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The Use of Computed Tomography in the Diagnosis of Pulmonary Embolism 计算机断层扫描在肺栓塞诊断中的应用
Imaging decisions (Berlin, Germany) Pub Date : 2007-11-12 DOI: 10.1111/j.1617-0830.2007.00102.x
A. B. Donkers-van Rossum
{"title":"The Use of Computed Tomography in the Diagnosis of Pulmonary Embolism","authors":"A. B. Donkers-van Rossum","doi":"10.1111/j.1617-0830.2007.00102.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00102.x","url":null,"abstract":"<div>\u0000 \u0000 <p>Computed tomography (CT) has made its introduction in the diagnostic work-up for pulmonary embolism (PE) since 1992. Initially only larger thrombi could be visualized, gradually smaller thrombi were also found. This is mainly due to technical development in CT and the introduction of the multidetector CT. Today CT is an integral part of the diagnostic work-up for PE. In this article an overview is given from the literature from 1998 until 2006 about the performance of CT in the detection of PE, especially regarding the diagnostic accuracy and clinical value of CT in the diagnosis of PE.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 3","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00102.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109167935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis of Deep Vein Thrombosis and Pulmonary Embolism in Pregnancy and Postpartum: Should we Modify the Usual Diagnostic Strategy? 妊娠和产后深静脉血栓和肺栓塞的诊断:我们是否应该修改常规诊断策略?
Imaging decisions (Berlin, Germany) Pub Date : 2007-11-12 DOI: 10.1111/j.1617-0830.2007.00101.x
A. J. Van Loon, E. Stekkinger
{"title":"Diagnosis of Deep Vein Thrombosis and Pulmonary Embolism in Pregnancy and Postpartum: Should we Modify the Usual Diagnostic Strategy?","authors":"A. J. Van Loon,&nbsp;E. Stekkinger","doi":"10.1111/j.1617-0830.2007.00101.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00101.x","url":null,"abstract":"<div>\u0000 \u0000 <p>In pregnant and postpartum patients, the incidence of venous thromboembolism (VTE) is increased three to fivefold compared with non-pregnant women of the same age, and deep venous thrombosis (DVT) and pulmonary embolism (PE) are leading causes of maternal mortality during pregnancy and postpartum. Early and accurate diagnosis is essential as unnecessary anticoagulation is not without risk. However, the diagnosis of VTE among these women is complicated by difficulties in clinical diagnosis and the concerns regarding radiation exposure of the fetus. Many of the common diagnostic tests, including D-dimer, compression ultrasonography, ventilation-perfusion scintigraphy and helical computed tomography that have been extensively investigated in non-pregnant patients, have not been appropriately validated in pregnancy. This article will review the role of various diagnostic tests in case of suspected VTE in pregnancy and puerperium, and issues such as radiation risk are discussed. Recommendations for the use of D-dimer and imaging techniques in pregnant and postpartum patients with a clinically suspected DVT or PE are provided.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 3","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00101.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109167934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Role of D-Dimer in the Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism d -二聚体在深静脉血栓和肺栓塞诊断中的作用
Imaging decisions (Berlin, Germany) Pub Date : 2007-11-12 DOI: 10.1111/j.1617-0830.2007.00100.x
F. J. L. M. Haas, P. W. Kamphuisen
{"title":"The Role of D-Dimer in the Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism","authors":"F. J. L. M. Haas,&nbsp;P. W. Kamphuisen","doi":"10.1111/j.1617-0830.2007.00100.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00100.x","url":null,"abstract":"<div>\u0000 \u0000 <p>The use of the D-dimer concentration for the exclusion of venous thromboembolism (VTE) has been evaluated circumstantially in many clinical studies and meta-analyses with different kinds of assays and tests. The sensitivity and specificity depend upon the prevalence of the VTE in the patient population and this explains the variety of results of the different studies. With a combination of studies in meta-analyses, more reliable results and conclusions can be obtained. The quantitative assays have a higher sensitivity, but a lower specificity than the qualitative tests, but no assay or test is sensitive enough for a safe exclusion of VTE.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 3","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00100.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109167936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The New Guideline of the Dutch Institute for Health Care Improvement (CBO) on the Diagnosis of Venous Thromboembolism 荷兰卫生保健改善研究所(CBO)关于静脉血栓栓塞诊断的新指南
