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How I Do It: CT Pulmonary Angiography.

C. Wittram
Published 2007 · Medicine

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OBJECTIVE The purpose of this article is to describe the techniques to improve motion artifacts, vascular enhancement, flow artifacts, body habitus image noise, vascular opacification in parenchymal lung disease, streak artifacts, and the indeterminate CT pulmonary angiogram. In addition, this article will illustrate the diagnostic criteria of acute and chronic pulmonary emboli. CONCLUSION Pulmonary embolism is the third most common acute cardiovascular disease, after myocardial infarction and stroke, and it leads to thousands of deaths each year because it often goes undetected. For the more than 25 years that the direct signs of pulmonary embolism have been available to the radiologist on CT, this noninvasive technique has produced a paradigm shift that has raised the standard of care for patients with this disease.
This paper references
10.1148/RADIOL.2392050075
Severe pulmonary embolism:pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality.
B. Ghaye (2006)
10.7326/0003-4819-136-9-200205070-00012
Echocardiography in the Management of Pulmonary Embolism
S. Goldhaber (2002)
10.2214/AJR.04.1955
Acute and chronic pulmonary emboli: angiography-CT correlation.
C. Wittram (2006)
10.1148/99.3.541
Nonuniform pulmonary arterial perfusion. Pulmonary embolism?
S. Sagel (1971)
10.1148/RADIOLOGY.217.2.R00NV01447
Pulmonary embolism detection: prospective evaluation of dual-section helical CT versus selective pulmonary arteriography in 157 patients.
S. Qanadli (2000)
10.2214/AJR.174.1.1740067
Optimization of combined CT pulmonary angiography with lower extremity CT venography.
D. Yankelevitz (2000)
10.1148/RADIOL.2371041520
The indeterminate CT pulmonary angiogram: imaging characteristics and patient clinical outcome.
S. E. Jones (2005)
10.1097/01.rti.0000213566.78785.26
Transient Interruption of Contrast on CT Pulmonary Angiography: Proof of Mechanism
C. Wittram (2007)
10.1148/RADIOLOGY.204.3.9280246
Depiction of pulmonary emboli with spiral CT: optimization of display window settings in a porcine model.
J. Brink (1997)
10.1097/00005382-200401000-00001
Contrast Dynamics During CT Pulmonary Angiogram: Analysis of an Inspiration Associated Artifact
M. Gosselin (2004)
10.1016/0002-8703(71)90128-1
Pulmonary angiography in acute pulmonary embolism: indications, techniques, and results in 367 patients.
J. Dalen (1971)
10.1007/s00330-002-1485-0
CT angiography of pulmonary embolism in patients with underlying respiratory disease: impact of multislice CT on image quality and negative predictive value
M. Rémy-Jardin (2002)
10.2214/AJR.164.6.7754875
Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography.
L. Goodman (1995)
10.1007/s00330-002-1506-z
Non-traumatic thoracic emergencies: CT diagnosis of acute pulmonary embolism: the first 10 years
B. Ghaye (2002)
10.1148/RADIOL.2353040387
Attenuation of acute and chronic pulmonary emboli.
C. Wittram (2005)
10.1148/RADIOLOGY.216.3.R00AU43872
Multiphasic injection method for uniform prolonged vascular enhancement at CT angiography: pharmacokinetic analysis and experimental porcine model.
K. Bae (2000)
10.1001/ARCHINTE.163.14.1711
Pulmonary embolism mortality in the United States, 1979-1998: an analysis using multiple-cause mortality data.
Kenneth T Horlander (2003)
10.1148/RADIOL.2362041558
CT depiction of pulmonary emboli: display window settings.
K. Bae (2005)
10.1056/NEJMOA052367
Multidetector computed tomography for acute pulmonary embolism.
P. Stein (2006)
10.2214/AJR.135.4.691
Computed tomography of pulmonary embolism.
J. Godwin (1980)
10.1148/RADIOL.2273020102
Peak contrast enhancement in CT and MR angiography: when does it occur and why? Pharmacokinetic study in a porcine model.
K. Bae (2003)
10.2214/AJR.165.5.7572490
Diagnosis of central pulmonary embolism with helical CT: role of two-dimensional multiplanar reformations.
M. Rémy-Jardin (1995)
10.1148/RADIOL.2333031744
Suspected acute pulmonary embolism: evaluation with multi-detector row CT versus digital subtraction pulmonary arteriography.
H. Winer-Muram (2004)
10.1148/RADIOL.2353040593
Right ventricular dysfunction and pulmonary obstruction index at helical CT: prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism.
R. W. van der Meer (2005)
10.1016/J.ACRA.2005.01.011
Comparison of artifacts on coronal reformation and axial CT pulmonary angiography images using single-detector and 4- and 8-detector multidetector-row helical CT scanners.
P. Boiselle (2005)
10.1053/SNUC.2002.124177
Overview of Prospective Investigation of Pulmonary Embolism Diagnosis II.
A. Gottschalk (2002)
10.7326/0003-4819-93-4-650_7
Circulatory Physiology: The Essentials
J. J. Smith (1990)
10.1007/s00330-001-1266-1
L. Barnes: Surgical pathology of the head and neck, 2nd edn, revised and expanded in three volumes
R. Hermans (2001)
10.1001/JAMA.1990.03440200057023
Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED).
Pioped Investigators (1990)
10.1148/RADIOLOGY.134.1.7350595
Detection of low-contrast lesions in computed body tomography: an experimental study of simulated lesions.
T. Meaney (1980)
10.2214/AJR.179.6.1791407
Accuracy of interpretation of CT scans: comparing PACS monitor displays and hard-copy images.
B. Reiner (2002)
10.1097/01.rti.0000117623.02841.e6
Trends in Thoracic Radiology Over a Decade at a Large Academic Medical Center
C. Wittram (2004)
10.1148/RG.245045008
CT angiography of pulmonary embolism: diagnostic criteria and causes of misdiagnosis.
C. Wittram (2004)
10.1016/S0033-8389(02)00018-0
CT for thromboembolic disease.
L. Washington (2003)
10.1148/RADIOL.2222001802
Subsegmental pulmonary emboli: improved detection with thin-collimation multi-detector row spiral CT.
U. Schoepf (2002)
10.1148/RADIOLOGY.197.1.7568857
Spiral CT of the chest: comparison of cine and film-based viewing.
S. Seltzer (1995)
10.1055/S-2001-13344
Artefaktreduzierung bei der Lungenemboliediagnostik mittels Spiral-CT unter Verwendung eines Kochsalzbolus
N. Vogel (2001)



