Children suspected of having pulmonary embolism: Multidetector CT pulmonary angiography - Thromboembolic risk factors and implications for appropriate use

Radiology

Volumn 262, Issue 1, 2012, Pages 242-251

  Lee, Edward Y ^a   Tse, Sunny K S ^b   Zurakowski, David ^a   Johnson, Victor M ^a   Lee, Nam Ju ^c   Tracy, Donald A ^a   Boiselle, Phillip M ^d  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b QUEEN ELIZABETH HOSPITAL   (Hong Kong)

^c TUFTS MEDICAL CENTER   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

D DIMER; ESTROGEN;

ADOLESCENT; ARTICLE; CAUSE OF DEATH; CENTRAL VENOUS CATHETER; CLINICAL ARTICLE; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; FEMALE; HUMAN; HYPERCOAGULABILITY; IMMOBILIZATION; INDWELLING CATHETER; LUNG ANGIOGRAPHY; LUNG EMBOLISM; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PREDICTION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SENSITIVITY AND SPECIFICITY; THROMBOEMBOLISM;

ADOLESCENT; ANGIOGRAPHY; CHILD; CHILD, PRESCHOOL; CONTRAST MEDIA; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; INFANT; IOPAMIDOL; LOGISTIC MODELS; MALE; PULMONARY EMBOLISM; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84455179106     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.11111056     Document Type: Article

References (34)

