肺栓塞的影像学诊断认识及策略

doi:10.16150/j.1671-2870.2019.01.005

摘要/Abstract

中图分类号:

R563.5

郑敏文. 肺栓塞的影像学诊断认识及策略[J]. 诊断学理论与实践, 2019, 18(1): 21-27.

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参考文献 41

[1]	Keller K, Hobohm L, Munzel T, et al. P 570 Use of systemic thrombolysis in patients with acute pulmonary embolism in Germany[J]. Eur Heart J, 2018, 39(suppl_1):y564-y570.
[2]	Lehnert P, Lange T, Møller CH, et al. Acute Pulmonary Embolism in a National Danish Cohort: Increasing Incidence and Decreasing Mortality[J]. Thromb Haemost, 2018, 118(3):539-546.
[3]	Kempny A, McCabe C, Dimopoulos K, et al. Incidence, mortality and bleeding rates associated with pulmonary embolism in England between 1997 and 2015[J]. Int J Cardiol, 2019, 277:229-234.
[4]	Benjamin EJ, Muntner P, Alonso A, et al. Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association[J]. Circulation, 2019, 139(10):e56-e66.
[5]	Hong J, Lee JH, Yhim HY, et al. Incidence of venous thromboembolism in Korea from 2009 to 2013[J]. PLoS One, 2018, 13(1):e0191897.
[6]	Law Y, Chan YC, Cheng SWK. Epidemiological updates of venous thromboembolism in a Chinese population[J]. Asian J Surg, 2018, 41(2):176-182.
[7]	Ota S, Matsuda A, Ogihara Y, et al. Incidence, Characteristics and Management of Venous Thromboembolism in Japan During 2011[J]. Circ J, 2018, 82(2):555-560.
[8]	Huang D, Chan PH, She HL, et al. Secular trends and etiologies of venous thromboembolism in Chinese from 2004 to 2016[J]. Thromb Res, 2018, 166:80-85.
[9]	Worsley DF, Alavi A, Aronchick JM, et al. Chest radiographic findings in patients with acute pulmonary embolism: observations from the PIOPED Study[J]. Radiology, 1993, 189(1):133-136.
[10]	Matthews JC, McLaughlin V. Acute right ventricular fai-lure in the setting of acute pulmonary embolism or chronic pulmonary hypertension: a detailed review of the pathophysiology, diagnosis, and management[J]. Curr Cardiol Rev, 2008, 4(1):49-59.
[11]	Burgos LM, Costabel JP, Galizia Brito V, et al. Floating right heart thrombi: A pooled analysis of cases reported over the past 10years[J]. Am J Emerg Med, 2018, 36(6):911-915.
[12]	Konstantinides SV, Torbicki A, Agnelli G, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism[J]. Eur Heart J,2014 Nov 14, 35(43):3033-3069,3069a-3069k.
[13]	McConnell MV, Solomon SD, Rayan ME, et al. Regional right ventricular dysfunction detected by echocardiography in acute pulmonary embolism[J]. Am J Cardiol, 1996, 78(4):469-473.
[14]	Coutance G, Cauderlier E, Ehtisham J, et al. The prognostic value of markers of right ventricular dysfunction in pulmonary embolism: a meta-analysis[J]. Crit Care, 2011, 15(2):R103.
[15]	Guanella R, Righini M. Serial limited versus single complete compression ultrasonography for the diagnosis of lower extremity deep vein thrombosis: Seminars in respiratory and critical care medicine, 2012[C]. Thieme Medical Publishers.
[16]	Da Costa Rodrigues J, Alzuphar S, Combescure C, et al. Diagnostic characteristics of lower limb venous compression ultrasonography in suspected pulmonary embolism: a meta-analysis[J]. J Thromb Haemost, 2016, 14(9):1765-1772.
[17]	Stein PD, Fowler SE, Goodman LR, et al. Multidetector computed tomography for acute pulmonary embolism[J]. N Engl J Med, 2006, 354(22):2317-2327.
[18]	Mastora I, Remy-Jardin M, Masson P, et al. Severity of acute pulmonary embolism: evaluation of a new spiral CT angiographic score in correlation with echocardiographic data[J]. Eur Radiol, 2003, 13(1):29-35.
[19]	Qanadli SD, El Hajjam M, Vieillard-Baron A, et al. New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography[J]. AJR Am J Roentgenol, 2001, 176(6):1415-1420.
[20]	Bach AG, Nansalmaa B, Kranz J, et al. CT pulmonary angiography findings that predict 30-day mortality in patients with acute pulmonary embolism[J]. Eur J Radiol, 2015, 84(2):332-337.
