Spiral CT for Pulmonary Embolism

Philip C. Goodman

doi:10.1055/s-2000-13188

Seminars in Respiratory and Critical Care Medicine, Table of Contents

Semin Respir Crit Care Med 2000; 21(6): 487-494
DOI: 10.1055/s-2000-13188

Spiral CT for Pulmonary Embolism

Philip C. Goodman

Department of Radiology, Duke University, Durham, North Carolina

Abstract

ABSTRACT

Radiologic imaging for pulmonary embolism has been problematic. Ventilation perfusion scanning is frequently inconclusive; pulmonary angiography has been traditionally underused. Now spiral computed tomographic (CT) angiography provides a readily available, noninvasive test for pulmonary embolism. The accuracy of this examination is exceedingly high, so it should become the first-line test for pulmonary embolism. Recent investigations reveal a high negative predictive value for spiral CT, further proving its value. In addition, spiral CT provides an alternative diagnosis in a high percentage of patients. This article reviews current literature regarding the sensitivity, specificity, reliability, consistency, and cost-effectiveness of spiral CT.

KEYWORD

Pulmonary embolism - spiral CT - radiology

Full Text

References

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