Abstract
The diagnosis of pulmonary embolism (PE) relies on clinical assessment, D-dimer test and diagnostic imaging. Modern CT pulmonary angiography (CTPA), ventilation/perfusion single-photon emission computed tomography (SPECT) and SPECT/CT are rather equal in terms of sensitivity, specificity and inconclusive results for the diagnosis of PE, outper-forming planar lung scintigraphy. Furthermore, SPECT/CT and CTPA can both provide important information regarding differential diagnoses. Thus, the choice of primary diag-nostic modality relies on local expertise, availability and special circumstances like radiation dose, contraindications and the clinical urgency.
MeSH terms
-
Acute Disease
-
Computed Tomography Angiography / adverse effects
-
Computed Tomography Angiography / standards
-
Contraindications, Procedure
-
Fibrin Fibrinogen Degradation Products / metabolism
-
Humans
-
Pulmonary Embolism / blood
-
Pulmonary Embolism / diagnosis
-
Pulmonary Embolism / diagnostic imaging*
-
Radiation Dosage
-
Radionuclide Imaging / adverse effects
-
Radionuclide Imaging / standards
-
Sensitivity and Specificity
-
Single Photon Emission Computed Tomography Computed Tomography / adverse effects
-
Single Photon Emission Computed Tomography Computed Tomography / standards
-
Tomography, Emission-Computed, Single-Photon / adverse effects
-
Tomography, Emission-Computed, Single-Photon / standards
Substances
-
Fibrin Fibrinogen Degradation Products