European Journal of Nuclear Medicine and Molecular Imaging

, Volume 36, Issue 3, pp 505–521

Is the lung scan alive and well? Facts and controversies in defining the role of lung scintigraphy for the diagnosis of pulmonary embolism in the era of MDCT

  • John H. Reid
  • Emmanuel E. Coche
  • Tomio Inoue
  • Edmund E. Kim
  • Maurizio Dondi
  • Naoyuki Watanabe
  • Giuliano Mariani
  • International Atomic Energy Agency Consultants’ Group
Original Article

DOI: 10.1007/s00259-008-1014-8

Cite this article as:
Reid, J.H., Coche, E.E., Inoue, T. et al. Eur J Nucl Med Mol Imaging (2009) 36: 505. doi:10.1007/s00259-008-1014-8

Abstract

Purpose

The last decade has seen a changing pattern of utilization of multidetector CT (MDCT) versus lung perfusion scintigraphy in the investigation of pulmonary venous thromboembolism (VTE). In response to this the International Atomic Energy Agency (IAEA) determined that the subject required an overview.

Method

The IAEA has invited a group of five specialists in the relevant fields to review the current status and optimum role of scintigraphy, to explore some of the facts and controversies surrounding the use of both modalities and to make recommendations about the continued role of nuclear medicine for the investigation of pulmonary embolism. This paper identifies the relative merits of each technique, highlights benefits, focuses on complementary roles and seeks a nonadversarial symbiosis.

Conclusion

The consultants reached a consensus that the continued use of scintigraphy for diagnosis of thromboembolic disease is recommended, particularly in scenarios where scintigraphy confers specific benefits and is complementary to MDCT.

Keywords

V/QPulmonary embolismMDCTCTPA

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • John H. Reid
    • 1
  • Emmanuel E. Coche
    • 2
  • Tomio Inoue
    • 3
  • Edmund E. Kim
    • 4
  • Maurizio Dondi
    • 5
  • Naoyuki Watanabe
    • 5
  • Giuliano Mariani
    • 6
  • International Atomic Energy Agency Consultants’ Group
  1. 1.Department of RadiologyBorders General HospitalMelroseUK
  2. 2.Department of Medical ImagingCliniques Universitaires St-LucBrusselsBelgium
  3. 3.Department of RadiologyYokohama City University HospitalYokohamaJapan
  4. 4.Nuclear Medicine ServiceMD Anderson Cancer CenterHoustonUSA
  5. 5.International Atomic Energy AgencyViennaAustria
  6. 6.Regional Centre of Nuclear MedicineUniversity of Pisa Medical SchoolPisaItaly