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Multidetector-Row CT Angiography of the Pulmonary Circulation

  • U. J. Schoepf
  • J. M. Martensen
  • P. Costello
Part of the Medical Radiology book series (MEDRAD)

Keywords

Pulmonary Embolism Compute Tomography Angiography Spiral Compute Tomography Helical Compute Tomography Pulmonary Angiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bae K, Heiken JP, Brink JA (1998) Aortic and hepatic peak enhancement at CT: effect of contrast medium injection rate — pharmacokinetic analysis and experimental porcine model. Radiology 206: 455–464PubMedGoogle Scholar
  2. Baile E, King GG, Muller NL, D’Yachkova Y, Coche EE, Pare PD, Mayo JR (2000) Spiral computed tomography is comparable to angiography for the diagnosis of pulmonary embolism. Am J Respir Crit Care Med 161: 1010–1015PubMedGoogle Scholar
  3. Bajc M, Bitzen U, Olsson B et al. (2002) Lung ventilation/perfusion SPECT in the artificially embolized pig. J Nucl Med 43: 640–647PubMedGoogle Scholar
  4. Blachere H, Latrabe V, Montaudon M et al. (2000) Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionuclide lung scanning. Am J Roentgenol 174: 1041–1047Google Scholar
  5. Boushy SF, North LB, Trics JA (1969) The bronchial arteries in chronic obstructive pulmonary disease. Am J Med 46: 506–515PubMedCrossRefGoogle Scholar
  6. Brown MD, Rowe BH, Reeves MJ et al. (2002) The accuracy of the enzyme-linked immunosorbent assay D-dimer test in the diagnosis of pulmonary embolism: a meta-analysis. Ann Emerg Med 40: 133–144PubMedGoogle Scholar
  7. Crawford T, Yoon C, Wolfson K et al. (2001) The effect of imaging modality on patient management in the evaluation of pulmonary thromboembolism. J Thorac Imaging 16: 163–169PubMedCrossRefGoogle Scholar
  8. Crocco JA, Rooney JJ, Fankushen DS, DiBenedetto RJ, Lyons HA (1968) Massive hemoptysis. Arch Intern Med 121: 495–498PubMedCrossRefGoogle Scholar
  9. Diffin D, Leyendecker JR, Johnson SP, Zucker RJ, Grebe PJ (1998) Effect of anatomic distribution of pulmonary emboli on interobserver agreement in the interpretation of pulmonary angiography. Am J Roentgenol 171: 1085–1089Google Scholar
  10. Dunn KL, Wolf JP, Dorfman DM et al. (2002) Normal D-dimer levels in emergency department patients suspected of acute pulmonary embolism. J Am Coll Cardiol 40: 1475PubMedCrossRefGoogle Scholar
  11. Ellis K (1991) Developmental abnormalities in the systemic blood supply to the lungs. Am J Roentgenol 156: 669–679Google Scholar
  12. Fleischmann D, Rubin GD, Bankier AA, Hittmair K (2000) Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 214: 363–371PubMedGoogle Scholar
  13. Flohr T, Prokop M, Becker C et al. (2002a) A retrospectively ECG-gated multislice spiral CT scan and reconstruction technique with suppression of heart pulsation artifacts for cardio-thoracic imaging with extended volume coverage. Eur Radiol 12:1497–1503PubMedGoogle Scholar
  14. Flohr T, Stierstorfer K, Bruder H et al. (2002b) New technical developments in multislice CT. Part 1. Approaching isotropic resolution with sub-millimeter 16-slice scanning. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174: 839–845PubMedGoogle Scholar
  15. Frazier AA, Galvin JR, Franks TJ, Rosado-De-Christenson ML (2000) From the archives of the AFIP: pulmonary vasculature: hypertension and infarction. Radiographics 20:491–524; 530-531, 532PubMedGoogle Scholar
  16. Garg K, Welsh CH, Feyerabend AJ et al. (1998) Pulmonary embolism: diagnosis with spiral CT and ventilation-perfusion scanning — correlation with pulmonary angiographic results or clinical outcome. Radiology 208:201–208PubMedGoogle Scholar
  17. Garg K, Sieler H, Welsh CH et al. (1999) Clinical validity of helical CT being interpreted as negative for pulmonary embolism: implications for patient treatment. Am J Roentgenol 172:1627–1631Google Scholar
