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  Česky / Czech version Čes. Radiol., 55, 2001, No. 6, p. 383-390
 
CT Angiography of the Pulmonary Artery (CTAP) in the Diagnosis of Embolization of the Lungs  
Ferda J., Novák M., Záhlava J.:  

Radiodiagnostická klinika FN a LF UK, Plzeň, přednosta doc. MUDr. Boris Kreuzberg, CSc. Oddělení nukleární medicíny, FN Plzeň - Lochotín,*primář MUDr. Jan Záhlava
 


Summary:

       The general prevalence and morbidity of pulmonary embolism is very high. Mortality after surgery due to pulmonary embolism is about 4%. Helical CT angiography is a very useful tool to discover emboli in the pulmonary artery. 44 pulmonary CTA were compared with chest X-rays, perfusion scintigraphy of lungs and colour flowdopplerometry of lower extremity veins. 16 cases of pulmonary embolism were found, 10 cases of massive and 6 cases of submassive embolism. Dilatation of the pulmonary artery was the most accurate sign of massive pulmonary embolism on chest X-rays (sensitivity 1.00, specificity 0,76, PV+ 0.56, PV- 1.00). The accuracy of colour flow dopplerometry and negativity of perfusion scintigraphy was 100%.

        Key words: pulmonary embolism - helical CT angiography - perfusion scintigraphy of the lungs - chest X-ray - colour flow dopplerometry
       

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