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Acute Pulmonary Embolism in Adults and Children: Evidence-Based Emergency Imaging, Evaluation, and Diagnosis

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Evidence-Based Emergency Imaging

Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

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Abstract

Pulmonary embolism is a common disease with a high morbidity and mortality burden. Its clinical presentation is quite variable, making accurate diagnosis challenging. In this chapter, we examine how clinical assessment determines pretest probability and then guides the diagnosis and management of acute pulmonary embolism. The important role of imaging in work-up is summarized, and various imaging modalities are compared and evaluated based on up-to-date medical literature. Pulmonary embolism diagnosis in pregnancy is also briefly reviewed and evidence-based diagnostic algorithms for evaluation of acute pulmonary embolism are presented.

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Abbreviations

CT :

Computed tomography

V/Q :

Ventilation/perfusion study

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Author information

Authors and Affiliations

  1. Department of Radiology and Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA

    Linda B. Haramati

  2. Department of Radiology, Montefiore Medical Center, Bronx, NY, USA

    Vishal K. Patel

  3. Department of Radiology, Division of Nuclear Medicine (Moses Div), Montefiore Medical Center, Bronx, NY, USA

    Leonard M. Freeman

  4. Department of Radiology, Mayo Clinic, Rochester, MN, USA

    Paul Thacker

  5. Department of Radiology, Division of Thoracic Imaging, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Edward Y. Lee

Authors
  1. Linda B. Haramati
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  2. Vishal K. Patel
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  3. Leonard M. Freeman
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  4. Paul Thacker
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  5. Edward Y. Lee
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Corresponding author

Correspondence to Linda B. Haramati .

Editor information

Editors and Affiliations

  1. Department of Radiology, Division of Cardio-Thoracic Radiology, Michigan Medicine, Ann Arbor, MI, USA

    Aine Kelly

  2. Department of Radiology, Division of Cardio-Thoracic Radiology, Michigan Medicine, Ann Arbor, MI, USA

    Paul Cronin

  3. Department of Diagnostic, Interventional, and Pediatric Radiology Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland

    Stefan Puig

  4. Department of Radiology, University of Kentucky Children’s Hospital, Lexington, KY, USA

    Kimberly E. Applegate

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Haramati, L.B., Patel, V.K., Freeman, L.M., Thacker, P., Lee, E.Y. (2018). Acute Pulmonary Embolism in Adults and Children: Evidence-Based Emergency Imaging, Evaluation, and Diagnosis. In: Kelly, A., Cronin, P., Puig, S., Applegate, K. (eds) Evidence-Based Emergency Imaging. Evidence-Based Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-67066-9_16

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  • DOI: https://doi.org/10.1007/978-3-319-67066-9_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67064-5

  • Online ISBN: 978-3-319-67066-9

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