Zones of increased perfusion (hot spots) on perfusion lung scans: correlation with pulmonary arteriograms.

Abstract:

:Perfusion lung scans are occasionally characterized by focal zones of apparent hyperperfusion ("hot spots"). To investigate the frequency and significance of this phenomenon, ventilation-perfusion lung scans and pulmonary arteriograms were reviewed in 72 patients who underwent both procedures for the evaluation of suspected pulmonary embolism. Hot spots were present in the scans of 13 patients and usually occupied less than one pulmonary segment. Most hot spots were detected within a region of atelectasis identified on chest radiographs (38%). A substantial number of the remaining hot spots were located in the lung adjacent to regions of embolus. In patients with massive embolus, hot spots actually represented normally preserved perfusion in the presence of globally reduced perfusion elsewhere.

journal_name

Radiology

journal_title

Radiology

authors

Meignan M,Palmer EL,Waltman AC,Strauss HW

doi

10.1148/radiology.173.1.2781030

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

47-52

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

173

pub_type

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