ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Spiral Computed Tomography Pulmonary Angiography In The Diagnosis Of Pulmonary Emboli
Dr. Çetin ÇELENK,a Dr. Ahmet ÖZTÜRKa
aRadyoloji AD, Ondokuz Mayıs Üniversitesi Tıp Fakültesi, SAMSUN
Objective: To determine the diagnostic value of prospective spiral computed tomography pulmonary angiography in patients with suspicion of pulmonary embolism.
Material and Methods: Among 67 patients with clinically suspected pulmonary thromboemboli, deep venous Doppler ultrasonography and thin-sliced spiral computed tomography were performed in all, ventilation-perfusion scintigraphy performed in 57, and pulmonary digital subtraction angiography in 4. The results were compared with findings of spiral computed tomography pulmonary angiography
Results: Thirty-four of the 67 patients had a positive diagnosis of pulmonary embolism. Spiral computed tomography confirmed the diagnosis in 30 of 34 patients. The sensitivity, specificity, positive predictive value and negative predictive value of spiral computed tomography pulmonary angiography were 88%, 91%, 91%, 88%, respectively.
Conclusion: Spiral computed tomography pulmonary angiography is in accurate, valuable and non-invasive method in the diagnosis of central pulmonary embolism. Thus, it should play a role in the classical diagnostic algorithm.Keywords: Pulmonary embolism, spiral computed tomography, ventilation perfusion ratio, angiographyTurkiye Klinikleri J Med Sci 2005, 25:197-203
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