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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

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Reid, John H. Coche, Emmanuel [UCL] Inoue, Tomio Kim, Edmund E. Dondi, Maurizio international atomic energy agency consultants group

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. 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. 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.

Document type Article de périodique (Journal article) – Journal Article, Review
Access type Accès restreint
Publication date 2009
Language Anglais
Journal information "European Journal of Nuclear Medicine and Molecular Imaging" - Vol. 36, no. 3, p. 505-21 (2009)
Peer reviewed yes
Publisher Springer (New York)
issn 1619-7070
e-issn 1619-7089
Publication status Publié
Affiliations UCL - Cliniques universitaires Saint-Luc
UCL - MD/RAIM - Département de radiologie et d'imagerie médicale
MESH Subject Tomography, X-Ray Computed - adverse effects - methods - trends ; Tomography, Emission-Computed, Single-Photon - methods ; Renal Insufficiency - complications ; Pulmonary Embolism - complications - diagnosis - radiography - radionuclide imaging ; Pregnancy Complications - radiography - radionuclide imaging ; Pregnancy ; Male ; Magnetic Resonance Imaging ; Humans ; Female ; Expert Testimony ; Contrast Media - adverse effects ; Angiography - methods
Keywords V/Q ; Pulmonary embolism ; MDCT ; CTPA
Links
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Bibliographic reference Reid, John H. ; Coche, Emmanuel ; Inoue, Tomio ; Kim, Edmund E. ; Dondi, Maurizio ; et. al. 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. In: European Journal of Nuclear Medicine and Molecular Imaging, Vol. 36, no. 3, p. 505-21 (2009)
Permanent URL http://hdl.handle.net/2078.1/35794