对急性和慢性肺血栓栓塞性疾病的多模式成像
Emanuele Muscogiuri1, Walter De Wever1, Deepa Gopalan2,3,4
1Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.
Breathe (Sheffield, England)
|March 14, 2024
概括
肺栓塞 (PE) 诊断依赖于识别成像发现. 本综述详细介绍了成像技术,其优缺点以及有效的PE管理的未来创新.
科学领域:
- 放射学 放射学是一门学科.
- 心血管医学 心血管医学
- 肺部医学 肺部医学
背景情况:
- 肺栓塞 (PE) 是一种常见的心血管紧急情况,也是心血管死亡的主要原因.
- 准确诊断PE对于及时和有效的治疗启动至关重要.
- 图像在PE的诊断和治疗管理中起着至关重要的作用.
研究的目的:
- 通过各种方式审查肺血栓栓塞的常见成像发现.
- 概述PE诊断中不同成像技术的优缺点.
- 讨论成像在PE诊断和管理中的演变作用,包括未来的趋势.
主要方法:
- 关于用于肺栓塞诊断的成像方法的当前文献的综述.
- 对每个模式 (例如,CT肺血管造影,V/Q扫描,超声波) 的特征成像发现的分析.
- 讨论每个成像技术的临床实用性,优势和局限性.
主要成果:
- 计算机断层扫描肺血管造影 (CTPA) 由于其高灵敏度和特异性,通常是主要的成像方式.
- 透气/ perfusion (V/Q) scintigraphy 在特定的临床场景中仍然是有价值的,特别是当CTPA是禁忌时.
- 其他方法,如超声波和核磁共振,在特定情况下或评估并发症时都有作用.
结论:
- 对成像检测结果和模式特定特征的全面理解对于准确的PE诊断至关重要.
- 图像技术的选择应以临床表现,患者因素和当地专业知识为指导.
- 影像技术的持续创新有望进一步提高肺栓塞的诊断能力.
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