[21]	Vedovati MC, Germini F, Agnelli G, et al. Prognostic role of embolic burden assessed at computed tomography angiography in patients with acute pulmonary embolism: systematic review and meta-analysis[J]. J Thromb Haemost, 2013, 11(12):2092-2102.
[22]	Ghaye B. Peripheral pulmonary embolism on multidetector CT pulmonary angiography[J]. JBR-BTR, 2007, 90(2):100-108.
[23]	Costantino G, Norsa AH, Amadori R, et al. Interobserver agreement in the interpretation of computed tomography in acute pulmonary embolism[J]. Am J Emerg Med, 2009, 27(9):1109-1111.
[24]	Stein PD, Henry JW. Prevalence of acute pulmonary embolism in central and subsegmental pulmonary arteries and relation to probability interpretation of ventilation/perfusion lung scans[J]. Chest, 1997, 111(5):1246-1248.
[25]	Lang IM, Madani M. Update on chronic thromboembolic pulmonary hypertension[J]. Circulation, 2014, 130(6):508-518.
[26]	Truong QA, Massaro JM, Rogers IS, et al. Reference va-lues for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study[J]. Circ Cardiovasc Imaging, 2012, 5(1):147-154.
[27]	Truong QA, Bhatia HS, Szymonifka J, et al. A four-tier classification system of pulmonary artery metrics on computed tomography for the diagnosis and prognosis of pulmonary hypertension[J]. J Cardiovasc Comput Tomogr, 2018, 12(1):60-66.
[28]	Revel MP, Triki R, Chatellier G, et al. Is It possible to recognize pulmonary infarction on multisection CT images?[J]. Radiology, 2007, 244(3):875-882.
[29]	He H, Stein MW, Zalta B, et al. Pulmonary infarction: spectrum of findings on multidetector helical CT[J]. J Thorac Imaging, 2006, 21(1):1-7.
[30]	Meinel FG, Nance JW Jr, Schoepf UJ, et al. Predictive Value of Computed Tomography in Acute Pulmonary Embolism: Systematic Review and Meta-analysis[J]. Am J Med, 2015, 128(7):747-759.
[31]	Henzler T, Roeger S, Meyer M, et al. Pulmonary embolism: CT signs and cardiac biomarkers for predicting right ventricular dysfunction[J]. Eur Respir J, 2012, 39(4):919-926.
[32]	Johnson TR, Krauss B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience[J]. Eur Radiol, 2007 Jun, 17(6):1510-1517.
[33]	Meinel FG, Graef A, Bamberg F, et al. Effectiveness of automated quantification of pulmonary perfused blood volume using dual-energy CTPA for the severity assessment of acute pulmonary embolism[J]. Invest Radiol, 2013, 48(8):563-569.
[34]	Weidman EK, Plodkowski AJ, Halpenny DF, et al. Dual-Energy CT Angiography for Detection of Pulmonary Emboli: Incremental Benefit of Iodine Maps[J]. Radiology, 2018, 289(2):546-553.
[35]	Takx RAP, Henzler T, Schoepf UJ, et al. Predictive value of perfusion defects on dual energy CTA in the absence of thromboembolic clots[J]. J Cardiovasc Comput Tomogr, 2017, 11(3):183-187.
[36]	Zhang LJ, Zhou CS, Schoepf UJ, et al. Dual-energy CT lung ventilation/perfusion imaging for diagnosing pulmonary embolism[J]. Eur Radiol, 2013, 23(10):2666-2675.
[37]	Sostman HD, Stein PD, Gottschalk A, et al. Acute pulmonary embolism: sensitivity and specificity of ventilation-perfusion scintigraphy in PIOPED Ⅱ study[J]. Radio-logy, 2008, 246(3):941-946.
[38]	Oudkerk M, van Beek EJ, Wielopolski P, et al. Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study[J]. Lancet, 2002, 359(9318):1643-1647.
[39]	Stein PD, Chenevert TL, Fowler SE, et al. Gadoliniu-menhanced magnetic resonance angiography for pulmonary embolism: a multicenter prospective study (PIOPED III)[J]. Ann Intern Med, 2010, 152(7):434-443,W142-W143.
[40]	Ohno Y, Koyama H, Matsumoto K, et al. Dynamic MR perfusion imaging: capability for quantitative assessment of disease extent and prediction of outcome for patients with acute pulmonary thromboembolism[J]. J Magn Reson Imaging, 2010, 31(5):1081-1090.
[41]	Kalb B, Sharma P, Tigges S, et al. MR imaging of pulmonary embolism: diagnostic accuracy of contrast-enhanced 3D MR pulmonary angiography, contrast-enhanced low-flip angle 3D GRE, and nonenhanced free-induction FISP sequences[J]. Radiology, 2012, 263(1):271-278.

肺栓塞的影像学诊断认识及策略

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