Abstract
Much has been written about pulmonary embolism in the medical and surgical literature. Despite this interest in pulmonary embolism, the scientific basis for our beliefs about the condition is quite weak. In this section, mostly conventional ideas about pulmonary embolism will be discussed; however, readers are encouraged to develop a healthy scepticism about what we think we know about pulmonary embolism.
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References
Osler, R.F., Zuckerman, D.A., Gutierrez, F.R. and Brink, J.A. (1996) Anatomic distribution of pulmonary emboli at pulmonary angiography: implications for cross-sectional imaging. Radiology, 199, 31–5.
Stein, P.D., Terrin, M.L., Hales, C.A. et al. (1991) Clinical, laboratory, roentgenographs, and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease. Chest, 100(3), 604–6.
Fennerty, A.G., Shetty, H.G., Paton, D., Roberts, G., Routledge, P.A. and Campbell, I.A. (1990) Clinical presentation and investigation of patients proceeding to isotope lung scanning for suspected pulmonary embolism. Postgrad. Med. J., 66(774), 285–9.
Worsley, D.F., Alavi, A., Aronchick, J.M., Chen, J.T., Greenspan, R.H. and Ravin, C.E. (1993) Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED study. Radiology, 189(1), 133–6.
Worsley, D.F., Alavi, A., Palevsky, H.I. and Kundel, H.L. (1996) Comparison of diagnostic performance with ventilation-perfusion lung imaging in different patient populations. Radiology, 199(2), 481–3.
Stein, P.D., Coleman, R.E., Gottschalk, A., Saltzman, H.A., Terrin, M.L. and Weg, J.G. (1991) Diagnostic utility of ventilation/perfusion lung scans in acute pulmonary embolism is not diminished by pre-existing cardiac or pulmonary disease. Chest, 100(3), 604–6.
Kohn, H., Mostbeck, A., Bachmayr, S. et al. (1993) 99m-Tc-DTPA aerosol for same-day post-perfusion ventilation imaging: results of a multicentre study. Eur. J. Nucl. Med., 20, 4–9.
Monaghan, P., Provan, I., Murray, C. et al. (1991) An improved radionuclide technique for the detection of altered permeability. J. Nucl. Med., 32, 1945–9.
Mackey, D.W.J., Jackson, P., Baker, R.J. et al. (1997) Physical properties and use of pertechnegas as a ventilation agent. J. Nucl. Med., 38, 163–7.
James, J.M., Herman, K.J., Lloyd, J.J. et al. (1991) Evaluation of 99m-Tc Technegas ventilation scintigraphy in the diagnosis of pulmonary embolism. Br. J. Radiol, 64(764), 711–19.
Cook, G. and Clarke, S.E.M. (1992) An evaluation of technegas as a ventilation agent compared with krypton-81m in the scintigraphic diagnosis of pulmonary embolism. Eur. J. Nucl. Med., 19, 770–4.
Sostman, H.D., Coleman, R.E., DeLong, D.M., Newman, G.E. and Paine, S. (1994) Evaluation of revised criteria for ventilation-perfusion scintigraphy in patients with suspected pulmonary embolism. Radiology, 193(1), 103–7.
Kwok, C.G., Skibo, L.K. and Segall, G.M. (1996) Low probability lung scan in a patient at high risk for pulmonary embolism. J. Nucl. Med., 37, 165–70.
Gray, H.W. (1993) Reporting of lung scans: the future beckons, [editorial]. Nucl. Med. Commun., 14, 1–3.
Gray, H.W., Mckillop, J.H. and Bessent, R.G. (1993) Lung scan reports: interpretation by clinicians. Nucl. Med. Commun., 14, 989–94.
Gray, H.W., Mckillop, J.H. and Bessent, R.G. (1993) Lung scan reporting language: what does it mean? Nucl. Med. Commun., 14, 1084–7.
Jaeschke, R., Guyatt, G.H. and Sackett, D.L. (1994) Users’ guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? The Evidence-Based Medicine Working Group. JAMA, 271(9), 703–7.
Kelley, M.A., Carson, J.L., Palevsky, H.I. and Schwartz, J.S. (1991) Diagnosing pulmonary embolism: new facts and strategies. Ann. Intern. Med., 114(4), 300–6.
Goldberg, S.N., Richardson, D.D., Palmer, E.L. and Scott, J.A. (1996) Pleural effusion and ventilation/ perfusion scan interpretation for acute pulmonary embolus. J. Nucl. Med., 37(8), 1310–13.
Stein, P.D., Henry, J.W. and Relyea, B. (1995) Untreated patients with pulmonary embolism. Outcome, clinical, and laboratory assessment. Chest, 107(4), 931–5.
Barritt, D.W. and Jordan, S.C. (1960) Anticoagulant drugs in the treatment of pulmonary embolism. A controlled trial. Lancet, i, 1309–12.
Bellomo, R., Low, R., Pianko, S. et al. (1994) The 1-month outcome of patients with a low probability technegas ventilation/perfusion lung scan. Nucl. Med. Commun., 15, 505–10.
Lee, M.E., Biello, D.R., Kumar, B. and Siegel, B.A. (1985) ‘Low-probability’ ventilation perfusion scintigrams: clinical outcomes in 99 patients. Radiology, 156, 497–500.
Kahn, D., Bushnell, D.L., Dean, R. and Perlman, S.B. (1989) Clinical outcome of patients with a low probability7 of pulmonary embolism on ventilation-perfusion lung scan. Arch. Intern. Med., 149(2), 377–9
Further Reading
Carson, J.L., Kelley, M.A., Duff, A. et al. (1992) The clinical course of pulmonary embolism. N. Engl. J. Med., 326, 1240–5.
Freitas, J.E., Sarosi, M.G., Nagle, C.C., Yeomans, M.E., Freitas, A.E. and Juni, J.E. (1995) Modified PIOPED criteria used in clinical practice. J. Nucl. Med., 36(9), 1573–8.
Gottschalk, A., Juni, J.E., Sostman, H.D. et al. (1993a) Ventilation-perfusion scintigraphy in the PIOPED study. Part I. Data collection and tabulation. J. Nucl. Med., 34(7), 1109–18.
Gottschalk, A., Sostman, H.D., Coleman, R.E. et al. (1993b) Ventilation-perfusion scintigraphy in the PIOPED study. Part II. Evaluation of the scintigraphic criteria and interpretations. J. Nucl. Med., 34(7), 1119–26.
Gottschalk, A., Stein, P.D., Henry, J.W. and Relyea, B. (1996) Can pulmonary angiography be limited to the most suspicious side if the contralateral side appears normal on the ventilation/perfusion lung scan? Data from PIOPED. Prospective Investigation of Pulmonary Embolism Diagnosis. Chest, 110(2), 392–4.
Gottschalk, A., Stein, P.D. and Henry, J.W. (1996) Patient stratification by cardiopulmonary status in the diagnosis of pulmonary embolism. J. Nucl. Med., 37(4), 570–2.
Henry, J.W., Stein, P.D., Gottschalk, A. and Raskob, G.E. (1996) Pulmonary embolism among patients with a nearly normal ventilation/perfusion lung scan. Chest, 110(2), 395–8.
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© 1998 Springer Science+Business Media Dordrecht
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Royal, H.D. (1998). Pulmonary embolism. In: Maisey, M.N., Britton, K.E., Collier, B.D. (eds) Clinical Nuclear Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3356-0_17
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DOI: https://doi.org/10.1007/978-1-4899-3356-0_17
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