  18. Ghaye B, Szapiro D, Mastora I et al. (2001) Peripheral pulmonary arteries: How far in the lung does multi-detector row spiral CT allow analysis? Radiology 219:629–636PubMedGoogle Scholar
  19. Gies M, Kalender WA, Wolf H, Suess C (1999) Dose reduction in CT by anatomically adapted tube current modulation. I. Simulation studies. Med Phys 26:2235–2247PubMedCrossRefGoogle Scholar
  20. Goodman LR, Curtin JJ, Mewissen MW et al. (1995) Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. Am J Roentgenol 164:1369–1374Google Scholar
  21. Goodman LR, Lipchik RJ, Kuzo RS et al. (2000) Subsequent pulmonary embolism: risk after a negative helical CT pulmonary angiogram — prospective comparison with scintigraphy. Radiology 215:535–542PubMedGoogle Scholar
  22. Gottsater A, Berg A, Centergard J et al. (2001) Clinically suspected pulmonary embolism: Is it safe to withhold anticoagulation after a negative spiral CT? Eur Radiol 11:65–72PubMedGoogle Scholar
  23. Gottschalk A, Stein PD, Goodman LR, Sostman HD (2002) Overview of prospective investigation of pulmonary embolism diagnosis II. Semin Nucl Med 32:173–182PubMedGoogle Scholar
  24. Greess H, Nomayr A, Wolf H et al. (2002) Dose reduction in CT examination of children by an attenuation-based online modulation of tube current (CARE Dose). Eur Radiol 12:1571–1576PubMedCrossRefGoogle Scholar
  25. Groell R, Peichel KH, Uggowitzer MM et al. (1999) Computed tomography densitometry of the lung: a method to assess perfusion defects in acute pulmonary embolism. Eur J Radiol 32:192–196PubMedCrossRefGoogle Scholar
  26. Gruden JF, Ouanounou S, Tigges S et al. (2002) Incremental benefit of maximum-intensity-projection images on observer detection of small pulmonary nodules revealed by multidetector CT. Am J Roentgenol 179:149–157Google Scholar
  27. Gupta A, Frazer CK, Ferguson JM et al. (1999) Acute pulmonary embolism: diagnosis with MR angiography. Radiology 210:353–359PubMedGoogle Scholar
  28. Gurney JW (1993) No fooling around: direct visualization of pulmonary embolism. Radiology 188:618–619PubMedGoogle Scholar
  29. Haage P, Schmitz-Rode T, Hubner D et al. (2000) Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax. Am J Roentgenol 174:1049–1053Google Scholar
  30. Hopper KD, Mosher TJ, Kasales CJ et al. (1997) Thoracic spiral CT: delivery of contrast material pushed with injectable saline solution in a power injector. Radiology 205:269–271PubMedGoogle Scholar
  31. Hu H, He HD, Foley WD, Fox SH (2000) RFour multidetector-row helical CT: image quality and volume coverage speed (in process citation). Radiology 215:55–62PubMedGoogle Scholar
  32. Hull R, Raskob GE, Ginsberg JS, Panju AA, Brill-Edwards P, Coates G, Pineo GF (1994) A noninvasive strategy for the treatment of patients with suspected pulmonary embolism. Arch Intern Med 154:289–297PubMedCrossRefGoogle Scholar
  33. Kalender WA, Wolf H, Sues C et al. (1999a) Dose reduction in CT by on-line tub current control: principles and validation on phantoms and cadavers. Eur Radiol 9:323–328PubMedGoogle Scholar
  34. Kalender WA, Wolf H, Suess C (1999b) Dose reduction in CT by anatomically adapted tube current modulation. II. Phantom measurements. Med Phys 26:2248–2253PubMedCrossRefGoogle Scholar
  35. Kauczor HL, Schwickert HC, Mayer E, Schweden F, Schild HH, Thelen M (1994) Spiral CT of bronchial arteries in chronic thromboembolism. J Comput Assist Tomogr 18:855–861PubMedGoogle Scholar
  36. Khanavker B, Stern P, Alberti W, Nakhosteen JA (1991) Complications associated with brachytherapy alone or with laser in lung cancer. Chest 99:1062–1065Google Scholar