Imaging decisions (Berlin, Germany) Pub Date : 2007-11-12 DOI: 10.1111/j.1617-0830.2007.00099.x
P. W. Kamphuisen
{"title":"The New Guideline of the Dutch Institute for Health Care Improvement (CBO) on the Diagnosis of Venous Thromboembolism","authors":"P. W. Kamphuisen","doi":"10.1111/j.1617-0830.2007.00099.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00099.x","url":null,"abstract":"","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 3","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00099.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109170301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Integrated Diagnostic Approach of Patients with Suspected Pulmonary Embolism 疑似肺栓塞患者的综合诊断方法
Imaging decisions (Berlin, Germany) Pub Date : 2007-11-12 DOI: 10.1111/j.1617-0830.2007.00103.x
R. Karami Djurabi, F. A. Klok, M. Nijkeuter, M. V. Huisman
{"title":"Integrated Diagnostic Approach of Patients with Suspected Pulmonary Embolism","authors":"R. Karami Djurabi,&nbsp;F. A. Klok,&nbsp;M. Nijkeuter,&nbsp;M. V. Huisman","doi":"10.1111/j.1617-0830.2007.00103.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00103.x","url":null,"abstract":"<div>\u0000 \u0000 <p>In patients with clinically suspected pulmonary embolism (PE) many diagnostic tests are available and have been widely evaluated. An integrated diagnostic approach is the most efficient way to make management decisions. This is best accomplished by the use of a diagnostic algorithm consisting of a dichotomous decision rule, D-dimer testing and computed tomographic pulmonary angiography (CTPA), or as alternative V-Q lung scanning. Such an algorithm can guide treatment decisions with a low risk for false negative outcome in patients in whom tests indicate that PE is ruled out. No further diagnostic testing is necessary in patients with unlikely clinical probability in combination with a normal D-dimer test result. CTPA or V/Q scans can safely rule out PE in patients with a likely pre-test probability or elevated D-dimer test result.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 3","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2007-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00103.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109167937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Value of Imaging Methods with Emphasis on PET/CT in Head and Neck Tumours: a Comparison between a Novel Diagnostic Regime Using 18F-FDG PET and Conventional Techniques – Own Results and Literature Review 以PET/CT为重点的成像方法在头颈部肿瘤中的价值:18F-FDG PET新诊断方案与传统技术的比较——自己的结果和文献综述
Imaging decisions (Berlin, Germany) Pub Date : 2007-10-12 DOI: 10.1111/j.1617-0830.2007.00098.x
E. Kresnik, P. Mikosch, H. J. Gallowitsch, S. Kohlfürst, P. Lind
{"title":"The Value of Imaging Methods with Emphasis on PET/CT in Head and Neck Tumours: a Comparison between a Novel Diagnostic Regime Using 18F-FDG PET and Conventional Techniques – Own Results and Literature Review","authors":"E. Kresnik,&nbsp;P. Mikosch,&nbsp;H. J. Gallowitsch,&nbsp;S. Kohlfürst,&nbsp;P. Lind","doi":"10.1111/j.1617-0830.2007.00098.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00098.x","url":null,"abstract":"<div>\u0000 \u0000 <p>Head and neck cancers are rising in incidence. In the diagnosis of malignant head and neck cancer, conventional morphological imaging methods, i.e. ultrasonography, radiography, computerised tomography (CT) and magnetic resonance imaging (MR) play a routine role besides clinical investigation. Despite these diverse techniques, the primary tumour often cannot be found. Furthermore, for staging purposes as well as for the detection of tumour recurrence after chemotherapy and/or radiotherapy, morphological examination techniques such as CT and MR are of limited accuracy. Due to promising results in the literature, 18F-fluorodeoxyglucose-positron emission tomography has been playing an increasing role in the assessment of malignant head and neck cancer. The authors present a literature review as well as their own data in comparison to conventional imaging methods.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 2","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00098.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109168144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Image Fusion of Positron Emission Tomographic Scan with Radiotherapy Planning CT in a Patient with Parotid Gland Cancer 腮腺癌正电子发射断层扫描与放疗计划CT影像融合分析
Imaging decisions (Berlin, Germany) Pub Date : 2007-10-12 DOI: 10.1111/j.1617-0830.2007.00097.x
M. Kopp, H. Deutschmann, L. Rettenbacher, C. Pirich, F. Sedlmayer
