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Journals / Toraks Dergisi / 2001 / Cilt: 2 - Sayı: 3

Diagnosis of pulmonary embolism with magnetic resonance angiography

Pulmoner emboli tanısında manyetik rezonans anjiyografinin yeri

Tülin SEVİM
Güliz ATAÇ
GÖKAY GÜNGÖR
Tülay TÖRÜN
Emine AKSOY
Aylin ÖNGEL
Salih GÜRAN
Kemal TAHAOĞLU
Pages
21–25
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Occlusion was detected in 4 (66.6%) of the 6 patients with high or intermediate probability at ventilation-perfusion scintigraphy and 1 (33.3%) of the 3 patients with low probability at ventilation-perfusion scintigraphy. in conclusion, pulmonary magnetic resonance angiography is an easy and non-invasive procedure for detecting emboli in the proximal portions of the pulmonary arteries, but high costs restrict its routine usage.

📌 3 Key Takeaways

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Objective & Hypothesis:in this report, the role of contrast-enhanced pulmonary magnetic resonance angiography for the detection of pulmonary embolism was evaluated.
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Key Findings & Data:Thirteen male patients with pulmonary embolism followed by our clinic between January 1997-September 1999 were included in the study.
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Conclusion & Impact:Occlusion was detected in 4 (66.6%) of the 6 patients with high or intermediate probability at ventilation-perfusion scintigraphy and 1 (33.3%) of the 3 patients with low probability at ventilation-perfusion scintigraphy. in conclusion, pulmonary magnetic resonance angiography is an easy and non-invasive procedure for detecting emboli in the proximal portions of the pulmonary arteries, but high costs restrict its routine usage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Pulmoner emboli · Manyetik rezonans anjiyografi · Tanı

Abstract

in this report, the role of contrast-enhanced pulmonary magnetic resonance angiography for the detection of pulmonary embolism was evaluated. Thirteen male patients with pulmonary embolism followed by our clinic between January 1997-September 1999 were included in the study. All patients had undergone pulmonary magnetic resonance angiography. Their mean age was 47.2±15.2 years (range, 27 to 73). Pulmonary arterial tree could be visualised from the main pulmonary arteries to segmental arteries on pulmonary magnetic resonance angiography in all patients. Five patients (38%) had evidence of occlusion on magnetic resonance angiography (2 in segmental arteries, 2 in lobar arteries and l in right main pulmonary artery). Occlusion was detected in 4 (66.6%) of the 6 patients with high or intermediate probability at ventilation-perfusion scintigraphy and 1 (33.3%) of the 3 patients with low probability at ventilation-perfusion scintigraphy. in conclusion, pulmonary magnetic resonance angiography is an easy and non-invasive procedure for detecting emboli in the proximal portions of the pulmonary arteries, but high costs restrict its routine usage.

Özet

Bu çalışmada contrast-enhanced pulmoner manyetik rezonans anjiografinin pulmoner emboli tanısındaki yeri araştırıldı. Kliniğimizde Ocak 1997-Eylül 1999 tarihleri arasında pulmoner emboli tanısı ile izlenen ve manyetik rezonans anjiyografi uygulanan 13 olgu değerlendirildi. Hastaların tümü erkekti ve yaşları 27-73 (ortalama: 47.2±15.2) arasında değişmekteydi. Tüm olgularda ana pulmoner arterden segmental arterlerin proksimaline kadar olan pulmoner arteriyel sistem görüntülendi. İkisi segmental arterlerde, ikisi lober arterlerde ve biri sağ ana pulmoner arterde olmak üzere toplam 5 (%38) hastada oklüzyon saptandı. Ventilasyon-perfüzyon sintigrafisi ile orta veya yüksek olasılıklı pulmoner emboli olarak değerlendirilen 6 hastanın 4'ünde (%66.6), düşük olasılıklı olarak değerlendirilen 3 hastanın ise 1'inde (%33.3) oklüzyon saptandı. Sonuç olarak, pulmoner manyetik rezonans anjiyografi segmental arterlere kadar olan pulmoner arteriyel sistemdeki embolilerin tanısında uygulanması kolay ve invazif olmayan bir yöntemdir, ancak pahalı oluşu rutin kullanımını sınırlamaktadır.

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Cite This Article

SEVİM, T., ATAÇ, G., GÜNGÖR, G., TÖRÜN, T., AKSOY, E., ÖNGEL, A., GÜRAN, S., TAHAOĞLU, K. (2001). Diagnosis of pulmonary embolism with magnetic resonance angiography. Toraks Dergisi, Cilt: 2 - Sayı: 3, 21–25. https://ajindex.com/articles/367986

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References (15)

  1. Anderson FA, Wheeler HB, Goldberg RJ, et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. Arch Intern Med. 1991; 151:933-8
  2. Silverstein MD, Heit JA, Mohr DN, et al. Trends in the incidence of deep vein thrombosis and pulmonary embolism. A 25-year population-based study. Arch Intern Med. 1998; 158: 585-93
  3. Linblad B, Sternby WH, Berquist D. Incidence of venous thromboembolism verified by necropsy over 30 years. BMJ1991; 302: 709-11
  4. Perrier A, Buswell L, Bounameaux H, et al. Cost-effectiveness of noninvasive diagnostic aids in suspected pulmonary embolism. Arch Intern Med. 1997; 157: 2309-16
  5. Fennerty T. Fortnightly review. The diagnosis of pulmonary embolism. BMJ 1997; 314: 425-9
  6. Perrier A, Desmaraıs S, Goehring C, et al. D-dimer testing for suspected pulmonary embolism in outpatients. Am J Respir Crit Care Med 1997; 156: 492-6
  7. The PIOPED Investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism. JAMA 1990; 263: 2753-59
  8. Perrier A, Bounameaux H, Morabia A, et al. Diagnosis of pulmonary embolism by a decision analysis-based strategy including clinical probability, D-dimer levels, and ultrasonography: a management study. Arch Intern Med.1996; 156: 531-6
  9. Stein PD, Goldhaber SZ, Henry JW, et al. Arterial blood gas analysis in the assessment of suspected acute pulmonary embolism. Chest 1996; 109: 78-81
  10. Grenier PA, Beigelman C. Spiral computed tomographic scanning and magnetic resonance angiography for the diagnosis of pulmonary embolism. Radiology 1997; 205: 447-52
  11. Meaney JFM, Weg JG, Chenevert TL, et al. Dıagnosis of pulmonary embolism with magnetic resonance angiography. N Engl J Med 1997; 336: 1422-7
  12. Fredin H, Arborelius M. Scintigraphic evaluation of pulmonary embolism after total hip replacement, using a dry 99mTc-microaerosol for regional ventilation. Eur J Nucl Med 1982; 7: 494-9
  13. Bergin CJ, Sirlin CB, Hauschildt JP, et al. Choronic thromboembolism: diagnosis with helical CT and MR imaging with angiographic and surgical correlation. Radiology 1997; 204: 695-702
  14. Gupta A, Frazer CK, Ferguson JM, et al. Acute pulmonary embolism: diagnosis with MR angiography. Radiology 1999; 21: 353-9
  15. Loubeyre P, Revel D, Douek P, et al. Dynamic contrast-enhanced MR angiography of pulmonary embolism: comparison with pulmonary angiography. AJR 1994; 162: 1035-9.