechanisms of hypoxemia and hypocapnia in pulmonary embolism. Am J Respir Crit Care Med 1995; 152:336-347
20. Manier G, Castaing Y, Guenard H. Determinants of hypoxemia during the acute phase of pulmonary embolism in humans. Am Rev Respir Dis 1985; 132:332-338
21. Huet Y, Lemaire F, Brun-Buisson C, et al. Hypoxemia in acute pulmonary embolism. Chest 1985; 88:829-836
22. Levy SE, Simmons DH. Mechanism of arterial hypoxemia following pulmonary thromboembolism in dogs. J Appl Physiol 1975; 39:41-46
23. Coche EE, Müller NL, Kim KI, Wiggs BR, Mayo JR. Acute pulmonary embolism: ancillary findings at spiral CT. Radiology 1998; 207:753-758
24. Shah AA, Davis SD, Gamsu G, Intriere L. Parenchymal and pleural findings in patients with and patients without acute pulmonary embolism detected at spiral CT. Radiology 1999; 211:147-153
25. Hartley PG, Galvin JR, Hunninghake GW, et al. High-resolution CT-derived measures of lung density are valid indexes of interstitial lung disease. J Appl Physiol 1994; 76:271-277
26. Best AC, Lynch AM, Bozic CM, Miller D, Grunwald GK, Lynch DA. Quantitative CT indexes in idiopathic pulmonary fibrosis: relationship with physiologic impairment. Radiology 2003; 228:407-414
27. ImageJ Web site. Available at: http://rsb.info.nih.gov/ ij/. Accessed February 13, 2006
28. Yang GZ, Chabat F, Hansell DM. Enhancement of subtle density differences of the lung parenchyma on CT. Br J Radiol 1998; 71:686-690
29. Adams H, Bernard MS, McConnochie K. An appraisal of CT pulmonary density mapping in normal subjects. Clin Radiol 1991; 43:238-242
30. Lindsey HE, Wyllie JH. Release of prostaglandins from embolized lungs. Br J Surg 1970; 57:738-741
31. Arakawa H, Kurihara Y, Sasaka K, Nakajima Y, Webb WR. Air trapping on CT of patients with pulmonary embolism. AJR 2002; 178:1201-1207
32. Grossman ZD, Thomas FD, Gagne G, et al. Transmission computed tomographic diagnosis of experimentally produced acute pulmonary vascular occlusion in the dog. Radiology 1979; 131:767-769
33. Johnson PT, Wechsler RJ, Salazar AM, Fisher AM, Nazarian LN, Steiner RM, Spiral CT of acute pulmonary thromboembolism: evaluation of pleuroparenchymal abnormalities. J Comput Assist Tomogr 1999; 23:369-373
34. Itti E, Nguyen S, Robin F, et al. Distribution of ventilation/perfusion ratios in pulmonary embolism: an adjunct to the interpretation of ventilation/perfusion lung scans. J Nucl Med 2002; 43:1596-1602
35. Delcroix M, Melot C, Vanderhoeft P, Naeije R. Embolus size affects gas exchange in canine autologous blood clot pulmonary embolism. J Appl Physlol 1993; 74:1140-1148
36. Thurlbeck WM, Müller NL. Emphysema: definition, imaging, quantification. AJR 1994; 163:1017-1025