1. Henzler T, Barraza JM Jr, Nance JW Jr, et al. CT imaging of acute pulmonary embolism. J Cardiovasc Comput Tomogr 2011;5(1):3-11.
2. Sanchez O, Planquette B, Meyer G. Update on acute pulmonary embolism. Eur Respir Rev 2009;18(113):137-147.
3. Byard RW, Cutz E. Sudden and unexpected death in infancy and childhood due to pulmonary thromboembolism: an autopsy study. Arch Pathol Lab Med 1990;114(2):142-144. (Pubitemid 20100704)
4. Buck JR, Connors RH, Coon WW, Weintraub WH, Wesley JR, Coran AG. Pulmonary embolism in children. J Pediatr Surg 1981;16(3):385-391. (Pubitemid 11078685)
5. Tapson VF. Acute pulmonary embolism. N Engl J Med 2008;358(10):1037-1052.
6. Ritchie G, McGurk S, McCreath C, Graham C, Murchison JT. Prospective evaluation of unsuspected pulmonary embolism on contrast enhanced multidetector CT (MDCT) scanning. Thorax 2007;62(6):536-540. (Pubitemid 46910135)
7. Schoepf UJ. Pulmonary artery CTA. Tech Vasc Interv Radiol 2006;9(4):180-191. (Pubitemid 47259431)
8. Stein PD, Fowler SE, Goodman LR, et al. Multidetector computed tomography for acute pulmonary embolism. N Engl J Med 2006;354(22):2317-2327. (Pubitemid 43801277)
9. Patel S, Kazerooni EA, Cascade PN. Pulmonary embolism: optimization of small pulmonary artery visualization at multi-detector row CT. Radiology 2003;227(2):455-460. (Pubitemid 36514762)
10. Coche E, Verschuren F, Keyeux A, et al. Diagnosis of acute pulmonary embolism in outpatients: comparison of thin-collimation multi-detector row spiral CT and planar ventilation-perfusion scintigraphy. Radiology 2003;229(3):757-765. (Pubitemid 37467581)
11. Qanadli SD, Hajjam ME, Mesurolle B, et al. Pulmonary embolism detection: prospective evaluation of dual-section helical CT versus selective pulmonary arteriography in 157 patients. Radiology 2000;217(2):447-455.
12. Winer-Muram HT, Rydberg J, Johnson MS, et al. Suspected acute pulmonary embolism: evaluation with multi-detector row CT versus digital subtraction pulmonary arteriography. Radiology 2004;233(3):806-815.
13. Kritsaneepaiboon S, Lee EY, Zurakowski D, Strauss KJ, Boiselle PM. MDCT pulmonary angiography evaluation of pulmonary embolism in children. AJR Am J Roentgenol 2009;192(5):1246-1252.
14. Victoria T, Mong A, Altes T, et al. Evaluation of pulmonary embolism in a pediatric population with high clinical suspicion. Pediatr Radiol 2009;39(1):35-41.
15. Lee EY, Kritsaneepaiboon S, Zurakowski D, Arellano CM, Strauss KJ, Boiselle PM. Beyond the pulmonary arteries: alternative diagnoses in children with MDCT pulmonary angiography negative for pulmonary embolism. AJR Am J Roentgenol 2009;193(3):888-894.
16. Lee EY, Zurakowski D, Diperna S, d'Almeida Bastos M, Strauss KJ, Boiselle PM. Parenchymal and pleural abnormalities in children with and without pulmonary embolism at MDCT pulmonary angiography. Pediatr Radiol 2010;40(2):173-181.
17. Prabhu SP, Mahmood S, Sena L, Lee EY. MDCT evaluation of pulmonary embolism in children and young adults following a lateral tunnel Fontan procedure: optimizing contrast-enhancement techniques. Pediatr Radiol 2009;39(9):938-944.
18. Lee EY, Zurakowski D, Boiselle PM. Pulmonary embolism in pediatric patients: survey of CT pulmonary angiography practices and policies. Acad Radiol 2010;17(12):1543-1549.
19. Mamlouk MD, vanSonnenberg E, Gosalia R, et al. Pulmonary embolism at CT angiography: implications for appropriateness, cost, and radiation exposure in 2003 patients. Radiology 2010;256(2):625-632.
20. Lee EY, Zucker EJ, Tsai J, et al. Multidetector CT pulmonary angiography: value of multiplanar reformation images in detecting pulmonary embolism in children. AJR Am J Roentgenol(in press).
21. Babyn PS, Gahunia HK, Massicotte P. Pulmonary thromboembolism in children. Pediatr Radiol 2005;35(3):258-274. (Pubitemid 40425049)
22. Lee EY, Kritsaneepaiboon S, Arellano CM, Grace RF, Zurakowski D, Boiselle PM. Unsuspected pulmonary emboli in pediatric oncology patients: detection with MDCT. AJR Am J Roentgenol 2010;194(5):1216-1222.
23. Hosmer DW, Lemeshow S. Assessing the fit of the model. In: Applied logistic regression. 2nd ed. New York, NY: Wiley, 2000;143-202.
24. Katz MH. Interpreting a result that is not statistically significant. In: Multivariable analysis: a practical guide for clinicians and public health researchers. 3rd ed. New York, NY: Cambridge University Press, 2011; 140-161.
25. Harrell FE Jr. Binary logistic regression. In: Regression modeling strategies with applications to linear models, logistic regression, and survival analysis. New York, NY: Springer, 2001; 215-267.
26. Weinstein MC, Fineberg HV. The use of diagnostic information to revise probabilities. In: Clinical decision analysis. Philadelphia, Pa: Saunders, 1980; 75-130.
27. Pepe MS. The receiver operating characteristic curve. In: The statistical evaluation of medical tests for classification and prediction. New York, NY: Oxford University Press, 2003; 66-129.
28. Gupta RT, Kakarla RK, Kirshenbaum KJ, Tapson VF. D-dimers and efficacy of clinical risk estimation algorithms: sensitivity in evaluation of acute pulmonary embolism. AJR Am J Roentgenol 2009;193(2):425-430.
29. Frush DP. Radiation, CT, and children: the simple answer is... it's complicated. Radiology 2009;252(1):4-6.
30. Cohen MD. Pediatric CT radiation dose: how low can you go? AJR Am J Roentgenol 2009;192(5):1292-1303.
31. Linet MS, Kim KP, Rajaraman P. Children's exposure to diagnostic medical radiation and cancer risk: epidemiologic and dosimetric considerations. Pediatr Radiol 2009;39(Suppl 1):S4-S26.
32. Brody AS, Frush DP, Huda W, Brent RL; American Academy of Pediatrics Section on Radiology. Radiation risk to children from computed tomography. Pediatrics 2007;120(3):677-682. (Pubitemid 47358314)
33. Huda W. Radiation doses and risks in chest computed tomography examinations. Proc Am Thorac Soc 2007;4(4):316-320. (Pubitemid 47330863)
34. Strauss KJ, Goske MJ, Kaste SC, et al. Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients. AJR Am J Roentgenol 2010;194(4):868-873.