  37. Khorasani R, Gudas TF, Nikpoor N, Polak JF (1997) Treatment of patients with suspected pulmonary embolism and intermediate-probability lung scans: Is diagnostic imaging underused? Am J Roentgenol 169:1355–1357Google Scholar
  38. Kirchner J, Kickuth R, Laufer U et al. (2000) Optimized enhancement in helical CT: experiences with a real-time bolus tracking system in 628 patients. Clin Radiol 55:368–373PubMedCrossRefGoogle Scholar
  39. Kruip MJ, Slob MJ, Schijen JH et al. (2002) Use of a clinical decision rule in combination with D-dimer concentration in diagnostic workup of patients with suspected pulmonary embolism: a prospective management study. Arch Intern Med 162:1631–1635PubMedCrossRefGoogle Scholar
  40. Lee KH, Yoon CS, Choe KO et al. (2001) Use of imaging for assessing anatomical relationships of tracheobronchial anomalies associated with left pulmonary artery sling. Pediatr Radiol 31:269–278PubMedGoogle Scholar
  41. Leveau P (2002) Diagnostic strategy in pulmonary embolism. National French survey. Presse Med 31:929–932PubMedGoogle Scholar
  42. McCollough CH, Zink FE (1999) Performance evaluation of a multi-slice CT system. Med Phys 26:2223–2230PubMedGoogle Scholar
  43. Meaney J, Weg JG, Chenevert TL, Stafford-Johnson D, Hamilton BH, Prince MR (1997) Diagnosis of pulmonary embolism with magnetic resonance angiography. N Engl J Med 336:1422–1427PubMedCrossRefGoogle Scholar
  44. Michelle LW, Peter S, Mark JH (2002) Percutaneous embolotherapy for life-threatening hemoptysis. Chest 121:95–102Google Scholar
  45. North LB, Boushy SF, Houk VN (1969) Bronchial and intercostal arteriography in nonneoplastic pulmonary disease. Am J Roentgenol 107:328–342Google Scholar
  46. Novelline R, Baltarowich O, Athanasoulis C, Greenfield A, McKusick K (1978) The clinical course of patients with suspected pulmonary embolism and a negative pulmonary angiogram. Radiology 126:561–567PubMedGoogle Scholar
  47. Oser RF, Zuckerman DA, Gutierrez FR, Brink JA (1996) Anatomic distribution of pulmonary emboli at pulmonary angiography: implications for cross sectional imaging. Radiology 199:31–35PubMedGoogle Scholar
  48. Ost D, Rozenshtein A, Saffran L, Snider A (2001) The negative predictive value of spiral computed tomography for the diagnosis of pulmonary embolism in patients with nondiagnostic ventilation-perfusion scans. Am J Med 110:16–21PubMedCrossRefGoogle Scholar
  49. Oudkerk M, van Beek EJ, Wielopolski P et al. (2002) Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 359:1643–1647PubMedCrossRefGoogle Scholar
  50. Palmer J, Bitzen U, Jonson B, Bajc M (2001) Comprehensive ventilation/perfusion SPECT. J Nucl Med 42:1288–1294PubMedGoogle Scholar
  51. Parish JM, Rosenow EC, 3rd, Swensen SJ, Crotty TB (1996) Pulmonary artery sarcoma. Clinical features. Chest 110: 1480–1488PubMedGoogle Scholar
  52. Patriquin L, Khorasani R, Polak JF (1998) Correlation of diagnostic imaging and subsequent autopsy findings in patients with pulmonary embolism. Am J Roentgenol 171:347–349Google Scholar
  53. PIOPED Investigators (1990) Value of the ventilation/perfusion scan in acute pulmonary embolism. J Am Med Assoc 95:498–502Google Scholar
  54. Prologo JD, Glauser J (2002) Variable diagnostic approach to suspected pulmonary embolism in the ED of a major academic tertiary care center. Am J Emerg Med 20:5–9PubMedCrossRefGoogle Scholar
  55. Qanadli SD, Hajjam ME, Mesurolle B et al. (2000) Pulmonary embolism detection: prospective evaluation of dual-section helical CT versus selective pulmonary arteriography in 157 patients. Radiology 217:447–455PubMedGoogle Scholar
  56. Remy J, Voisin C, Dupuis C et al. (1974) Treatment of hemoptysis by embolization of the systemic circulation. Ann Radiol (Paris) 17:5–16 in FrenchPubMedGoogle Scholar