This paper is referenced by
10.1097/RLI.0000000000000387
Virtual Monoenergetic Imaging and Iodine Perfusion Maps Improve Diagnostic Accuracy of Dual-Energy Computed Tomography Pulmonary Angiography With Suboptimal Contrast Attenuation
D. Leithner (2017)
10.1097/MCP.0b013e32832d6b98
Computerized tomographic pulmonary angiography versus ventilation perfusion lung scanning for the diagnosis of pulmonary embolism
D. Anderson (2009)
10.1111/1754-9485.1_12809
Friday 26 October 2018
S. Lewis (2018)
[Cost-effectiveness analysis of different imaging for the diagnosis of acute pulmonary embolism].
S. M. Batallés (2009)
10.1259/IMAGING.20100064
Thoracic vascular imaging: thoracic aortic disease and pulmonary embolism
M. Jones (2013)
What you see is what you diagnose: Staging the severity of acute pulmonary embolism with computed tomography pulmonary angiography
G. Staśkiewicz (2010)
10.1016/S0221-0363(09)73282-2
Les frontières de la normalité en tomodensitométrie thoracique
F. Laurent (2009)
10.1016/j.crad.2011.06.012
Use of expiratory CT pulmonary angiography to reduce inspiration and breath-hold associated artefact: contrast dynamics and implications for scan protocol.
A. Mortimer (2011)
10.1177/0284185113514886
Contrast material and radiation dose reduction strategy for triple-rule-out cardiac CT angiography: feasibility study of non-ECG-gated low kVp scan of the whole chest following coronary CT angiography
M. Kidoh (2014)
10.1002/jmrs.17
A retrospective comparison of smart prep and test bolus multi-detector CT pulmonary angiography protocols
T. Suckling (2013)
10.4103/digm.digm_42_17
Patient-specific three-dimensional printed pulmonary artery model: A preliminary study
Sultan Aldosari (2017)
10.1016/j.ejro.2020.100280
Improving Contrast Enhancement in Pulmonary CTA: The value of breathing maneuvers
P. Manava (2020)
10.2214/AJR.09.2330
Radiation dose for body CT protocols: variability of scanners at one institution.
T. Jaffe (2009)
10.3978/j.issn.2223-4292.2014.10.02
CT angiography in the diagnosis of cardiovascular disease: a transformation in cardiovascular CT practice.
Z. Sun (2014)
CTPA using 50mL of Contrast Medium – a Retrospective Analysis and Prospective Improvement Project
Owen Kang (2015)
10.1097/RTI.0b013e31820b8696
Impact of Tube Current-Time and Tube Voltage Reduction in 64-Detector-row Computed Tomography Pulmonary Angiography for Pulmonary Embolism in a Porcine Model
F. Henes (2012)
10.1016/j.thromres.2015.05.018
Accuracy of X-ray with perfusion scan in young patients with suspected pulmonary embolism.
J. van Es (2015)
UvA-DARE ( Digital Academic Repository ) Pulmonary embolism : advances in diagnosis and prognosis
Renée A. Douma (2010)
10.1016/j.jaad.2010.12.002
Chronic pulmonary embolism in Klippel-Trenaunay syndrome.
Renée A. Douma (2012)
10.5578/tt.27936
Insights into chest computed tomography findings in Behcet's disease.
Betül Kızıldağ (2018)
10.1556/OH.2009.28664
[The importance of multidetector computed tomography in the vascular imaging].
Szabolcs Halász (2009)
10.1148/radiol.10090908
Intravenous contrast medium administration and scan timing at CT: considerations and approaches.
K. Bae (2010)
CT Diagnosis of Chronic Pulmonary
María Mata (2009)
Recognition and Avoidance of Artifacts in Computed Tomography Pulmonary Angiography (CTPA)
A. Somanathan (2012)
Optimization Contrast Enhancement MDCT
Kyongtae Ty Bae (2010)
10.1007/s00330-013-2919-6
An optimised patient-specific approach to administration of contrast agent for CT pulmonary angiography
C. Saade (2013)
10.5812/iranjradiol.97230
Salvage of Suboptimal Enhancement of Pulmonary Artery in Pulmonary CT Angiography Studies: Rapid kVp Switch Dual Energy CT Experience
S. Bayraktaroğlu (2020)
10.1007/978-3-540-77602-4_21
Dual Energy: CTA Lung Perfusion (PE)
T. Johnson (2008)
10.1111/1754-9485.2_12656
Saturday 21 October 2017
A. Mukhtar (2017)
10.2214/AJR.14.13938
Overdiagnosis of Pulmonary Embolism by Pulmonary CT Angiography.
B. Hutchinson (2015)
Original data Nondiagnostic Diagnostic
Betül Topatan (2011)
10.1016/S0300-2896(09)73499-4
Métodos de imagen en la hipertensión pulmonar tromboembólica crónica
M. A. S. Nistal (2009)
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