کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5728074 | 1411633 | 2017 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Técnicas de imagen diagnósticas empleadas en la presentación aguda de la enfermedad tromboembólica venosa
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کلمات کلیدی
CT venographyCT pulmonary angiography - CT آنژیوگرافی ریوی CTPulmonary embolism - آمبولی ریهEmbolia pulmonar - آمبولی ریهechocardiography - اکوکاردیوگرافیEcocardiograma - اکوکاردیوگرامDeep vein thrombosis - ترومبوز سیاهرگی عمقیTrombosis venosa profunda - ترومبوز وریدی عمیقMagnetic resonance imaging - تصویربرداری رزونانس مغناطیسیResonancia magnética - رزونانس مغناطیسیMorbidity and mortality - مرگ و میرMorbimortalidad - مسمومیت و مرگ و میر
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
رادیولوژی و تصویربرداری
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Early diagnosis is one of the most important factors affecting the prognosis of pulmonary embolism (PE); however, the clinical presentation of PE is often very unspecific and it can simulate other diseases. For these reasons, imaging tests, especially computed tomography angiography (CTA) of the pulmonary arteries, have become the keystone in the diagnostic workup of PE. The wide availability and high diagnostic performance of pulmonary CTA has led to an increase in the number of examinations done and a consequent increase in the population's exposure to radiation and iodinated contrast material. Thus, other techniques such as scintigraphy and venous ultrasonography of the lower limbs, although less accurate, continue to be used in certain circumstances, and optimized protocols have been developed for CTA to reduce the dose of radiation (by decreasing the kilovoltage) and the dose of contrast agents. We describe the technical characteristics and interpretation of the findings for each imaging technique used to diagnose PE and discuss their advantages and limitations; this knowledge will help the best technique to be chosen for each case. Finally, we comment on some data about the increased use of CTA, its clinical repercussions, its “overuse”, and doubts about its cost-effectiveness.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: RadiologÃa - Volume 59, Issue 4, JulyâAugust 2017, Pages 329-342
Journal: RadiologÃa - Volume 59, Issue 4, JulyâAugust 2017, Pages 329-342
نویسندگان
A. Tilve-Gómez, P. RodrÃguez-Fernández, L. Trillo-Fandiño, J.M. Plasencia-MartÃnez,