  57. Remy J, Remy-Jardin M, Artaud D, Fribourg M (1998) Multi-planar and three-dimensional reconstruction techniques in CT: impact on chest diseases. Eur Radiol 8:335–351PubMedCrossRefGoogle Scholar
  58. Remy-Jardin M, Remy J (1999) Spiral CT angiography of the pulmonary circulation. Radiology 212:615–636PubMedGoogle Scholar
  59. Remy-Jardin M, Remy J, Wattinne L, Giraud F (1992) Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique — comparison with pulmonary angiography. Radiology 185:381–387PubMedGoogle Scholar
  60. Remy-Jardin M, Remy J, Cauvain O et al. (1995) Diagnosis of central pulmonary embolism with helical CT: role of two-dimensional multiplanar reformations. Am J Roentgenol 165:1131–1138Google Scholar
  61. Remy-Jardin M, Remy J, Deschildre F et al. (1996) Diagnosis of pulmonary embolism with spiral CT: comparison with pulmonary angiography and scintigraphy. Radiology 200:699–706PubMedGoogle Scholar
  62. Remy-Jardin M, Remy J, Artaud D et al. (1997) Peripheral pulmonary arteries: optimization of the spiral CT acquisition protocol (see comments). Radiology 204:157–163PubMedGoogle Scholar
  63. Remy-Jardin M, Tillie-Leblond I, Szapiro D et al. (2002) CT angiography of pulmonary embolism in patients with underlying respiratory disease: impact of multislice CT on image quality and negative predictive value. Eur Radiol 12:1971–1978PubMedGoogle Scholar
  64. Roberts DA, Gefter WB, Hirsch JA et al. (1999) Pulmonary perfusion: respiratory-triggered three-dimensional MR imaging with arterial spin tagging — preliminary results in healthy volunteers. Radiology 212:890–895PubMedGoogle Scholar
  65. Schibany N, Fleischmann D, Thallinger C et al. (2001) Equipment availability and diagnostic strategies for suspected pulmonary embolism in Austria. Eur Radiol 11:2287–2294PubMedGoogle Scholar
  66. Schluger N, Henschke C, King T et al. (1994) Diagnosis of pulmonary embolism at a large teaching hospital. J Thorac Imaging 9:180–184PubMedGoogle Scholar
  67. Schoepf UJ, Becker CR, Bruening RD et al. (1999) Electrocar-diographically gated thin-section CT of the lung. Radiology 212:649–654PubMedGoogle Scholar
  68. Schoepf UJ, Helmberger T, Holzknecht N et al. (2000a) Seg-mental and subsegmental pulmonary arteries: evaluation with electron-beam versus spiral CT. Radiology 214:433–439PubMedGoogle Scholar
  69. Schoepf U, Bruening R, Konschitzky H, Becker CR, Knez A, Weber J, Muehling O, Herzog P, Huber A, Haberl R, Reiser M (2000b) Pulmonary embolism: comprehensive diagnosis using electron-beam computed tomography for detection of emboli and assessment of pulmonary blood flow. Radiology 217:693–700PubMedGoogle Scholar
  70. Schoepf U, Bruening RD, Hong C, Eibel R, Aydemir S, Crispin A, Becker CR, Reiser MF (2001) Multislice helical CT imaging of focal and diffuse lung disease: comprehensive diagnosis with reconstruction of contiguous and high-resolution CT sections from a single thin-collimation scan. Am J Roentgenol 177:179–184Google Scholar
  71. Schoepf U, Das M, Schneider AC, Anderson A, Wood SA, Costello P (2002a) Computer aided detection (CAD) of segmental and subsegmental pulmonary emboli on 1-mm multidetector-row CT (MDCT) studies. Radiology 225 (Suppl):384Google Scholar
  72. Schoepf U, Holzknecht N, Helmberger TK, Crispin A, Hong C, Becker CR, Reiser MF (2002b) Subsegmental pulmonary emboli: improved detection with thin-collimation multidetector-row spiral CT. Radiology 222:483–490PubMedGoogle Scholar
  73. Shields TW (1993) Surgical therapy for carcomoma of the lung. Clin Chest Med 14:121–147PubMedGoogle Scholar
  74. Stein PD, Alavi A et al. (1992) Complications and validity of pulmonary angiography in acute pulmonary embolus. Circulation 85:462–468PubMedGoogle Scholar
  75. Stein PD, Gottschalk A (2000) Review of criteria appropriate for a very low probability of pulmonary embolism on ventilation-perfusion lung scans: a position paper. Radio-graphics 20:99–105Google Scholar
