根据ACR的适当性标准,用于肺栓塞的成像,已知的凝块
, Rahul D Renapurkar1, Prabhakar Shantha Rajiah2
1Cleveland Clinic, Cleveland, Ohio.
Journal of the American College of Radiology : JACR
|May 23, 2025
概括
肺栓塞 (PE) 幸存者可能会出现复发症状. 像V / Q扫描和CT血管造影一样,成像对于诊断复发性PE和治疗慢性血栓栓塞性疾病至关重要.
科学领域:
- 放射学 放射学是指放射学
- 心血管医学 心血管医学
- 医疗成像医学成像
背景情况:
- 急性肺栓塞 (PE) 是导致心血管疾病和死亡的一个重要原因.
- 经过急性PE的幸存者经常面临反复出现的症状和长期的功能缺陷.
- 图像检查对于评估可疑的复发性或残留性PE以及管理慢性血栓栓塞性疾病至关重要.
研究的目的:
- 概述成像在肺栓塞的评估和管理中的作用.
- 描述用于确定PE成像程序适当性的基于证据的指导方针和方法.
- 在文献证据有限的情况下,强调专家意见的重要性.
主要方法:
- 使用美国放射学学院的适当性标准,这是基于证据的指导方针.
- 采用对同行评审医学文献的系统分析.
- 适应已建立的方法原则,如推评估,开发和评估的分级 (GRADE) 和RAND/UCLA适当性方法.
主要成果:
- V/Q扫描和CT血管造影经常是怀疑复发性或残留性PE的首选测试.
- 脑电图血管造影通常是绘制疾病负担,监测和慢性血栓栓塞性疾病治疗规划的初步测试.
- 通过多学科专家小组审查和系统的文献分析制定指南.
结论:
- 像V/Q扫描和CT血管造影等成像模式对于肺栓塞的诊断和管理途径至关重要.
- 美国放射学学院的适当性标准为选择适当的成像程序提供了一个结构化的方法.
- 专家的共识在指导方针的制定中起着至关重要的作用,特别是在公布证据有限的情况下.
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