Pulmonary thromboembolism: new diagnostic imaging techniques

Radiol Bras. 2018 May-Jun;51(3):178-186. doi: 10.1590/0100-3984.2017.0191.

Abstract

The accurate diagnosis of pulmonary thromboembolism is essential to reducing the morbidity and mortality associated with the disease. The diagnosis of pulmonary thromboembolism is challenging because of the nonspecific nature of the clinical profile and the risk factors. Imaging methods provide the definitive diagnosis. Currently, the imaging method most commonly used in the evaluation of pulmonary thromboembolism is computed tomography. The recent development of dual-energy computed tomography has provided a promising tool for the evaluation of pulmonary perfusion through iodine mapping. In this article, we will review the importance of diagnosing pulmonary thromboembolism, as well as the imaging methods employed, primarily dual-energy computed tomography.

Keywords: Computed tomography, dual-energy scanned projection; Pulmonary embolism; Tomography, X-ray computed/methods; Tomography, emission-computed/methods; Ventilation-perfusion ratio.