  76. Stein PD, Relyea B, Gottschalk A (1996) Evaluation of individual criteria for low probability interpretation of ventilation-perfusion lung scans. J Nucl Med 37:577–581PubMedGoogle Scholar
  77. Stein PD, Henry JW, Gottschalk A (1999) Reassessment of pulmonary angiography for the diagnosis of pulmonary embolism: relation of interpreter agreement to the order of the involved pulmonary arterial branch. Radiology 210:689–691PubMedGoogle Scholar
  78. Swanson KL, Prakash UB, Stanson AW (1999) Pulmonary arteriovenous fi stulas: Mayo Clinic experience 1982-1997. Mayo Clin Proc 74:671–680PubMedGoogle Scholar
  79. Swensen SJ, Sheedy PF II, Ryu JH et al. (2002) Outcomes after withholding anticoagulation from patients with suspected acute pulmonary embolism and negative computed tomographic fi ndings: a cohort study. Mayo Clin Proc 77:130–138PubMedCrossRefGoogle Scholar
  80. Teigen CL, Maus TP, Sheedy PF II, Stanson AW, Johnson CM, Breen JF, McKusick MA (1995) Pulmonary embolism: diagnosis with contrast-enhanced electron beam CT and comparison with pulmonary angiography. Radiology 194:313–319PubMedGoogle Scholar
  81. Tetalman MR, Hoffer PB, Heck LL, Kunzmann A, Gottschalk A (1973) Perfusion lung scan in normal volunteers. Radiology 106:593–594PubMedGoogle Scholar
  82. Tillie-Leblond I, Mastora I, Radenne F et al. (2002) Risk of pulmonary embolism after a negative spiral CT angiogram in patients with pulmonary disease: 1-year clinical follow-up study. Radiology 223:461–467PubMedGoogle Scholar
  83. Van Erkel AR, van Rossum AB, Bloem JL, Kievit J, Pattynama PNT (1996) Spiral CT angiography for suspected pulmonary embolism: a cost-effectiveness analysis. Radiology 201:29–36PubMedGoogle Scholar
  84. Van Rossum AB, Pattynama PM, Mallens WM et al. (1998) Can helical CT replace scintigraphy in the diagnostic process in suspected pulmonary embolism? A retrolective-prolective cohort study focusing on total diagnostic yield. Eur Radiol 8:90–96PubMedGoogle Scholar
  85. Van Rossum AB, van Erkel AR, van Persijn, van Meerten EL et al. (1998) Accuracy of helical CT for acute pulmonary embolism: ROC analysis of observer performance related to clinical experience. Eur Radiol 8:1160–1164PubMedGoogle Scholar
  86. Webb WR, Jacobs RP (1977) Transpleural abdominal systemic artery — pulmonary artery anastomosis in patients with chronic pulmonary infection. Am J Roentgenol 129:233–236Google Scholar
  87. Wells PS, Anderson DR, Rodger M et al. (2001) Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med 135:98–107PubMedGoogle Scholar
  88. Wildberger JE, Mahnken AH, Schmitz-Rode T et al. (2001a) Individually adapted examination protocols for reduction of radiation exposure in chest CT. Invest Radiol 36:604–611PubMedCrossRefGoogle Scholar
  89. Wildberger JE, Niethammer MU, Klotz E et al. (2001b) Multi-slice CT for visualization of pulmonary embolism using perfusion weighted color maps. Rofo Fortschr Geb Ront-genstr Neuen Bildgeb Verfahr 173:289–294Google Scholar
  90. Woodard PK (1997) Pulmonary arteries must be seen before they can be assessed. Radiology 204:11–12PubMedGoogle Scholar
  91. Yamada I, Shibuya H, Matsubara O et al. (1992) Pulmonary artery disease in Takayasu’s arteritis: angiographic fi ndings. Am J Roentgenol 159:63–269Google Scholar
  92. Zuckerman DA, Sterling KM, Oser RF (1996) Safety of pulmonary angiography in the 1990s. J Vasc Interv Radiol 7:199–205PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • U. J. Schoepf
    • 1
  • J. M. Martensen
    • 1
  • P. Costello
    • 1
  1. 1.Department of RadiologyBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA

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