[논문]Contribution of V/Q SPECT to planar scintigraphy in the diagnosis of pulmonary embolism

Quirce, R.; Ibanez-Bravo, S.; Jimenez-Bonilla, J.; Martinez-Rodriguez, I.; Martinez-Amador, N.; Ortega-Nava, F.; Lavado-Perez, C.; Bravo-Ferrer, Z.; Carril, J.M.

doi:10.1016/j.remnie.2014.03.021

Contribution of V/Q SPECT to planar scintigraphy in the diagnosis of pulmonary embolism
Contribucion de la SPECT V/Q a la gammagrafia planar en el diagnostico del tromboembolismo pulmonar

Revista Española de medicina nuclear e imagen molecular, v.33 no.3, 2014년, pp.153 - 158

Quirce, R. , Ibanez-Bravo, S. , Jimenez-Bonilla, J. , Martinez-Rodriguez, I. , Martinez-Amador, N. , Ortega-Nava, F. , Lavado-Perez, C. , Bravo-Ferrer, Z. , Carril, J.M.

Abstract ▼ AI-Helper

Aim: To evaluate the feasibility of V/Q SPECT and analyze its contribution to planar V/Q lung scintigraphy in the diagnosis of pulmonary embolism (PE). Material and methods: A total of 109 patients with suspected PE showing Wells score>2 and elevated D-dimer were studied. The V/Q could not be completed in 7 patients, so they were excluded. Ventilation and perfusion scans were done using Technegas and 99mTc-MAA. Planar study included 8 projections on a 256x256 matrix and 128 projections on a 128x128 matrix were acquired for the SPECT study, applying an iterative method. Planar images were interpreted according to modified PIOPED criteria, and SPECT by the guidelines of the EANMMI. The results with both techniques were compared. Results: V/Q planar scintigraphy and SPECT could be performed in 102 patients. V/Q planar scintigraphy was considered ''diagnostic'' in 39 of the 102 patients, and ''non-diagnostic'' in 63. Of the 39 ''diagnostic'' studies, 31 were reported as high probability of PE and 8 as normal. Of the 63 ''non-diagnostic'', 26 corresponded to intermediate, 29 to low, and 8 to very low probability. The SPECT study was ''diagnostic'' in 97 and indeterminate in only 5. All patients with a high probability planar scintigraphy had a positive SPECT. In the 8 patients with a normal planar scintigraphy SPECT was negative in 5 and positive in 3. In the 63 patients with a ''non-diagnostic'' planar scintigraphy SPECT was ''diagnostic'' in 58 of them, positive in 17 and negative in 41. Conclusion: V/Q SPECT is a feasible technique as it was performed in 102 of the 109 patients who were enrolled in the study (94%). The addition of V/Q SPECT to planar V/Q decreases the number of ''non-diagnostic'' reports from 62% in planar scintigraphy to 4.9% in SPECT. Therefore, V/Q SPECT should be included in the diagnosis approach of PE due to its high diagnostic yield.

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참고문헌 (29)

N Engl J Med Tapson 358 1037 2008 10.1056/NEJMra072753 Acute pulmonary embolism

상세보기
Eur Heart J Torbicki 29 2276 2008 10.1093/eurheartj/ehn310 Guidelines on the diagnosis and management of acute pulmonary embolism

상세보기
JAMA Vreim 263 2753 1990 10.1001/jama.1990.03440200057023 Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED)

상세보기
BMJ Takach 346 1 2013 Diagnosis and management of pulmonary embolism
J Nucl Med Reinartz 45 1501 2004 Tomographic imaging in the diagnosis of pulmonary embolism: a comparison between V/Q lung scintigraphy in SPECT technique and multislice spiral CT

상세보기
J Nucl Med Stein 50 1999 2009 10.2967/jnumed.109.063958 SPECT in acute pulmonary embolism

상세보기
Nucl Med Commun Collart 23 1107 2002 10.1097/00006231-200211000-00011 Is a lung perfusion scan obtained by using single photon emission computed tomography able to improve the radionuclide diagnosis of pulmonary embolism?