{"title":"Image Fusion of Positron Emission Tomographic Scan with Radiotherapy Planning CT in a Patient with Parotid Gland Cancer","authors":"M. Kopp,&nbsp;H. Deutschmann,&nbsp;L. Rettenbacher,&nbsp;C. Pirich,&nbsp;F. Sedlmayer","doi":"10.1111/j.1617-0830.2007.00097.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00097.x","url":null,"abstract":"<div>\u0000 \u0000 <p>This case report shows that fusion of positron emission tomography (PET)/computerized tomography (CT) with radiotherapy planning CT offers the possibility to give high total doses with minimized morbidity specifically in patients with head and neck cancer.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 2","pages":"33-35"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00097.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109168145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Multimodality Imaging in the Management of Head and Neck Tumours 多模态成像在头颈部肿瘤治疗中的作用
Imaging decisions (Berlin, Germany) Pub Date : 2007-10-12 DOI: 10.1111/j.1617-0830.2007.00104.x
C. Pirich
{"title":"The Role of Multimodality Imaging in the Management of Head and Neck Tumours","authors":"C. Pirich","doi":"10.1111/j.1617-0830.2007.00104.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00104.x","url":null,"abstract":"","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 2","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00104.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109231449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Positron Emission Tomography-Computerized Tomography in the Management of Head and Neck Cancer 正电子发射断层扫描-计算机断层扫描在头颈癌治疗中的应用
Imaging decisions (Berlin, Germany) Pub Date : 2007-10-12 DOI: 10.1111/j.1617-0830.2007.00096.x
Luke Bolek, Michael M. Graham
{"title":"Positron Emission Tomography-Computerized Tomography in the Management of Head and Neck Cancer","authors":"Luke Bolek,&nbsp;Michael M. Graham","doi":"10.1111/j.1617-0830.2007.00096.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00096.x","url":null,"abstract":"<div>\u0000 \u0000 <p>PET/CT plays an important role in the evaluation and follow up of patients with various head and neck neoplasms.</p>\u0000 <p>The role of PET/CT in the management of a wide variety of head and neck cancers varies based on the TNM tumour stage. Futhermore, because there is a large overlap between tumour and physiologic FDG uptake, interpretation of malignancies in the head and neck on PET/CT can be confusing/unclear.</p>\u0000 <p>Thus, it is essential to have knowledge of the patient's prior history, including relevant surgical procedures as well as prior chemo and radiation treatment for proper interpretation of head and neck malignancies.</p>\u0000 <p>This article examines how FDG PET/CT is utilized in squamous cell carcinoma of the nasopharyax and larynx.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 2","pages":"11-23"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00096.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109168143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Value of MRI in Imaging Malignant Head and Neck Tumours MRI在头颈部恶性肿瘤成像中的价值
Imaging decisions (Berlin, Germany) Pub Date : 2007-10-12 DOI: 10.1111/j.1617-0830.2007.00095.x
Astrid Schneider, Rosemarie Forstner
{"title":"The Value of MRI in Imaging Malignant Head and Neck Tumours","authors":"Astrid Schneider,&nbsp;Rosemarie Forstner","doi":"10.1111/j.1617-0830.2007.00095.x","DOIUrl":"https://doi.org/10.1111/j.1617-0830.2007.00095.x","url":null,"abstract":"<div>\u0000 \u0000 <p>Magnetic resonance imaging (MRI) plays an important role in pre-treatment assessment of tumours of the head and neck region. Because of its excellent soft tissue contrast it renders pivotal information in staging and serves as a basis for surgery planning or primary chemo- and/or radiotherapy. Primary tumours are best seen on T2WI with fat saturation or contrast-enhanced images. Morphologic criteria used for lymph node imaging depend on size and shape, and thus MRI is limited in differentiation of normal size malignant nodes or hyperplastic benign nodes. Necrosis is a more specific sign of malignancy.</p>\u0000 <p>In this review, imaging technique and imaging of tumours in the head and neck region in general and for specific areas are covered with the emphasis on MR imaging features of the primary tumours and their spread including perineural and lymphatic dissemination. Uncooperative or claustrophobic patients, however, should undergo staging by computerized tomography instead of MRI.</p>\u0000 </div>","PeriodicalId":89151,"journal":{"name":"Imaging decisions (Berlin, Germany)","volume":"11 2","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1617-0830.2007.00095.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109231448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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