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[Diagnosis of pulmonary embolism with spiral and electron-beam CT]
U J Schoepf1, R D Brüning, C R Becker
1Institut für Radiologische Diagnostik, Ludwig-Maximilians-Universität München.
Purpose:
To compare spiral (SCT) and electron-beam CT (EBT) for the diagnosis of pulmonary embolism (PE).
Materials And Methods:
From June 1997 to June 1998 188 patients with suspected acute or chronic thromboembolism of the pulmonary arteries were examined. A total of 108 patients were scanned using SCT and 80 patients using EBT. On each scanner two different scan protocols were evaluated.
Results:
PE was diagnosed in 38 patients using EBT and in 49 patients using SCT. Especially with EBT, isolated peripheral emboli could be confidently diagnosed. When EBT and SCT were compared for the analysis of peripheral pulmonary arteries, some paracardiac segmental and subsegmental vessels were significantly better analyzable with EB. Additional or diseases other than PE were diagnosed in 112 patients. Other diagnoses included bronchial carcinoma and aortic dissection.
Conclusions:
Advanced CT scanning techniques allow the highly accurate diagnosis of central and peripheral PE. Other potentially life-threatening underlying diseases are also readily recognized.