상세보기
Nucl Med Commun Gutte 31 82 2010 10.1097/MNM.0b013e3283336747 Comparison of V/Q SPECT and planar V/Q lung scintigraphy in diagnosing acute pulmonary embolism

상세보기
J Nucl Med Meignan 43 648 2002 Lung ventilation/perfusion SPECT: the right technique for hard times
Nucl Med Commun Leblanc 28 667 2007 10.1097/MNM.0b013e32827a8e99 Prospective evaluation of the negative predictive value of V/Q SPECT using 99mTc-technegas

상세보기
Semin Nucl Med Roach 40 397 2010 10.1053/j.semnuclmed.2010.07.004 Transition from planar to SPECT V/Q scintigraphy: rationale, practicalities, and challenges

상세보기
J Nucl Med Gottschalk 34 1119 1993 Ventilation-perfusion scintigraphy in the PIOPED study. Part II. Evaluation of the scintigraphic criteria and interpretations
Eur J Nucl Med Mol Imaging Bajc 36 1356 2009 10.1007/s00259-009-1170-5 EANM guidelines for ventilation/perfusion scintigraphy

상세보기
AJR Sadigh 196 497 2011 10.2214/AJR.10.5830 Challenges, controversies, and hot topics in pulmonary embolism imaging

상세보기
Semin Nucl Med Onyedika 43 82 2013 10.1053/j.semnuclmed.2012.11.002 Pulmonary embolism: role of ventilation-perfusion scintigraphy

상세보기
Radiology Coche 229 757 2003 10.1148/radiol.2293020889 Diagnosis of acute pulmonary embolism in outpatients: comparison of thin collimation multi-detector row spiral CT and planar ventilation-perfusion scintigraphy

상세보기
Chest Stein 100 598 1991 10.1378/chest.100.3.598 Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease

상세보기
Am J Respir Crit Care Med Miniati 154 1387 1996 10.1164/ajrccm.154.5.8912753 Value of perfusion lung scan in the diagnosis of pulmonary embolism: results of the Prospective Investigative Study of Acute Pulmonary Embolism Diagnosis (PISA-PED)

상세보기
Am J Cardiol Stein 15 1316 2004 10.1016/j.amjcard.2004.02.022 Trends in the use of diagnostic imaging in patients hospitalized with acute pulmonary embolism

상세보기
Clin Physiol Funct Imaging Bajc 24 249 2004 10.1111/j.1475-097X.2004.00546.x Diagnostic evaluation of planar and tomographic ventilation/perfusion lung images in patients with suspected pulmonary emboli

상세보기
J Intern Med Bajc 264 379 2008 10.1111/j.1365-2796.2008.01980.x Ventilation/perfusion SPECT for diagnostic of pulmonary embolism in clinical practice

상세보기
Nuklearmedizin Lemb 40 179 2001 10.1055/s-0038-1625760 Pulmonary thromboembolism: a retrospective study on the examination of 991 patients by ventilation/perfusion SPECT using Technegas

상세보기
Semin Nucl Med Roach 40 455 2010 10.1053/j.semnuclmed.2010.07.005 SPECT/CT in V/Q scanning

상세보기
Semin Nucl Med Roach 38 441 2008 10.1053/j.semnuclmed.2008.06.002 Enhancing lung scintigraphy with single-photon emission computed tomography

상세보기
J Nucl Med Allied Sci Palla 32 27 1988 Detection of pulmonary perfusion defects by single photon emission computed tomography (SPECT)
Nuklearmedizin Reinartz 40 38 2001 10.1055/s-0038-1623990 Optimizing ventilation-perfusion lung scintigraphy: parting with planar imaging

상세보기
Ann Intern Med Hull 114 142 1991 10.7326/0003-4819-114-2-142 Low-probability lung scan findings: a need for change

상세보기
J Thorac Imaging Schluger 9 180 1994 10.1097/00005382-199422000-00013 Diagnosis of pulmonary embolism at a large teaching hospital

상세보기
Eur J Nucl Med Mol Imaging Bajc 40 1432 2013 10.1007/s00259-013-2425-8 Perfusion SPECT in patients with suspected pulmonary embolism

상세보기

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Contribution of V/Q SPECT to planar scintigraphy in the diagnosis of pulmonary embolism
Contribucion de la SPECT V/Q a la gammagrafia planar en el diagnostico del tromboembolismo pulmonar

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연합인증

Contribution of V/Q SPECT to planar scintigraphy in the diagnosis of pulmonary embolism Contribucion de la SPECT V/Q a la gammagrafia planar en el diagnostico del tromboembolismo pulmonar

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Contribution of V/Q SPECT to planar scintigraphy in the diagnosis of pulmonary embolism
Contribucion de la SPECT V/Q a la gammagrafia planar en el diagnostico del tromboembolismo pulmonar